アデノイド切除術と滲出性中耳炎-長期成績と難治例の分析

概要

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The long-term (3 years) effect of adenoidectomy on chronic otitis media with effusion (OME) was analyzed in 130 children (244 ears) aged 4 to 8 years. Although the cure rates of OME in the first and second years after surgery were significantly better in the adenoidectomized group than in the non-adenoidectomized one, in the third year no significant difference was found between the two groups.Among the treatment failures, poor pneumatization of the mastoid, abnormally low or high opening pressure of the eustachian tube, and/or paranasal sinusitis were their characteristic features. Adenoidectomy appears to shorten somewhat the time for cure of OME. However, children with poor mastoid pneumatization, or very abnormal eustachian tubes, and/or chronic recurrent upper respiratory infections (URI) since infancy were not likely to benefit from adenoidectomy.
耳鼻咽喉科臨床学会の論文