Ventilation tubes versus conservative treatment in management of secretory otitis media in adenoidectomeized children

ABSTRACT

The study was carried on 79 adenoidectomized patients suffering from secretory otitis media. Forty patients received medical treatment for 3 weeks consisting of decongestant nose drop, septazol suspension, phenadone syrup with one of three different types of mucolytic agents. The cure rate was 53.3%, 40% and 40% according to the mucolytic agent used as a part of the combination therapy. The average cure rate of medical treatment was 45%. In another 39 patients myringotomy and insertion of ventilation tubes were done. Four commonly used ventilation tubes were the Shepard Grommets, Collar Button, T tube and Paparella tube in 34, 8 and 4 ears, respectively, to compare the incidence to complications including otorrhea, obstruction and extrusion. The average follow up was 5 months