[The efficacy of tympanopunction in children with OMS].
نویسندگان
چکیده
INTRODUCTION Otitis media with effusion is the most frequent cause of conductive hearing impairement (HL) at pediatric age. This entity can be asymptomatic for an important period of time (silent OME). There is a surgical and a nonsurgical approach for OME. In case of failure of conservative treatment of OME the ventilation tube insertion (VT) with adenoidectomy alone or combined with tonsillectomy should be choosed. If the hearing loss is less than 20 dB children are candidates for conservative treatment and myringotomy. MATERIAL AND METHODS From 1999 to 2003, 50 children with bilateral and 9 with unilateral OME underwent the surgical treatment in our ENT Department. Mean age of patient population was 6,8 years. Clinical evaluation of the OME treatment outcome was done in 2004. Surgical procedure involved myringotomy, aspiration of the middle ear effusion, middle ear irrigation with soline solution 0.9 % Sodium Chloride (NaCl) followed by suction of diluted glue. Depo-Medrol (methylprednisolone acetate) was administrated into the middle ear. Our procedure included the management of the upper airways obstruction. RESULTS Good long-term outcomes after surgical treatment of OME were obtained in 30 patients (79%). In this group of children the upper airways management included adenoidectomy and partial tonsillectomy. 8 children presented poor response to the treatment. In this group the surgical procedure consisted of adenoidectomy and inferior turbinate reduction. Two children presented acute otitis media and improved after conservative treatment. Other children with poor outcome were: a boy who underwent multiple surgical procedures due to laryngotracheal stenosis, a girl who suffered from chondrodysplasia. Remaining two patients presented few months ago aggravation of conductive hearing loss. According to positive familial history they underwent allergical examinations. One boy was planned for readenoidectomy and laser myringotomy, a girl already operated at the age of tree years, was planned for ventilation tubes insertion and readenoidectomy in another ENT Department.
منابع مشابه
Clinical Responses to Rituximab in a Case of Neuroblastoma with Refractory Opsoclonus Myoclonus Ataxia Syndrome
Opsoclonus myoclonus ataxia syndrome (OMS) is a rare neurologic syndrome. In a high proportion of children, it is associated with neuroblastoma. The etiology of this condition is thought to be immune mediated. In children, immunotherapy with conventional treatments such as corticosteroids, intravenous immunoglobulin, adrenocorticotropic hormone, and even antiepileptic drugs has been tried. Rece...
متن کاملEffects of Storytelling on Educational Self-efficacy in Children with Thalassemia, Aged 7-12 Years Old
Background: Chronic diseases in children lead to failure in the development of self-esteem and productivity. Self-efficacy decreases as one’s behaviors become more complex and difficult to deal with. Storytelling is an observational learning method, which is effective in improving self-efficacy. Aim: to determine the effects of storytelling on self-efficacy in children with thalassemia (aged 7-...
متن کاملEffectiveness of Acceptance and Commitment Therapy in Improving Self-Efficacy of Mothers of Children with Autism
Effectiveness of Acceptance and Commitment Therapy in Improving Self-Efficacy of Mothers of Children with Autism A. Ahmadi [1] Z. Raeisi, Ph.D. [2] Given the unique stresses inherent in raising a child with autism, mothers may find it challenging to maintain a positive sense of self-efficacy. This study sought to determine the effects of Acceptance and Commitment Therapy (ACT) on s...
متن کاملThe Effects of Computer-based Educational Games on Self-efficacy of 8-12 Children with Hemophilia
Background: Hemophilia is a chronic bleeding disease and can interfere with daily performance of children. These children require continuous training to prevent bleeding. Since children nurses play an important role in the education of sick children and their self-efficacy and the increase use of educational computer games, the use of educational games for teaching self-efficacy to children wit...
متن کاملThe Effectiveness of Pretend Plays on the Self-Efficacy and Creativity of Parentless Children and Children with Neglectful Parenting
Introduction: Self-efficacy and creativity are two important factors in childhood; some activity as play can probably enhance them. This study aimed to investigate the effectiveness of pretend plays on the self-efficacy and creativity of parentless children and children with neglectful parenting in Karaj. Methods: The research method was semi-experimental. The research community consisted of al...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Otolaryngologia polska = The Polish otolaryngology
دوره 62 3 شماره
صفحات -
تاریخ انتشار 2008