反復性中耳炎に対する鼓膜チューブ留置術 Insertion of Ventilation Tube for Treatment of Recurrent Acute Otitis Media

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We inserted the ventilation tube into seven children for recurrent acute otitis media (rAOM), who could not recover from rAOM in spite of comprehensive treatments including myringotomies, oral or intravenous administration of antibiotics, and administration of immunoglobulin.<br>In order to select patients for the ventilation tube insertion, we followed the indications for surgery as below.<br>1) Recurring otitis media purulenta more than once a month<br>2) Inability to recover from rAOM in spite of comprehensive treatments including myringotomies and peroral or intravenous administration of adequate antibiotics<br>3) Ability to undergo general anesthesia.<br>The average observation times before and after surgery were 8.05 and 5.10 months. During these periods, the frequency of otitis media purulenta significantly decreased (t test, p<0.0001), from 1.72/30 days to 0.14/30 days on average. It was also proved statistically that the number of days of antibiotic administration and the frequency of fever showed a significant decrease after the operation as compared with before (p=0.0007, p=0.0188).<br>Ventilation tube insertion is thought to be one of the effective treatments for rAOM, and avoiding the overuse of antibiotics would prevent the increase of drug-fast bacteria such as penicillin resistant <i>Streptococcas pneumoniae</i> and ampicillin resistant <i>Haemophilus influenzae</i> both in number and in the level of resistance.

収録刊行物

  • 耳鼻咽喉科臨床

    耳鼻咽喉科臨床 95(4), 327-336, 2002-04-01

    The Society of Practical Otolaryngology

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各種コード

  • NII論文ID(NAID)
    10008099436
  • NII書誌ID(NCID)
    AN00107089
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00326313
  • NDL 記事登録ID
    6125951
  • NDL 雑誌分類
    ZS43(科学技術--医学--耳鼻咽喉科学)
  • NDL 請求記号
    Z19-421
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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