CLINICAL, PARACLINICAL CHARACTERISTICS, AND TREATMENT OUTCOMES OF OTITIS MEDIA WITH EFFUSION IN CHILDREN BY TYMPANOSTOMY TUBE INSERTION AT NINH BINH OBSTETRICS AND PEDIATRICS HOSPITAL
Main Article Content
Abstract
Objective: To describe the clinical and paraclinical characteristics and evaluate the treatment outcomes of otitis media with effusion (OME) in children treated with ventilation tube insertion at Ninh Binh Obstetrics and Pediatrics Hospital. Subjects and Methods: A prospective interventional case-series study was conducted from June 2024 to December 2025 on 46 pediatric patients (86 affected ears). Results: The 5–10-year-old age group accounted for the highest proportion (52.2%). A history of recurrent otitis media and chronic adenoiditis was observed in 95.7% and 89.1% of patients, respectively. The predominant clinical symptoms included hearing loss (97.8%), nasal obstruction (97.8%), and behavioral signs such as frequent head-shaking or ear-touching (100%); no cases of otalgia were reported (0%). Preoperative tympanometry revealed Type B curves in 51.2% and Type C in 48.8% of ears. At 1 month post-operation, 100% of patients experienced hearing improvement and a reduced frequency of otitis media; 50% of patients no longer had tinnitus. Audiometry in children > 5 years old showed the mean hearing threshold improved by approximately 20 dB HL. This difference was statistically significant (p < 0.001). No complications such as otorrhea, tube blockage, or extrusion were observed at 1 month. Conclusion: Otitis media with effusion in children is strongly associated with chronic nasopharyngeal diseases, particularly recurrent otitis media and chronic adenoiditis. Ventilation tube insertion is a safe and highly effective surgical intervention that provides marked symptomatic relief and restores middle ear ventilation function in the early postoperative period.
Keywords
Otitis media with effusion, ventilation tube insertion, tympanometry, children.
Article Details
References
2. Châu Chiêu Hòa, Lê Thiện Chí và Nguyễn Thái Phương Tuyền (2023), "Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và đánh giá kết quả điều trị bệnh viêm tai giữa ứ dịch bằng kĩ thuật đặt ống thông khí qua nội soi tại Bệnh viện Tai mũi họng Cần Thơ năm 2019-2021", Tạp chí Tai Mũi Họng Việt Nam 68-59(1), tr. 78-85.
3. Hoàng Phước Minh và Lê Thanh Thái (2016), "Đánh giá kết quả điều trị viêm tai giữa ứ dịch bằng phương pháp đặt ống thông khí ", Tạp chí Y dược học - Trường Đại học Y Dược Huế, 6, tr. 81-86.
4. Đỗ Duy Thanh và Nguyễn Thị Tố Uyên (2024), "Tình trạng màng nhĩ ở người bệnh đã đặt ống thông khí điều trị viêm tai giữa ứ dịch tại bệnh viện tai mũi họng Trung ương ", Tạp chí Y học Việt Nam, 544(1).
5. Khiếu Hữu Thanh và các cộng sự. (2023), "Kết quả phẫu thuật đặt ống thông khí ở bệnh nhân tạo hình vòm miệng bị viêm ti giữa ứ dịch", Tạp chí Tai Mũi Họng Việt Nam, 68(60), tr. 23-30.
6. Alamri A. A. et al. (2024), "Efficacy of Adenoidectomy versus Tympanostomy on the Otitis Media with Effusion: A Systematic Review and Meta-Analysis", Afr J Paediatr Surg, 21(4), pp. 236-241.
7. Alotaibi, et al (2021), "Improvement of hearing after myringotomy with tympanostomy tube insertion in young patients with otitis media with effusion", Science, 25(117), pp. 2962-2968.
8. Chou R. et al. (2013), Otitis media with effusion: Comparative effectiveness of treatments – Executive summary, Comparative Effectiveness Review Agency for Healthcare Research and Quality, Rockville, MD.
9. Frederick T. Searight, Rahulkumar Singh and Diana C. Peterson. (2024), "Otitis Media With Effusion", StatPearls [Internet].
10. Rosenfeld et al. (2022), "Clinical practice guideline: tympanostomy tubes in children (update)", Otolaryngology–Head and Neck Surgery, 166, pp. S1-S55.