A clinical analysis on 30 children cases with chronic suppurative otitis media

Objective To investigate the clinical features of chronic suppurative otitis media(CSOM) in children and to evaluate effective therapies for this kind of disease. Methods A retrospective study was carried out among 27 children cases(30 ears) with CSOM treated in our Hospital from 1990 to 2004.of these cases,3 ears were treated by type I tympanoplasty while the remaining 27 ears were treated by opening operations.Among the ears treated by opening operations,22 ears were operated on by modified radical mastoidectomy,of them 3 ears being re-operated on by type Ⅱtympanoplasty after the lesion in middle ear being curde,and 5 ears were treated by modified radical mastoidectomy supplemented with tympanoplasty. Results In this group of cases.28 ears were healed by only once surgical treartment,with a healing rate of 93.3%.Among the 19 ears treated by modified radical mastoidectomy,the postoperative hearing level was improved in 6 ears,kept at the same level as preoperative in 7 ears,and become worse in 6 ears.The other 11 ears,treated either by type Ⅰor by type Ⅱ tympanoplasty,all showed various degrees of hearing improvement. Conclusions It is best to treat CSOM in children by opening surgical procedures in order to remove the lesion in middle ear cavity as thoroughly as possible to make otorrhea stopped earlier.Then stage Ⅰor stage Ⅱ,hearing reconstructing operation can be considered on the basis of lesion in middle ear cleft healed well.