Research Article
Analysis of the Curative Effect of Post-Radiation Otitis Media with Effusion by Using Electrotome Myringgotomy
Yu-Liu1,* , Yan-Li1,*,✉
1The First School of Clinical Medicine, Yangtze University, Jingzhou , Hubei , 434023,China.
* These authors contributed equally.
✉ Correspondence
Yan-Li, The First School of Clinical Medicine, Yangtze University,Hubei,434023,China. Email: [email protected]. Telephone number: 18163138617.
Received: February 28, 2020; Accepted: August 24, 2020; Published online: November 21, 2020.
Cite this paper: Liu, Y. and Li, Y. (2020) Analysis of the curative effect of post-radiation otitis media with effusion by using electrotome myringgotomy. Global Journal of Medicine, 2(2):46-53. https://naturescholars.com/gim.010107. https://doi.org/10.46633/gjm.010107.
Copyright © 2020 by Scholars Publishing, LLC.
Abstract
Objective. The purpose of this study was to evaluate the efficacy of myringotomy by using electrotome in the treatment of post-radiation otitis media with effusion (OME). Methods. 30 subjects (46 ears) were enrolled from patients who were admitted to the First School of Clinical Medicine of Yangtze University, between January 2017 and April 2019, including 19 males and 11 females, aged 42-68 years old, with a course of disease ranging from 2 to 8 years. In all 46 ears, electrotome myringgotomy was performed under the endotoscope. We made a hole with a diameter of 4-6mm with an electrotome of 20W at the downside of the affected ear drum pars tensa, which can wash the tympanic cavity and clean the accumulated fluid in it. Results. A total of 46 ears in 30 patients underwent intervention. All patients were required to take the Eustachian Tube Dysfunction Questionnaire (EDTQ-7) and endotoscope before surgery and per 3 months after surgery. At 6 months after the operation, 21 ears had significant efficacy and 17 ears had mild efficacy with 8 ears invalid. Conclusion. The electrotome is feasible for refractory OME, which can help patients alleviate symptoms and improve the quality of life effectively.
Key words: Nasopharyngeal Carcinoma (NPC); Radiotherapy (RT); Post-Radiation Otitis Media with Effusion; Electrotome. Myringgotomy.