Assessment of Grommet Tube Insertion versus Myringotomy with Intratympanic Steroid Injection in Treatment of Otitis Media with Effusion

Document Type : Original Article

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Abstract

Background: Due to the short duration of effect, simple myringotomy and aspiration of fluid do not yield significant therapeutic outcomes.
Objective: To compare the efficacy of myringotomy with intratympanic dexamethasone injection versus grommet tube insertion in treatment of Otitis Media with effusion (OME).
Subjects and Methods: At Oto-Rhino-Laryngology, Department of Zagazig University Hospital,during the period from 2021 to 2022 on 13 patients (26 ears) with persistent OME. Ears were divided into two groups: Group (A) included right ears that underwent the radial grommet tube. Group (B) included left ears that underwent the circumfrential myringotomy with intratympanic dexamethasone
Results: There was statistically no significant difference as regards tympanosclerosis and persistent discharge between both right and left ears. At right ears, 15.4% of cases showed both persistent discharge and tympanosclerosis while 38.5% of left ears showed tympanosclerosis and no residual discharge. There was a statistically significant difference in the rate of recurrence between the right and left ears 6 months after surgery, with 23.1% of left ears reporting recurrence while 100% of right ears showed no recurrence.
Conclusion: Myringotomy with grommet tube insertion with or without adenoidectomy is a classical method in treatment of chronic OME with potential complications especially otorrhea with less significant low recurrence rate. On other hand, circumferential myringotomy with ITD an effective method in treatment of chronic OME with less postoperative complications –equivalent postoperative hearing threshold, but with higher recurrence rate.
 

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The Egyptian Journal of Hospital Medicine
Volume 90, Issue 1
January 2023
Pages 1663-1667

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