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首页> 外文期刊>GMS Current Posters in Otorhinolaryngology,Head and Neck Surgery >Effectiveness of upper respiratory tract sanation for treating eustachian tube disfunctions in children
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Effectiveness of upper respiratory tract sanation for treating eustachian tube disfunctions in children

机译：上呼吸道卫生治疗儿童咽鼓管功能障碍的有效性

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Abstract Introduction: Various pathological processes in the upper respiratory tract are high risk factors for eustachian tube (ET) obstructions in children. We have conducted objective estimation of the functional condition of the middle ear after surgical treatment of tonsil hypertrophy in children depending on the age. Materials and methods: Adeno- and adenotonsillotomy was conducted among 79 children (N), including 36 patients at the age till 7 years old and 43 children over 7 years old. Estimation of the functional condition of the middle ear (n) before and a month after the operation was conducted by means of acoustic tympanometry. Statistical processing of tympanograms (n=308) was conducted using χ2 test.Results: Before the operation the apparent obstruction of ЕТ with the registration of the type B tympanogram was observed in 65,2% (n=103/158) cases. Qualitative and quantitative improvement of tympanic cavity ventilation must be underlined. The number of type В tympanogram decreased from 83,3% (n=60/72) to 47,2% (n=34/72) in a group of preschoolers (р=0002) and from 50% (n=43/86) to 25,6% (n=22/86) in a group of school age children (p=0,0001). After adeno-or adenotonsillotomy exudation preservation in the tympanic cavity was proved by the myringotomy in preschool age children in 11,1% (n=8/72) cases and was much more infrequent in school age children – only in 3,5% cases (n=3/86).Conclusions: The conducted research proves clinical practice that adenotonsillotomy is effective in treating eustachian tubes disfunctions and explains high popularity of tonsils surgical sanation among children's otorhinolaryngologists.Der Erstautor gibt keinen Interessenkonflikt an.
机译：摘要简介：上呼吸道的各种病理过程是儿童咽鼓管阻塞的高危因素。我们根据年龄对儿童扁桃体肥大进行手术治疗后，对中耳的功能状况进行了客观评估。材料和方法：对79例儿童（N）进行了腺和扁桃体肺切开术，其中包括36例7岁至7岁的儿童和43例7岁以上的儿童。通过声波鼓室图估计术前和术后一个月的中耳功能状况。使用χ2检验对鼓室图进行统计处理（n = 308）。结果：术前在65,2％（n = 103/158）的病例中观察到明显的ЕТ阻塞并伴有B型鼓室图。必须强调定性和定量改善鼓室通气。一组学龄前儿童（р= 0002）中В型鼓室图的数量从83,3％（n = 60/72）降低到47,2％（n = 34/72），从50％（n = 43 / 86）到学龄儿童（p = 0,0001）组中的25.6％（n = 22/86）。经鼓室切开术证实学龄前儿童在腺或肺腺切除后的渗出物可保留在鼓室中，占11.1％（n = 8/72），在学龄儿童中不多见，仅3,5％ （n = 3/86）。结论：进行的研究证明临床实践表明，腺扁桃体切开术可有效治疗咽鼓管功能障碍，并解释了扁桃体外科手术在儿童耳鼻喉科医生中的高度流行。

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