Otitis Media With Effusion Clinical Trial
Official title:
Comparison Between the Fate of Secretory Otitis Media in Patients With Adenoids Hypertrophy Undergoing Adenoidectomy Alone or With Myringotomy or With Myringotomy and Tympanostomy Tube Application
This study aims to compare the fate of Secretory Otitis Media in patients with adenoids hypertrophy undergoing Adenoidectomy alone or with Myringotomy or with Myringotomy and Tympanostomy Tube application
Otitis media with effusion (OME) is one of the most common diseases during childhood . It is
defined as collection of non-purulent effusion (mucoid or serous) in the middle ear space
without signs of acute infection. It's synomus are serous otitis media, secretory otitis
media or glue ear. Adenoid hypertrophy can cause mechanical obstruction of the Eustachian
tube which plays an important role in the pathogenesis of OME.
Management of OME consisted of many varieties; 1- Auto inflation, 2- Medical treatment and 3-
Surgical. Surgical treatment indicated in cases where the effusion does not resolve
spontaneously or failed medical treatment for 3 months and the main purpose of surgery is to
restore middle ear aeration. Treatment options are Adenoidectomy with or without Myringotomy
or Myringotomy and Tympanostomy tube application.
The aim of this study is to compare the efficacy of each surgical option in management of
otitis media with effusion. This study will be carried out in ENT department of Assiut
university hospital on 150 child diagnosed as persistent otitis media with effusion due to
adenoid enlargement and they will be categorized randomly into three groups (50 cases per
each). Group I will undergo Adenoidectomy alone, group II will undergo Adenoidectomy and
Myringotomy and group III will undergo Adenoidectomy and Myringotomy and Tympanostomy tube
application. All patients will be subjected to full ENT examination and audiological
evaluation. Postoperative evaluation will be done for all patients for 3 months through
clinical and audiological evaluation.
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