Sun Baochun*, Wan Wuhanhui, Han Zeli, Yang Shuzhi, Zhang Jiao, Shen Yao, Jin Yingyu and Zhou Chengyong
Department of Otolaryngology Head and Neck Surgery, The Fourth Medical Center of People’s Liberation Army General Hospital, ChinaFulltext PDF
Background: This study aims to investigate the clinical efficacy of tympanostomy during plasma assisted adenoidectomy in children with adenoidal hypertrophy and OME.
Methods: A retrospective review of 2,089 cases of childhood adenoid surgery assisted by low temperature and plasma in our hospital over the past 10 years showed that, of the 2,089 cases, 245 cases with OME were treated with simultaneous intraoperative tympanometry, drug injection, suction, and external ear canal pressurization to the patency of the Eustachian tube.
Results: 1. The male to female ratio of the gender ratio in the 2089 cases was 2.08:1, with an average age of 5.87 ± 3.12 years and a disease duration of 2.12 ± 0.43 years; among these cases, 6 had adenoid I degree, 173 II degree, 642 III degree and 1268 IV degree. 2. Among 2089 cases, 245 cases with OME, the ratio of adenoid III-IV hypertrophy with OME (12.51%, 239/1910) was higher than that of I-II degree (3.35%, 6/179), P<0.01. 3. Intraoperative tube placement was performed in 8 patients,
while the rest of them were punctured, suctioned, infused, pressurized, and ventilated Eustachian tubes. During more than 1 year of follow-up, the rate of non-tube placement, one cure, was 96.73% (237/245).
Conclusion and Significance: The degree of adenoid hypertrophy in children correlates with the incidence of OME. OME with adenoid hypertrophy, the vast majority of whom do not undergo tube placement, can be cured by plasma assisted adenoidectomy with needle injection of slow-release hormonal agents and pressure flush through the Eustachian tube, greatly reducing tympanostomy tube complications in children.
Baochun S, Wuhanhui W, Zeli H, Shuzhi Y, Jiao Z, Yao S, et al. Treatment of OME in Children Undergoing Plasma Assisted
Adenoidectomy. Am J Otolaryngol Head Neck Surg. 2021; 4(5): 1136..