[The comparative study of clinical therapy of secretory otitis media in nasopharyngeal carcinoma patients].
OBJECTIVE
To investigate the treatment of secretory otitis media in nasopharyngeal carcinoma (NPC) patients.


METHODS
Fifty eight patients of NPC with secretory otitis media were divided into two group by random before radiotherapy. Patients were treated by nasal and nasopharyngeal debridement and cleansing and tympanic membrane puncturing suction in group I, while patients were treated by myringotomy or ventilation tube insertion in Group II. After the patients were followed up for six months, the two group were compared by efficient rate and complication rate.


RESULTS
Fifty one out of total 58 patients survived after half an years follow-up. Statistics of surviving patients showed the efficient rate in group I was 82.1% versus 57.1% in group II. Differentiation was found between two group (chi 2 = 4.14, P < 0.05). Complication rate was 3.6% in group I and 28.6% in group II. There was differentiation between two group (chi 2 = 4.7, P < 0.05).


CONCLUSIONS
The nasal and nasopharyngeal debridement and cleaning and eardrum puncturing suction was superior to myringotomy or ventilation tube insertion.
Li
Guoyi
G
Department of Otorhinolaryngology, Huaxi Hospital, Sichuan University, Chengdu 610041.
Liang
Chuanyu
C
Wang
Lihong
L
Chen
Li
L
Huang
Dinqiang
D
D000328:Adult; D000368:Aged; D003646:Debridement; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009303:Nasopharyngeal Neoplasms / Q000150:complications / Q000532:radiotherapy*; D010034:Otitis Media with Effusion / Q000209:etiology / Q000628:therapy*