Secretory otitis media: 241 cases (402 ears) report

    HUANG Hua, CHEN Fuª²Quan, SUN Jingª²Yu, SU Yu, HUANG Weiª²Guo

    Department of Otolaryngology, Xijing Hospital, Fourth Military Medical University, Xi¬ðan 710033, China

    ¡¾Abstract¡¿AIM: To study the aetiology, treatment of secretory otitis media (SOM) and to evaluate the treatment effect. METHODS: The clinical data of 241 patients (402 ears) with SOM from January 2001 to December 2003 were retrospectively reviewed. They were 132 male and 109 female, aged from 2 months to 5 years (86 cases), 6 to 10 (97 cases), 11 to 15 (41 cases) and 16 to 70 (17 cases). Among them 161 cases suffered from bilateral SOM and 80 the others from unilateral SOM. RESULTS: 208 cases (86.3%) complained the signs of ear component. The outcome of tympanogram showed a priority for B type. The static compliance value in 319 ears was less than 0.4, 78 ears between 0.4 and 1.4, and 5 ears more than 1.4. Myringotomy, myringotomy with grommet insertion and laserª²aided myringotomy were performed on 13, 42 and 314 ears, respectively. The 163 cases (67.6%) underwent adenoidectomy and the 115 cases (47.7%) underwent tonsillectomy. CONCLUSION: Adenoid hypertrophy and blockage of Eustachian tubes with infection are the most frequent reasons of SOM in pediatric population. Adenoidectomy should be an effective way in the management of SOM. ......