Alternative treatment for otitis media with effusion: eustachian tube rehabilitation

Lucia D'Alatri, Pasqualina Maria Picciotti, Maria Raffaella Marchese, Antonella Fiorita

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

In this study, we evaluated the effectiveness of eustachian tube rehabilitation (ETR) as treatment for otitis media with effusion (OME). Thirty-five children with persistent OME were enrolled. Patients were divided into three groups: group I (isolated OME); group II (OME and atypical swallowing); group II (OME, habitual mouth breathing and atypical swallowing). All children underwent ETR. Otomicroscopy and tympanograms were performed before treatment, and at one and three months following ETR. Considering the overall patient population after ETR (one and three months later), the prevalence of type A tympanogram increased significantly compared to before therapy (p < 0.005), while the prevalence of type B tympanogram decreased significantly (p < 0.005). We found significant differences between pre- and both post-therapy control in groups I and II. However, children in group II experienced significant improvement of middle ear conditions only three months after the end of therapy (p < 0.005). On the basis of the physiopathologic knowledge of OME and the underlying principles of ETR, we conclude that ETR can be considered a useful therapy in management of OME.
Lingua originaleEnglish
pagine (da-a)26-30
Numero di pagine5
RivistaActa Otorhinolaryngologica Italica
Volume32
Stato di pubblicazionePubblicato - 2012

Keywords

  • Eustachian tube
  • Eustachian tube rehabilitation
  • Habitual mouth breathing
  • Otitis media with effusion
  • Swallowing

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