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논문KCI 등재

소아 만성 화농성 중이염에서 유양돌기 절제술의 치료 결과

Treatment Result of Mastoidectomy in Pediatric Chronic Suppurative Otitis Media

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참고문헌

키워드

주제분류이비인후과학

초록

Abstract

Background and Objectives:Chronic suppurative otitis media (CSOM) is a comon infectious disease in childhood of poor media with effusion, CSOM is a potential problem in any child who had inserted ventilating tubes previously. Hearing loss folow-ing CSOM can negatively afect learning, speech, and cognitive function, so effective and timely management of CSOM is mandatory. The surgical procedure may be necessary in some children with CSOM, but when it is performed at a too early age, there might be more chances of recurrence than adults. Subjects and Method:Used in the study were 51 ears from patients and 6 months. Cholesteatoma was found in 30 cases (58.8%). Age at operation, hearing outcomes, and the surgical results were retrospectively reviewed. Results:Canal wall down mastoidectomy was performed in 23 cases and canal wall up procedure in 28 cases. Revision surgery was performed in 9 cases (17.6%) and mean duration betwen first and revision surgery was 27 months. In the cases of cholesteatoma, the rate of revision surgery was different between under 6 years old and over 7 years old group (p= .045). The age at 1st operation and postoperative hearing outcome had no corelation. Conclusion:Since the1st operation is performed earlier, the rate of revision may increase, especially in cases of cholesteatoma. (Korean J Otolaryngol 2007 ;50 : 19-24)

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