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[The main steps in treatment of the children with otitis media with effusion]
N A Mileshina1, V V Volodkina1, E V Kurbatova1
1Russian Scientific and Clinical Center for Audiology and Hearing Prosthetics of the Federal Medical and Biological Agency, Moscow, Russia.
Insights
This study on otitis media with effusion (OME) in 361 children found that surgical treatment is effective in 97.6% of cases. Long-term observation is recommended for children with OME.
Area of Science:
- Pediatric Otolaryngology
- Otorhinolaryngology
- Medical Research
Background:
- Otitis media with effusion (OME) affects children, potentially requiring intervention.
- OME presents in secretory, mucous, and fibrous stages, influencing treatment approaches.
Purpose of the Study:
- To evaluate the diagnostic and treatment strategies for otitis media with effusion in children.
- To assess the effectiveness of surgical interventions for OME across different disease stages.
Main Methods:
- A cohort of 361 children aged 11 months to 18 years with OME were studied from 2013-2018.
- Diagnostic methods included otoscopy, tympanometry, endoscopy, and computed tomography.
- Treatment followed OME stages: secretory, mucous, and fibrous, with surgical options considered.
Main Results:
- Surgical treatment for OME demonstrated a 97.6% effectiveness rate.
- Long-wearing ventilation tubes and auditory tube ballooning are preferred for recurrent OME and in patients with cleft lip and palate.
Conclusions:
- Surgical intervention is indicated for mucous and fibrous stages of OME, and potentially at the secretory stage.
- Dispensary observation for 12-24 months is recommended for patients diagnosed with OME.
Material And Methods:
361 children at age from 11 months to 18 years with otitis media with effusion (OME) were inspected after tympanostomy during 2013-2018 years. Treatment was carried out in accordance with the stages of OME: secretory, mucous, fibrous. The main diagnostic methods were: otoscopy, tympanometry, endoscopy, computed tomography. Surgical treatment may be required already at the secretory stage of the disease, as well as in all cases with mucous and fibrous stages of OME.
Results:
In children with recurrences of OME and in patients with congenital cleft lip and palate, it is preferable to use long-wearing ventilation tubes and balloning of the auditory tubes. The effectiveness of surgical treatment of OME was 97.6%.
Conclusion:
The authors recommend dispensary observation of patients with OME for 12-24 months.
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