[Appraisement of the operative therapeutical effects of salpingocatheterism for refractory otitis media].
OBJECTIVE
The therapeutical effects of salpingocatheterism and the states of tubal function were studied after different middle ear operations and within different middle ear pathological changes.


METHODS
Total 71 patients with tubal occlusion, 18 of myringoplasty, 20 of reconstruction of ossicolar chain followed tympanoplasty, 14 of combined approach tympanoplasty, 10 of radical mastoidectomy followed tympanoplasty, 9 of re-radical mastoidectomy followed tympanoplasty were implemented salpingocatheterism. The patients were followed up for evaluation of the postoperative therapeutical effects and the state of tubal function.


RESULTS
The causes of operation failure in different middle ear operations or different middle ear pathological changes had no significantly difference. The major cause for postoperative tympanic membrane perforation and tubal occlusion was the pathogenic damage being not cleared up thoroughly and/or there being nasal cavity or pharyngeal cavity pathogenic changes accompanied.


CONCLUSIONS
Salpingocatheterism is effective for preventing eustachian tube postoperative adhesion.
Zhang
G
G
Department of Otorhinolaryngology, Third Affiliated Hospital, Sun Yat-sen University of Medical Sciences, Guangzhou 510630.
Lü
J
J
Li
Z
Z
Cai
K
K
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005064:Eustachian Tube / Q000503:physiopathology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D008876:Middle Ear Ventilation; D010033:Otitis Media / Q000503:physiopathology / Q000601:surgery*; D014433:Tympanoplasty