Refractory Secretory Otitis Media Associated with Bone Conduction Threshold Elevation
FENG Xiao-hua
LONG Xiao-bin
WANG Jian
CHEN Yong-ting
Abstract： Objective To study the etiology, diagnosis and treatment of sensorineural hearing loss associated with refrac-tory secretory otitis media. Method Data from 96 patients (148 ears) with refractory secretory otitis media were retrospectively analyzed. The patients were divided into three groups based upon presence of comorbid adenoidal hypertrophy (Group A, n=42, 70 ears), allergic rhinitis (Group B, n=22, 32 ears) or mastoid diseases (Group C, n=32, 46 ears). All patients were treated with ventilation tube placement. At the same time, patients in Group A received adenoidectomy, those in Group B were given anti-histamine drugs and nasal steroids, and those in Group C received mastoid surgeries. Tympanostomy ventilation tubes were removed at 6 months. Results Bone conduction threshold returned to normal in 78 patients (125 ears), improved by,11 to 25dB in 16 cases (21 ears) and showed no improvement in 2 patients (2 ears). Postoperative tympanograms were type A in 91 ears, type B in 21 ears and type C in 36 ears. Conclusion Adenoidal hypertrophy, allergic rhinitis and mastoid diseases ap-pear to be related to bone conduction threshold changes in patients with refractory secretory otitis media. Effective manage-ment of these comorbidities can improve patients' bone conduction thresholds and prevent progression of disease, yielding sat-isfactory clinical results.
Keywords：Sensorineural hearing lossrefractorysecretoryOtitis media
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 231-234 )