Effect of nasal endoscopic guidance on the clinical outcome in children with chronic sinusitis and secretory otitis media

Abstract

Objective To analyze the outcome of chronic sinusitis and secretory otitis media from nasal endoscopy guided resection of adenoid body in children. Methods Thirty-six children with chronic sinusitis or secretory otitis media were treated by surgical treatment of adenoid hypertrophy complicated with chronic sinusitis or secretory otitis media from February 2013 to February 2014. The children were treated by endoscopic resection with drug therapy, and the children were followed up for 3 to 6 months after surgery. Results In this group of children after operation, there was no sleep snoring, mouth breathing symptoms and postoperative bleeding or other normal; nasal endoscopy without injury of eustachian tube, residual adenoids, scar formation and other complications. Patients were followed up for 3 to 6 months, snoring, stuffy nose, mouth breathing disappeared in 32 children, the remaining 4 cases still had mild sleep snoring, but no respiratory symptoms of tension; the pure tone audiometry: markedly effective in 28 cases, effective in 8 cases. Conclusions It is a safe and effective surgical method for the treatment of adenoid hypertrophy in children with chronic sinusitis and secretory otitis media. It is a safe and effective surgical method, worthy of clinical application. Key words: Sinusitis; Secretory; Otitis media; Endoscopy; Adenoid resection