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

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Author(s)

Abstract

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.

Journal

  • Practica Oto-Rhino-Laryngologica

    Practica Oto-Rhino-Laryngologica 95(4), 327-336, 2002-04-01

    The Society of Practical Otolaryngology

References:  16

Cited by:  10

Codes

  • NII Article ID (NAID)
    10008099436
  • NII NACSIS-CAT ID (NCID)
    AN00107089
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    00326313
  • NDL Article ID
    6125951
  • NDL Source Classification
    ZS43(科学技術--医学--耳鼻咽喉科学)
  • NDL Call No.
    Z19-421
  • Data Source
    CJP  CJPref  NDL  J-STAGE 
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