Treatment of posttympanostomy otorrhea with Jumi-Haidoku-to.

概要

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Placement of a ventilation tube through the eardrum is regarded as an effective treatment for recalcitrant cases of otitis media with effusion. A few patients may develop otorrhea either in the immediate postoperative period or later. The discharge is from a wound infection or the result of the underlying disease process. Conservative treatment, including cleaning the ear under the microscope, curetting and cauterizing granulations, and topical drops, along with oral antibiotics is usually selected for the condition. If this type of treatment fails, most of the ENT doctors remove the tube, which is quite effective. However, such patients usually have stubbornly resistant effusion and may require another tube insertion. We use Jumi-Haidoku-to granules (Kampo type of herb medicine) for discharges that resist therapy. Seven patients (8 ears) who suffered from postintubation otorrhea were treated successfully, without removal of the tubes, using oral Jumi-Haidoku-to with or without oral antibiotics. The postoperative use of this medicine in a 10-year-old boy with cholesterol granuloma is also described.
耳鼻咽喉科臨床学会の論文