Advance Search
ZOU Tong. Therapeutic effect and safety of eustachian tube surgery under nasal endoscope in the treatment of secretory otitis media[J]. Journal of Clinical Medicine in Practice, 2019, 23(13): 89-91, 95. DOI: 10.7619/jcmp.201913025
Citation: ZOU Tong. Therapeutic effect and safety of eustachian tube surgery under nasal endoscope in the treatment of secretory otitis media[J]. Journal of Clinical Medicine in Practice, 2019, 23(13): 89-91, 95. DOI: 10.7619/jcmp.201913025
shu

Therapeutic effect and safety of eustachian tube surgery under nasal endoscope in the treatment of secretory otitis media

  • Department of Otorhinolaryngology, Qionglai Medical Center Hospital of Sichuan Province, Qionglai, Sichuan, 611530

More Information
  • Received Date: March 01, 2019
  • Accepted Date: April 07, 2019
  • Available Online: February 23, 2021
  • Published Date: July 14, 2019
    Graphical Abstract
    • Abstract
  •   Objective  To investigate the efficacy and superiority of triamcinolone acetonide and ambroxol injection via tympanic cavity in the treatment of secretory otitis media in the early stage of radiotherapy of nasopharyngeal carcinoma.
      Methods  Sixty patients with nasopharyngeal carcinoma, who had secretory otitis media and were found during clinical treatment, were enrolled. They were divided into surgery group(n=30) and drug group(n=30) according to the digital table method. The operation group was given traditional indwelling tube therapy after myringotomy, and the drug group was treated with triamcinolone acetonide and ambroxol injection via tympanic cavity. The therapeutic effects of the two groups were compared.
      Results  After treatment, the total effective rate of hearing in the drug group was significantly better than that in the surgery group (96.67% vs. 76.67%, P < 0.05). The hearing threshold of the two groups was significantly lower than treatment before (P < 0.05); the acoustic impedance test showed that ear canal peak suppression (MEP), static acoustic value (SC) and external auditory volume were significantly higher than normal values(P < 0.05). After treatment, the incidence of mucosal congestion, sinusitis, oral white mucosa and thick bloody discharge in the drug group were 16.67%, 23.33%, 36.67%, 20.00%, respectively, which were significantly lower than 50.00%, 63.33%, 66.67% and 43.33%, respectively, in the surgery group (P < 0.05).
      Conclusion  Triamcinolone acetonide and ambroxol injection via tympanic cavity has better therapeutic effect and is safer than traditional indwelling tube therapy after myringotomy.
    • FullText(HTML)
    • References (14)
  • [1]
    张小强, 杨赣军, 胡有生, 等. 咽鼓管解剖参数的测量与分析应用[J]. 四川解剖学杂志, 2011, 19(1): 23-24. https://www.cnki.com.cn/Article/CJFDTOTAL-SCGP201101011.htm
    [2]
    谢仁联. 中耳变压治疗急性分泌性中耳炎的临床研究[J]. 中国当代医药, 2011, 18(32): 19-20. doi: 10.3969/j.issn.1674-4721.2011.32.010
    [3]
    宋阳. 小儿渗出性中耳炎漏诊问题的临床体会[J]. 大连医科大学学报, 2005, 27(2): 138-139. doi: 10.3969/j.issn.1671-7295.2005.02.027
    [4]
    罗方红. 鼓膜置管联合罗红霉素胶囊对慢性分泌性中耳炎患者的疗效分析[J]. 中国民族民间医药, 2013, 22(7): 34-35. doi: 10.3969/j.issn.1007-8517.2013.07.021
    [5]
    石建国, 张群. 鼻内镜下咽鼓管吹张及鼓膜穿刺注药法治疗分泌性中耳炎[J]. 价值工程, 2011, 30(34): 268-268. doi: 10.3969/j.issn.1006-4311.2011.34.187
    [6]
    段卫红, 万世恒, 周美英, 等. 鼻内镜下咽鼓管置管术治疗分泌性中耳炎的疗效影响因素[J]. 医学临床研究, 2006, 23(12): 1955-1957. doi: 10.3969/j.issn.1671-7171.2006.12.031
    [7]
    张瑞迪, 米光熙, 宋丽华. 三种方法治疗分泌性中耳炎的疗效观察[J]. 中国全科医学, 2009, 12(18): 1718-1719. doi: 10.3969/j.issn.1007-9572.2009.18.026
    [8]
    许凤山, 刘忠钰, 王荣华, 等. 鼻内镜下咽鼓管置管治疗分泌性中耳炎[J]. 中国耳鼻咽喉头颈外科, 2007, 14(8): 458-459. doi: 10.3969/j.issn.1672-7002.2007.08.005
    [9]
    Czerwonka R, Złomaniec J, Semczuk B. The endoscopic assessment of the pharyngeal opening of the auditory tube in recurrent exudative otitis media in children[J]. Otolaryngol Pol, 1995, 49(5): 426-430.
    [10]
    King A D, Kew J, Tong M, et al. Magnetic resonance imaging of the eustachian tube in nasopharyngeal carcinoma: correlation of patterns of spread with middle ear effusion[J]. Am J Otol, 1999, 20(1): 69-73. http://europepmc.org/abstract/MED/9918176
    [11]
    Terzi S, Beyazal Çeliker F, Özgür A, et al. The evaluation of eustachian tube paratubal structures using magnetic resonance imaging in patients with chronic suppurative otitis media[J]. Acta Otolaryngol, 2016, 136(7): 673-676. doi: 10.3109/00016489.2016.1154187
    [12]
    Wessmann A, Hennessey A, Goncalves R, et al. The association of middle ear effusion with trigeminal nerve mass lesions in dogs[J]. Vet Rec, 2013, 173(18): 449-449. doi: 10.1136/vr.101817
    [13]
    Chan J Y, Wong S T, Wei W I. Whole-organ histopathological study of recurrent nasopharyngeal carcinoma[J]. Laryngoscope, 2014, 124(2): 446-450. doi: 10.1002/lary.24218
    [14]
    Johnson A K, Batra P S. Central skull base osteomyelitis: an emerging clinical entity[J]. Laryngoscope, 2014, 124(5): 1083-1087. doi: 10.1002/lary.24440
    • Related Articles

  • Related Articles

    [1]FANG Raohong, SHANG Gaoxia, YIN Pengyan, LI Huan, DUAN Miaohui, ZHAO Yunliang. Relationship between benign prostatic hyperplasia and abnormal glucose and lipid metabolism in the elderly[J]. Journal of Clinical Medicine in Practice, 2024, 28(23): 110-115. DOI: 10.7619/jcmp.20242909
    [2]GAO Yan, ZHANG Dan, LI Qian, ZHANG Junbo, LIU Liu, ZHU Ya'nan, GUO Shanshan. Helicobacter pylori infection in physical examination population and its correlations with hypertension, glucose and lipid metabolism[J]. Journal of Clinical Medicine in Practice, 2024, 28(23): 100-104. DOI: 10.7619/jcmp.20241938
    [3]WU Zhen, XU Yan, SU Wentao, WU Gangyong. Correlations of serum parathyroid hormone and 25 hydroxyvitamin D with glycolipid metabolism in patients with type 2 diabetes mellitus complicated with carotid atherosclerosis[J]. Journal of Clinical Medicine in Practice, 2022, 26(17): 120-124. DOI: 10.7619/jcmp.20221479
    [4]YANG Jiufang, WANG Xiaohong, YOU Hongxing, ZOU Huilan, LU Yuewen, WANG Xuelin. Correlations of plasma Alarin level with glucose and lipid metabolism and chronic inflammation in newly diagnosed type 2 diabetic patients with obesity[J]. Journal of Clinical Medicine in Practice, 2021, 25(24): 87-91. DOI: 10.7619/jcmp.20212610
    [5]WANG Xiaoyu, PAN Shujuan, GUO Liyuan, WANG Jing. Relationship between expression of immune inflammationindicators and abnormal glucose as well as lipid metabolism in patients with recurrent schizophrenia[J]. Journal of Clinical Medicine in Practice, 2021, 25(19): 101-106. DOI: 10.7619/jcmp.20211417
    [6]GUO Yulian. Effects of glycometide combined with acarbose or metformin on glucose and lipid metabolism as well as islet function in newly diagnosed type 2 diabetes patients[J]. Journal of Clinical Medicine in Practice, 2020, 24(22): 47-50. DOI: 10.7619/jcmp.202022013
    [7]LIU Juying. Study on the change of serum Lep, PAEs, glucose and lipid metabolism of children with obesity[J]. Journal of Clinical Medicine in Practice, 2015, (24): 66-68. DOI: 10.7619/jcmp.201524020
    [8]LI Xiaona, PAN Suiyue, GAO Jianbo, CUI Qian. Influence of "three-in-one" health education on glucose and lipid metabolism of high risk diabetic patients in landless farmers in Changzhou[J]. Journal of Clinical Medicine in Practice, 2014, (20): 28-31. DOI: 10.7619/jcmp.201420009
    [9]GE Fuwen. Effect of fenofibrate on blood lipid and acute insulin response in patients with abnormal glucose and lipid metabolism[J]. Journal of Clinical Medicine in Practice, 2013, (17): 91-92. DOI: 10.7619/jcmp.201317032
    [10]DONG Hui, TIAN Jian. Relationship between serum omentin and glycolipid metabolism in type 2 diabetic patients[J]. Journal of Clinical Medicine in Practice, 2013, (14): 87-88,91. DOI: 10.7619/jcmp.201314030

Catalog

    Get Citation
    PDF
    XML
    Article views (265) PDF downloads (6) Cited by()
    Turn off MathJax
    Article Contents
    Abstract
    References
    Related Articles

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return