Analysis of Postoperative Hearing Outcomes in Refractory Secretory Otitis Media
FENG Xiao-hua
LONG Xiao-bin
WANG Jian
CHEN Yong-ting
FU Xiao-yan
Abstract：Objective To report postoperative hearing after ventilation tube placement with or without mastoidectomy for refractory secretory otitis media and analyze factors influencing postoperative hearing. Methods of Fifty two cases (86 ears) of refractory secretory otitis media were retrospectively analyzed, of which 20 (33 ears) underwent ventilation tube placement with mastoidectomy and 32 (53 ears) underwent only ventilation tube placement. Tympanic membrane ventilation tube was pulled out 3 to 6 months later. Postoperative hearing outcomes were analyzed using logistic regression analysis. Factors analyzed in-cluded gender, age, tunica mucosa tympanica, mastoidectomy, effusion of middle ear cavity, removal of tube, otorrhea, tube use time, etc. Results Hearing improved in 30 of the 33 ears (90.9%) receiving mastoidectomy and ventilation tube placement, and in 38 of the 53 ears (71.7%) undergoing simple ventilation tube placement (χ2=4.535, P=0.033). Removal of tube and middle ear CT results were the factors that showed a significantly favorable correlation to postoperative hearing outcomes. Conclusion Removal of tube and middle ear CT results show a favorable relation to postoperative hearing outcomes in refractory secretory otitis media. Eradication of middle ears lesions, expanding middle ear space and mastoid air cell volume, reducing middle ear cavity negative pressure and improving drainage of the mastoid and tympanic cavity all have positive effects on treatment out-comes and on preventing complications.
Keywords：media with effusionrefractoryotitismastoidectomyventilation tube placementhearing
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( 444-447 )