Clinical Analysis of 62 Cases of Otitis Media with Effusion in Children

Objective:To investigate the pathogenic factors and treatment strategy of children with secretory otitis media.Methods:Clinical data of 62cases(96ears)in children with secretory otitis media were analyzed,the corresponding treatment scheme adopted on the basis of different pathogenic factors,and surgical intervention was assumed if 3months of conservative treatment was invalid.Results:Acute or chronic rhinosinusitis with adenoid hypertrophy was the main cause of secretory otitis media in 35cases(54ears),and the other causes were acute or chronic sinusitis(14cases,21ears),adenoid hypertrophy(5cases,10ears),and recurrent respiratory infection(8cases,11ears).There were 73 ears cured by conservative treatment,the other 23 ears were treated by myringotomy,myringotomy tube insertion,or adenoidectomy.Conclusion:Adenoid hypertrophy and sinus infections were the most common pathogenic factors in otitis media with effusion in children.Most patients could be cured by conservative treatment with a low rate of myringotomy tube insertion.