Unilateral grommet insertion and adenoidectomy in bilateral secretory otitis media: preliminary report of the results in 91 children

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Abstract
The use of grommets in primary treatment of secretory otitis media was evaluated. The patient acts as his own control. Bilateral cases are selected and 1 ear is treated by a grommet, the other left intact and all have their adenoids removed. Until now 91 children were entered. A repeated operation was done in 13 and 6 of them had a contralateral grommet because of persisting middle ear effusion. Discharge occurred from 25% of the operated ears. After the operation intact ears showed great improvement in function of the Eustachian tube accooding to the tympanograms. The hearing level was normalized within 3 mo. in intact and operated ears. In 28 children the grommets were extruded for more than 1 mo. By comparing intact and operated ears, no significant statistical difference was found.

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