Compare the effects of the artifical eustachian tube insertion and tympanostomy tube insertion to treat secretory otitis media

OBJECTIVE To compare the treatment effects of secreory otitis media with artificial eustachian tube insertion and tympanotomy tube insertion.To provide useful information for the treatment of secretory otitis media.METHODS Seventy-one patients(86 ears) with secretory otitis media were randomly divided into tow groups:experimental group(36 cases,44 ears) and control group(35 cases 42 ears).The experimental group was treated by artificial eustachian tube insertion under nasal endoscope.Drugs were injected through the tube into the tympanic cavity everyday after flushing it. The control group were treated by traditional method—the tympanic ventilation tube.All patients were followed up for 6 months.RESULTS The experimental group: 21 ears(47.73%) were cured,19 ears(43.18%) were straightened up,and no effects observed in 4 ears (9.09%).The control group:12 ears(28.57%) cured,17 ears(40.48%) wered straightened up and no effects obsered in 13 ears(30.95%).The efficiency rate of the experimental group(90.91%) was much higher than the control group(69.05%,P0.05).The auditory threshold of the experimental group was 20.95 dB,which was significantly lower than that in control group 28.25dB (P0.01).CONCLUSION Artificial eustachian tube insertion under nasal endoscope could avoid the damage of the tympanic membrane.Through the medicine injection treatment,the function of eustachian tube could recover effectively.Artificial eustachian tube insertion under nasal endoscope is the ideal choice to treat secretory otitis media.