EVALUATION OF EFFECTIVENESS OF MYRINGOTOMY AND MYRINGOTOMY WITH VENTILATION TUBE INSERTION AS TREATMENT OF OTITISMEDIA WITH EFFUSION IN CHILDREN
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 29
Abstract
[b] BACKGROUND:[/b] Considerable uncertainty and controversies exists regarding the surgical treatment options of Otitis media with effusion (OME). As untreated or improperly treated longstanding OME causes problems in social and intellectual behavior in children, it is of great public health importance. [b]OBJECTIVES:[/b] To compare the effectiveness of myringotomy with that of myringotomy with ventilation tube (VT) insertion as treatment of OME and to find out long-term sequlae of VT insertion. [b]METHODS AND MATERIALS[/b]: Tertiary care hospital level prospective follow-up study was conducted in 50 children of 3 to 10 years of age with history of OME and adenoid hypertrophy. They were randomly divided into two groups. All children had adenoidectomy and along with that one group hadmyringotomy and other group underwent myringotomy and ventilation tube insertion. The patients’ characteristics were prospectively recorded during the study period of one year starting from January 2013. [b]Results[/b] were analyzed. There is significant improvement in hearing in myringotomised children than those with ventilation tube insertion. (Student t test, p<0. 05) and tympanic membrane appear more towards normalcy (Fisher’s exact test, p<0. 05) in those children after one year.[b] CONCLUSION:[/b] The insertion of ventilation tube after myringotomy has not much beneficial effects on hearing in long-term. Ventilation tubes also cause pathological changes in the tympanic membrane such as tympanosclerosis and perforation.
Authors and Affiliations
Sujatha S, Venugopalan P. G
Keywords
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- EP ID EP143391
- DOI 10.14260/jemds/2015/729
- Views 43
- Downloads 0
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