COMPARATIVE STUDY ON OUTCOMES OF MEDICAL AND SURGICAL TREATMENT OF OTITIS MEDIA WITH EFFUSION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 37
Abstract
BACKGROUND Otitis media with effusion is a common childhood disorder, which resolves on its own in a few months. Recurrence or persistence of the disease warrants treatment with medical or surgical intervention according to the severity. Recent recommendations suggest no role for antihistamines, decongestants or antibiotics leading to various other problems like antibiotic resistance. Already established surgical management commonly involves myringotomy with grommet insertion with or without adenoidectomy and adenotonsillectomy and is now the preferred modality of treatment. This article compares the outcomes of surgical treatment with that of medical management. The aim of this study is to assess the outcomes of surgical treatment outcomes compared to the medical treatment of otitis media with effusion. MATERIALS AND METHODS The study was conducted in a tertiary care hospital and is a non-randomised, controlled, prospective study. A total number of 70 patients from age 5 - 30 years, suffering from persistent otitis media with effusion and adenoid hypertrophy were selected from the outpatient department of ENT after detailed clinical examination and investigations. The study is of a prospective, nonrandomised type where the sample of patients who were included in the study were divided into three different groups depending on the mode of management. The parameter to measure the outcomes were obtained from the improvement of air-bone gap preand post-treatment. The comparisons of outcomes were made using statistical tools. In this study, we found that surgical management with myringotomy and grommet insertion alone to be as effective as with additional adenoidectomy/adenotonsillectomy and had statistically better results than medical management. The author suggests adenoidectomy/adenotonsillectomy only in cases indicated, but not to be done routinely. For long-standing or recurrent otitis media with effusion, myringotomy with grommet insertion (surgical treatment) is the preferred choice of treatment. RESULTS A total number of 70 patients with age distribution of 50% in the age group of 5 - 9 years, 20% in 10 - 14 years and 30% in 15 - 30 years. Males were predominant in the study. CONCLUSION The myringotomy plus grommet insertion along with adenoidectomy/adenotonsillectomy gave equivocal outcomes as myringotomy with grommet insertion alon
Authors and Affiliations
Bivas Adhikary, Devraj Pal, Indranil Naskar, Sanjay Kumar Das, Shivaam Kesarwani, Uttirno Roy
Keywords
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- EP ID EP548025
- DOI 10.14260/jemds/2018/920
- Views 99
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