滲出性中耳炎の臨床的検討:3年以上経過を見た症例

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We reviewed 56 children (111 ears) with otitis media effusion who had consulted us during the six years between 1979 and 1984, and followed up for more than three years.<BR>The ear drum, hearing level and tympanometry were examined at the initia l and last time. Then we evaluated and classified these cases under four groups in view of prognosis.<BR>Of the 111 ears,40% were cured,15% had trace effusion,32% required of servation and 13% took a poor course. The age at the first examination was between 0 and 9 years old with a peak at 5 years old, and decreased in the children over 8 years old. In the children over 10 years old, evaluations were affected by sinusitis. On the other hand, in the children under 10 years old, adenoids influenced these evaluations. The cleft of palate was influenced at all ages.<BR>Atelectasis was detected in 8 ears, but all cases improved by tube insertion or tympanostomy. Active treatment and long-term follow up are important to prevent progression to irreversible state.
耳鼻咽喉科臨床学会の論文