Application of a modified tympanic membrane surgical knife with suction and tube device in myringotomy with ventilation tube placement

Abstract

Objective:To explore the efficacy of a modified tympanic membrane surgical knife with suction and tube device in myringotomy with ventilation tube placement for the treatment of secretory otitis media.Method:From June of 2014 to December of 2015, 87 cases of secretory otitis media were randomly divided into two groups: One group was treated by general approach to achieve tympanic membrane tube insertion, and another group with modified method. The total effective rate，the rate of tube detachment at 3 months postoperatively, the rate of scar formation or tympanic membrane atrophy, the operation time and the success rate of tube insertion for the first time in two groups were analyzed retrospectively. Result:There was no significantly difference between two groups about the total effective rate，the rate of tube detachment and the rate of scar formation or tympanic membrane atrophy（P>0.05）.However, the duration of operation in general method group［(11.4±4.3 min）］was significantly longer than that in modified method group［(8.1±3.6)min］(t=5.412，P<0.05）.In addition, the success rate of tube insertion in general group（81.2%） was significantly lower than that in modified group（93.7%）(χ²=5.397，P<0.05）. Conclusion:The modified method contributed to shorten the duration of operation, improved the success rate of tube insertion and avoided the injury of tympanic membrane and external auditory canal caused by repeated operation.