[The clinical observations on 110 cases of adhesive otitis media]

The treatment of the adhesive otitis media (AOM) remains a challenge to the otologists. This paper analysed 110 cases of AOM (120 ears) collected during 25 years from 1967 to 1992. The clinical observation found that the lesions of AOM affected all parts of the middle ear, even the round and oval windows. There were various degrees of tympanic fibrous adhesions and atelectatic tympanum in these cases. After the tympanic adhesions were surgically separated and the lesions were removed, the silastic film or a slice of the homologous cartilages were put into the tympanum to prevent a new adhesion. It was showed that the silastic film was frequently enveloped in a capsule formed by the fibrous collagenous tissue and other extensive adhesions were existed around the capsule. But the cartilage slice caused the slighter pathological reactions. However, their hearing did not recovery to an available level. Therefore the further studies for the treatment of AOM are necessary.