The Effect of Endoscopic Peritubal Adenoidectomy Vs Myringotomy with Ventilation Tubes Insertion in Management of Otitis Media with Effusion in Children

Q4 Medicine

Egyptian Journal of Ear, Nose, Throat and Allied Sciences Pub Date : 2022-01-01 DOI:10.21608/ejentas.2021.51633.1290

M. El Begermy, Marwa M El Begermy, H. Kassamy

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引用次数: 2

Abstract

Background: There is a lot of controversy about the role of adenoidectomy and myringotomy with ventilation tubes insertion (MVT) in management of otitis media with effusion (OME). In a previous study we found that endoscopic-assisted peritubal adenoidectomy (EPA) resulted in cure of most patients without the need of MVT. We adopted this technique and modified it in the last 20 years. Aim: To describe and evaluate the results of EPA in management of OME in both new and recurrent cases after previous surgery, and whether we can avoid MVT or not. Patients and Methods: Our techniques for EPA and MVT were described. Three studies were performed, including 282 patients. Study 1: randomized (prospective) study included 110 new non-operated cases. Study 2: Retrospective study, included 120 new non-operated patients with selected criteria. Study 3: Recurrent cases: It included 52 patients after previous surgery. Each study included 2 subgroups: a- EPA. b- EPA+MVT for comparison. Results: There were no statistically significant differences between the 2 subgroups in the three studies. EPA had the same success rate as compared with EPA+MVT. Complications were recorded and discussed. Conclusion: Endoscopic examination and removal of peritubal adenoid remnants were major cornerstone step in management of OME. We can avoid MVT by this technique, without complications in most cases.

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内镜下输卵管周围腺样体切除术与鼓膜切开术并发通气管置入治疗儿童中耳炎积液的疗效比较

背景:关于腺样体切除术和鼓膜切开术并插入通气管(MVT)在中耳炎积液(OME)治疗中的作用存在很多争议。在先前的一项研究中，我们发现内镜辅助的输卵管周围腺样体切除术(EPA)可以治愈大多数患者，而无需MVT。在过去的20年里，我们采用了这种技术并对其进行了改进。目的:描述和评价EPA在既往手术后新发和复发的OME患者的治疗效果，以及是否可以避免MVT。患者和方法:描述了我们的EPA和MVT技术。进行了三项研究，包括282例患者。研究1:随机(前瞻性)研究纳入110例新发未手术病例。研究2:回顾性研究，纳入120例新的非手术患者，符合选定的标准。研究3:复发病例:包括52例既往手术患者。每个研究包括2个亚组:a- EPA。b- EPA+MVT比较。结果:3个研究中2个亚组间比较无统计学差异。EPA与EPA+MVT的成功率相同。记录并讨论并发症。结论:内镜检查和清除输卵管周围腺样体残余是治疗OME的重要基石。我们可以通过这种技术避免MVT，在大多数情况下没有并发症。

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来源期刊

Egyptian Journal of Ear, Nose, Throat and Allied Sciences Medicine-Otorhinolaryngology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： Egyptian Journal of Ear, Nose, Throat and Allied Sciences aspires to play a national, regional and international role in the promotion of responsible and effective research in the field of Otolaryngology, Head and Neck Surgery in Egypt, Middle East and Africa. Mission To encourage and support research in Ear, Nose and Throat (ENT) field and interdisciplinary topics To implement high-quality editorial practices among Otolaryngologists To upgrade the ability and experience of local doctors in international publishing To offer professional publishing support to local researchers, creating a supportive network for career development To highlight ENT diseases and problems peculiar to our region To promote research in endemic, hereditary and infectious ENT problems related to our region To expose and study impact of ethnic, social, environmental and cultural issues on expression of different ENT diseases To organize common epidemiologic research of value to the region To provide resource to national and regional authorities about problems in the field of ENT and their implication on public health and resources To facilitate exchange of knowledge in our part of the world To expand activities with regional and international scientific societies.