Abstract

Comparative Study between Endoscopic and Microscopic Myringotomy and Ventilation Tube Insertion in Treatment of Otitis Media with Effusion in Beni-Suef University Hospital

Highlights

  • Otitis media with effusion (OME) is a condition characterized by presence of fluid within the middle ear without signs or symptoms of acute infection

  • OME lead to conductive hearing loss because of many causes: (Decreasing sound signal reaching the inner ear due to presence of fluid inside the middle ear, scarring of tympanic membrane and adhesive retraction of the ear drum to the ossicles)

  • OME usually results in conductive hearing loss of 20–30 dB and the degree of loss can vary depending on character and quantity of effusion[10].The technique for diagnosis of OME is impedance audiometry in combination with pneumatic otoscopy or otomicroscopy

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Summary

Introduction

Otitis media with effusion (OME) is a condition characterized by presence of fluid within the middle ear without signs or symptoms of acute infection. It is more common in young children. Significant non-medical risk factors includes age (two to five years old), large family size, sibling's history of OME, short duration of breast feeding and passive smoking. While significant medical risk factors are previous history of AOM, acute tonsillitis, nasal obstruction and craniofacial anomalies[1]. There are different treatment options medical and surgical. The medical treatment options include the use of decongestants, mucolytics, steroids, antihistamines, antibiotics and autoinflation. Surgical treatment options include adenoidectomy, myringotomy only and myringotomy with ventilation tube insertion. The myringotomy (tympanocentesis) is surgical incision of the ear drum this done with or without aspiration of fluid from the middle ear cavity[3]

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