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Mileshina N.A.

Russian Scientific and Clinical Center for Audiology and Hearing Rehabilitation;
Russian Medical Academy for Continuous Professional Education;
St. Vladimir Children’s City Hospital

Volodkina V.V.

Russian Research Clinical Center for Audiology and Hearing Rehabilitation

Kurbatova E.V.

Russian Scientific and Clinical Center for Audiology and Hearing Rehabilitation;
St. Vladimir Children’s City Hospital

Osipenkov S.S.

Russian Scientific and Clinical Center for Audiology and Hearing Rehabilitation

Polunin M.M.

Pirogov Russian National Research Medical University;
Yu.E. Veltischev Research Clinical Institute of Pediatrics Pirogov Russian National Research Medical University

Chernova O.V.

National Medical Research Center of Children’s Health

The main steps in treatment of the children with otitis media with effusion

Authors:

Mileshina N.A., Volodkina V.V., Kurbatova E.V., Osipenkov S.S., Polunin M.M., Chernova O.V.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2021;86(6): 31‑34

DOI: 10.17116/otorino20218606131

Read: 2527 times

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Table of contents

THE MAIN STEPS IN TREATMENT OF THE CHILDREN WITH OTITIS MEDIA WITH EFFUSION
THE MAIN STEPS IN TREATMENT OF THE CHILDREN WITH OTITIS MEDIA WITH EFFUSION

To cite this article:

Mileshina NA, Volodkina VV, Kurbatova EV, Osipenkov SS, Polunin MM, Chernova OV. The main steps in treatment of the children with otitis media with effusion. Russian Bulletin of Otorhinolaryngology. 2021;86(6):31‑34. (In Russ.)
https://doi.org/10.17116/otorino20218606131

Подписка 2026 Вестник оториноларингологии (Russian Bulletin of Otorhinolaryngology)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

MATERIAL AND METHODS

361 children at age from 11 months to 18 years with otitis media with effusion (OME) were inspected after tympanostomy during 2013-2018 years. Treatment was carried out in accordance with the stages of OME: secretory, mucous, fibrous. The main diagnostic methods were: otoscopy, tympanometry, endoscopy, computed tomography. Surgical treatment may be required already at the secretory stage of the disease, as well as in all cases with mucous and fibrous stages of OME.

RESULTS

In children with recurrences of OME and in patients with congenital cleft lip and palate, it is preferable to use long-wearing ventilation tubes and balloning of the auditory tubes. The effectiveness of surgical treatment of OME was 97.6%.

CONCLUSION

The authors recommend dispensary observation of patients with OME for 12-24 months.

Keywords:

stages of OME
tympanostomy

Authors:

Mileshina N.A.

Russian Scientific and Clinical Center for Audiology and Hearing Rehabilitation;
Russian Medical Academy for Continuous Professional Education;
St. Vladimir Children’s City Hospital

Volodkina V.V.

Russian Research Clinical Center for Audiology and Hearing Rehabilitation

Kurbatova E.V.

Russian Scientific and Clinical Center for Audiology and Hearing Rehabilitation;
St. Vladimir Children’s City Hospital

Osipenkov S.S.

Russian Scientific and Clinical Center for Audiology and Hearing Rehabilitation

Polunin M.M.

Pirogov Russian National Research Medical University;
Yu.E. Veltischev Research Clinical Institute of Pediatrics Pirogov Russian National Research Medical University

Chernova O.V.

National Medical Research Center of Children’s Health

Received:

01.09.2018

Accepted:

09.04.2019

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References:

  1. Preobrazhensky NA, Goldman II. Ekssudativnyj srednij otit. M.: Meditsina; 1987. (In Russ.)
  2. Mileshina NA. Otitis media with effusion. Voprosy diagnostiki v pediatrii. 2009;1(2):24-27. (In Russ.)
  3. Dmitriev NS, Yakushenkova AP. Ekssudativnyj srednij otit. Detskaya otorinolaringologiya. Rukovodstvo dlya vrachej. Bogomilsky MR, Chistyakova VR, eds. M.: Meditsina; 2005. (In Russ.)
  4. Mileshina NA, Kurbatova EV, Dmitriev NS, Volodkina VV. Diagnostika i lechenie ekssudativnogo srednego otita u detej. Uchebnoe posobie. M. 2011. (In Russ.)
  5. Otorinolaringologiya: natsional’noe rukovodstvo. Palchun VT, ed. 2-e izd., pererab. i dop. GEOTAR-Media; 2016:659-670. 
  6. Vishnyakov VV, Pravednikova YuS. Comparative analysis of the effectiveness of bypass surgery and laser myringotomy used to treat exudative otitis medium. Vestnik otorinolaringologii. 2016;3:39-42. (In Russ.)
  7. Graham JM, Scadding GK, Bull PD. Pediatric ENT. Berlin: Springer; 2008.
  8. Paradise JL, Campbell TF, Dolaghan CA. Developmental outcomes after early or delayed insertion of tympanostomy tubes. New England Journal of Medicine Med. 2005;353:576-586.  https://doi.org/10.1056/NEJMoa050406
  9. Tavartkiladze GA, Gvelesiani TG. Klinicheskaya audiologiya. M.: Svyatigor-Press; 2003. (In Russ.)
  10. Browning GG. Watchful wating in childhood otitis media with effusion. Editorial. Clinical Otolaryngology. 2001;26:263-264. 
  11. Karma P. Secretory otitis media — infectious background and its implication for treatment. Acta Otolaryngol (Stockh). 1988;440:47-48. 
  12. Boboshko MYu, Lapotko AI. Slukhovaya truba. SPb: SpetsLit; 2003. (In Russ.)
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