Effects of endoscopic low temperature plasma adenoid ablation combined with tympanic catheterization in treatment of secretory otitis media with adenoid hypertrophy in children
Objective:To observe effects of endoscopic low temperature plasma adenoid ablation combined with tympanic catheterization in treatment of secretory otitis media(SOM)with adenoid hypertrophy(AH)in children.Methods:A prospective study was conducted on 72 children with SOM and AH admitted to this hospital from June 2021 to June 2023.According to the random number table method,they were divided into observation group and control group,36 cases in each group.Both groups were treated with tympanic catheterization.On this basis,the control group received conventional adenoidectomy,while the observation group received endoscopic low temperature plasma adenoid ablation.The clinical efficacy,the serum inflammatory factors[interleukin-2(IL-2),interleukin-10(IL-10)and tumor necrosis factor-α(TNF-α)]levels,the pure tone hearing threshold and the quality of life[chronic otitis media outcome test(COM-5)]scores before and after the surgery,and the incidence of complications were compared between the two groups.Results:The total effective rate of the observation group was 97.22%(35/36),which was higher than 77.78%(28/36)of the control group,and the difference was statistically significant(P<0.05).3 months after the surgery,the levels of serum IL-2,IL-10,TNF-α,the pure tone hearing threshold,and the COM-5 scores of ear symptoms,hearing impairment,negative emotions,guardian concerns,and limited daily activities in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 2.78%(1/36),which was lower than 25.00%(9/36)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Endoscopic low temperature plasma adenoid ablation combined with tympanic catheterization is effective in the treatment of the children with SOM and AH.It can reduce the postoperative inflammatory response,improve the hearing conditions,improve the quality of life and reduce the incidence of complications.Moreover,it is superior to conventional adenoidectomy combined with tympanic catheterization.
ChildrenSecretory otitis mediaAdenoid hypertrophyLow temperature plasma ablationTympanic catheterization
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