ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT NỘI SOI NẠO V.A ĐIỀU TRỊ VIÊM TAI GIỮA Ứ DỊCH TẠI BỆNH VIỆN HOÀN MỸ VINH

Abstract

Abstract:

Introduction: Otitis media with effusion (OME) is a common otorhinolaryngologic disease in children, often caused by adenoid hypertrophy that obstructs the Eustachian tube and leads to middle ear effusion, resulting in hearing loss and delayed language development. Endoscopic adenoidectomy is considered an effective treatment that restores middle ear ventilation and reduces recurrence. This study was conducted at Hoan My Vinh Hospital to evaluate the effectiveness of this surgical method in the management of OME in children. Objectives: To describe the clinical and paraclinical characteristics of otitis media with effusion in children with chronic adenoid hypertrophy and to evaluate the outcomes of endoscopic adenoidectomy in treating OME in pediatric patients at Hoan My Vinh Hospital. Methods: An interventional descriptive study was conducted. Results: Among 39 pediatric patients, the majority were ≤ 5 years old (56.4%), male (69.2%), and living in rural areas (71.8%). Before surgery, tympanogram type B predominated (52.3%), with no statistically significant correlation between the degree of adenoid hypertrophy and tympanogram classification (p > 0.05). Three months after surgery, the proportion of normal tympanic membranes and tympanogram type A increased markedly (from 35.9% to 92.3%), demonstrating significant improvement in Eustachian tube function and middle ear ventilation. Conclusion: Endoscopic adenoidectomy is an effective and safe treatment for otitis media with effusion in children. It significantly improves middle ear function, restores hearing, and reduces recurrence, although no statistically significant association was found between the degree of adenoid hypertrophy and Eustachian tube dysfunction.