title: [Diagnosis and treatment of conductive deafness due to middle-ear effusion in childhood (author's transl)].
abstract: Results of follow-up examinations of 132 ears with serous or mucous middle ear effusions indicate that this disease is common in childhood and is also found in adults. In childhood adenoid growth as well as repeated catarrhal infection of the paranasal sinuses and the weakness of the levator palati play an important role in the development of middle ear effusions and deafness. With the aid of the operation microscope we were able to recognize this characteristic disease through the tympanic membrane. We perform regularly adenoidectomy together with paracentesis in this condition. In cases which had undergon several adenoidectomies we limit our treatment in the first instance to paracentesis. If cure is not so achieved we insert an inert tube into the tympanic membrane after the paracentesis. In persistent and difficult cases of glue ear radiation of the eustachion tube and antrotomy may be necessary.
mesh_terms: D000367:Age Factors; D002648:Child; D003638:Deafness / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004427:Ear Diseases / Q000150:complications; D004432:Ear, Middle / Q000378:metabolism; D006801:Humans; D008722:Methods; D011677:Punctures
vernacular_title: Diagnose und Therapie der Mittelohrschwerhörigkeit durch hartnäckigen Paukenerguss im Kindesalter