Effect of eustachian tube balloon dilatation combined with tympanic membrane puncture and drainage in the treatment of refractory secretory otitis media
TAN Xiang-gao1 XU Wei-hua2 DAI De2 WU Hui-min1
1. Department of Ophthalmology and Otorhinolaryngology, Maoming Petrochemical Hospital, Guangdong Province,Maoming 525011, China;
2. Department of Otolaryngology, Affiliated Hospital of Guangdong Medical University,Guangdong Province, Zhanjiang 524000, China
Abstract：Objective To investigate the effect of eustachian tube balloon dilatation combined with tympanic membrane puncture and drainage in the treatment of refractory secretory otitis media. Methods Fifty patients with refractory secretory otitis media treated in Maoming Petrochemical Hospital from March 2016 to September 2017 were selected as the research subjects. They were divided into observation group (n=25) and control group (n=25) according to the random number table method. The control group was treated with traditional methods such as eustachian tube bluffing,tympanic membrane puncture, and tube placement after local hormone treatment, and the observation group was treated with eustachian tube balloon dilatation combined with tympanic membrane puncture and drainage. The pure tone hearing threshold (PTA), air-bone conduction gap (ABG), eustachian tube manometer (TMM), and eustachian tube function score (ETS) of the two groups were compared before and after 24 months. The proportion of patients with R value of 30 mbar, R value of 40 mbar, and R value of 50 mbar before and 24 months after surgery were measured. Results After treatment, the levels of PTA and ABG in the two groups were lower than those before treatment, and the score of ETS was higher than that before treatment, the differences were statistically significant (P＜0.05). After treatment, the levels of PTA and ABG in the observation group were lower than those in the control group, the ETS score was higher than that in the control group, the differences were statistically significant (P＜0.05). After treatment, the proportion of patients with R value at 30, 40, and 50 mbar in the observation group were higher than those in the control group, the differences were statistically significant (P＜0.05). Conclusion Traditional treatment can relieve the symptoms of patients in a short period of time. Eustachian tube balloon dilatation can make the eustachian tube obstructed again, and it can solve the obstruction of physiological ventilation function of the middle ear. The symptom improvement is obvious, the effect is lasting, the curative effect is definite, it is worth popularizing.
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