[Vibro-pressure massage and vibro-aerosols in the treatment of middle ear diseases in children and youth].
Otitis media with effusion and eustachitis occur very often in childhood. In dependence on advanced of otitis media with effusion and eustachitis, we use surgical and nonsurgical treatment. In short-term otitis media with effusion and eustachitis performs tympanotomy, insufflation of the Eustachian tube by Politzer and Valsava's methods and vibro-pressure massage AMSA. The aim of this study is estimation of efficacy vibro-pressure massage AMSA in otitis media with effusion and eustachitis in children. The study population consisted of 34 children and youth aged between 3-17 years with otitis media with effusion or eustachitis. In all people we performed 10 procedures of vibro-pressure massage AMSA administered 4 mg dexamethasone in vibro-aerosol. Efficiency of treatment was estimated by comparison otolaryngology examination, pure tone audiometry and tympanometry. In 76.7% ears with eustachitis we observed correct results of examinations of hearing acuity after treatment. It was more two times better then in children with otitis media with effusion. Vibro-pressure massage AMSA 10 times with 4 mg dexamethasone in vibro-aerosol is good method in treatment of eustachitis. In otitis media with effusion isn't efficacious enough. In this case we recommended tympanostomy tube.
Zielnik-Jurkiewicz
Beata
B
Oddział Otolaryngologiczny, Szpitala Dzieciecego SZPZOZ im. prof. J. Bogdanowicza w Warszawie.
Olszewska-Sosińska
Olga
O
D000158:Acoustic Impedance Tests; D000293:Adolescent; D000336:Aerosols; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage*; D002648:Child; D002675:Child, Preschool; D003907:Dexamethasone / Q000008:administration & dosage*; D005064:Eustachian Tube / Q000187:drug effects; D005260:Female; D006801:Humans; D008297:Male; D008405:Massage / Q000379:methods*; D010034:Otitis Media with Effusion / Q000628:therapy*; D011312:Pressure; D016896:Treatment Outcome; D014732:Vibration
D000336:Aerosols; D000893:Anti-Inflammatory Agents; D003907:Dexamethasone