[Seromucous otitis. Treatment and long-term development].

Abstract

The course of otitis media with effusion was analysed on two groups of children, the first one of 133 serous otitis found at the same time as other troubles, the second one of 127 children all treated by tympanotomy tubes, in association with other treatments. In the first group, the cure rate is just better than one half. A normal control one month after surgery has some prognostical value, this results remaining in 3 cases on four. The great size of removed adenoïds has prognostical value too, further surgeries for transtympanic tubes being less frequent. In the second group, we can see likely good mean or long term result of tympanic tubes, most of the complications happening on cleft palate cases. The various treatments: adenoïdectomy, antibiotics, steroïds, thermalism, eustachian tube physiotherapy, mucolytics, decongestants and anti-histaminics are discussed in regard to recent studies.