[Operative therapy of the adhesive otitis media].
OBJECTIVE
To study the operative indications and treatment for adhesive otitis media (AOM).


METHODS
Sixty-nine cases of AOM were undergone tympanoplasty between 1995 to 2000. Preoperative average air-bone gap(A-B gap) were (43.7 +/- 3.9) dB. Forty-one cases could be postoperative followed up for more than one year. Preoperative average A-B gap of this group were (43.8 +/- 4.2) dB. The adhesive ear drum and the other processes in middle ear were inserted and reconstructed with cartilage.


RESULTS
The postoperative average A-B gap after one month(69 cases) and one year(41 cases) were (23.7 +/- 8.6) dB and (27.9 +/- 10.7) dB. In the long-time follow-up group, the A-B gap of 18 cases (43.9%) were less than 20 dB. Twenty-four cases (58.5%) become a nearly normal tympanum.


CONCLUSIONS
The AOM can treatment with tympanoplasty. But the indication must be carefully selected. The cartilage was a good material for reconstruction of the ear drum to treatment the AOM. The influence factor were analyzed.
Yu
Li-sheng
LS
Department of Otorhinolaryngology, People's Hospital of Peking University, Beijing, 100044, China. yulish68@yahoo.com.cn
Qi
Zhen-min
ZM
D000328:Adult; D000368:Aged; D002356:Cartilage / Q000637:transplantation; D004429:Ear Ossicles / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006314:Hearing Loss, Conductive / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009225:Myringoplasty / Q000379:methods; D010033:Otitis Media / Q000145:classification / Q000150:complications / Q000473:pathology / Q000601:surgery*; D000267:Tissue Adhesions; D014432:Tympanic Membrane / Q000473:pathology; D014433:Tympanoplasty