[The therapy of children with secretory otitis media by myringotomy with grommet insertion and the relevant management].
OBJECTIVE
To improve the diagnosis and treatment level of secretory otitis media (SOM) of children.


METHODS
Clinical information of 80 children with SOM were collected and analysed. All of the 80 cases (144 ears) were treated by myringotomy with Grommet insertion. Among them 30 cases by adenotonsillectomy. 10 cases by palatoplasty. Secretions of 54 ears were carded out by bacterial culture.


RESULTS
80 cases were followed up for 6 to 12 months. 120 ears of 144 were cured(83%), with hearing improved. The tympanograms and hearing threshold of pure tone were found to be normal. The Gram's positive and negative germs of bacterial culture were 20.7% (6/29 samples) and 24% (6/25 samples) respectively.


CONCLUSIONS
Children with secretory otitis media should be treated as early as possible to improve the patients' hearing and develope their speech.
Zheng
Y
Y
Department of Otolaryngology, First Affiliated Hospital of West China University of Medical Sciences, Chengdu 610041.
Xu
L
L
D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006309:Hearing; D006801:Humans; D008297:Male; D008876:Middle Ear Ventilation; D010034:Otitis Media with Effusion / Q000601:surgery*; D014432:Tympanic Membrane / Q000601:surgery*