[The value of grommet insertion for middle ear effusion in the patients of nasopharyngeal carcinoma after radiotherapy].
摘要
OBJECTIVE: To evaluate the value of grommet insertion for middle ear effusion in the patients of nasopharyngeal carcinoma after radiotherapy. METHOD: Thirty-two recrudescent cases(51 ears) with middle ear effusion after myringotomies were treated by grommet insertion again,and then,the eustachian tube function,hearing and the other symptoms were observed, the effect were evaluated. RESULT: 15.7%(8/51) ears were cured,the total efficiency rate is 96.1%(49/51). The eustachian tube function had been straightened up in 13.7%(7/51)ears,the other symptoms were improved in different degrees for the cars of setting grommet, 25.5% ears occurred otorrhea, 9.8% ears occurred perforation. CONCLUSION: Grommet insertion is a favorable way for the eustachian tube function straightened up. For the ears that the eustachian tube function damaged seriously, repeated grommet insertion is a good measure for keeping the ear function. In a word, the benefit is more than the loss after grommet insertion.