Effects of endoscopic adenoidectomy on complications of children with secretory otitis media
Objective To investigate the effect of endoscopic adenoidectomy on children with secretory otitis media(SOM).Methods A total of 94 children with SOM admitted to our hospital from January 2019 to May 2022 were selected.They were randomly divided into the reference group and observation group based on a random number table method,with 47 cases in each group.Children in both groups were treated with tympanic membrane catheterization,and those in the observation group were additionally treated with nasal endoscopic adenoidectomy.The listening level(auditory brainstem response[ABR]threshold,wave I latency of ABR),efficacy,inflammatory levels(C-reactive protein[CRP],tumor necrosis factor alpha[TNF-α]),recurrence and complications were compared between groups.Results The ABR threshold and wave I latency of ABR I at 12 months after surgery in both groups were significantly lower than those before surgery(P<0.05),but there were no significant differences between the two groups(P>0.05).The total effective rate of the observation group was slightly higher than that of the reference group without a significant difference(P>0.05).Serum CRP and TNF-α at 3 days after surgery were significantly lower than those before surgery,which were significantly lower in the observation group than those of reference group(P<0.05).The recurrence rate and incidence of complications within 12 months after surgery in the observation group were significantly lower than those of the reference group(P<0.05).Conclusion Nasal endoscopic adenoidectomy combined with tympanic membrane catheterization is effective in the treatment of children with SOM,which can reduce the inflammatory response,recurrent rate and incidence of complications.
万方数据
维普
