[Preliminary study on diplopore puncture of tympanum and intratympanic administration for management of acute secretory otitis media].
OBJECTIVE
To evaluate the therapeutical effects of diplopore puncture of tympanum and intratympanic administration (DPTIA) on patients with acute secretory otitis media (ASOM).


METHODS
One hundred and forty-one cases with ASOM were divided into two groups randomly, with 69 cases (80 ears) in group A (experimental group) and 72 cases (84 ears) in group B (control group). Group A was treated with DPTIA combined with medication, group B was treated with haplopore puncture of tympanum combined with medication. All patients accepted 1 to 3 courses of treatment, and were observed during the period of treatment and 3 months after treatment.


RESULTS
The factors (including gender, age, side of ailing ear, course of disease, air-bone gap in the pure tone average, and acoustic immittance type in ailing ear) which may impact the prognosis were matched in two groups prior treatment (P>0.05). While there was a significant difference in the cure rate and the total effective rate respectively between two groups after treatment (P<0.05). No adverse reaction or complication was seen.


CONCLUSIONS
DPTIA is a safe, reliable and effective way to manage patients with ASOM.
Department of Otorhinolaryngology, General Hospital of Air Force, Beijing, 100142, China. kztzl@sina.com
Zulin
Z
Tan
Yang
Y
Zhang
Xianrong
X
Xu
Jidong
J
Zhang
Zhanguo
Z
Jin
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004432:Ear, Middle; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010034:Otitis Media with Effusion / Q000628:therapy*; D011677:Punctures; D055815:Young Adult