[Role of tubal insufflation in the postoperative follow-up of évidement cavities].
The authors report their experience of tubal insufflation in the post-operative care of cavity évidement. Their indications consist of évidement cavities with persistent residual muco-purulent otorrhoea or "glue ear" from the atrial area which remains thickened, while the rest of the cavity is healed (about 15% in their statistics). The technique is simple, consisting essentially of insufflations of air by means of an Itard catheter, which are repeated at regular intervals for a variable period of time. In some cases, drugs, in particular corticosteroids, are injected into the cavity via the catheter. In a series of 17 operated patients, the authors report: 9 excellent results in which drying of the cavity was obtained in record time; 4 good results in which drying of the cavity required numerous insufflations associated with systemic treatment (vaccine therapy, crenotherapy); 1 moderate result with transient persistent otorrhoea; 3 failures.
D000388:Air; D002404:Catheterization / Q000295:instrumentation; D004432:Ear, Middle / Q000601:surgery; D005064:Eustachian Tube / Q000503:physiopathology; D006801:Humans; D007267:Injections; D008416:Mastoid / Q000601:surgery*; D009225:Myringoplasty / Q000009:adverse effects; D010031:Otitis / Q000209:etiology; D010033:Otitis Media / Q000628:therapy; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000628:therapy; D012008:Recurrence
La place des insufflations tubaires dans les suites opératoires des cavités d'évidement.