It has been clarified that multiple factors are implicated in the otitis media with effusion which is common in children.
This prospective study was performed to evaluate the factors related to the prognosis of the otitis mjedia with effusion. History, physical examination, impedance audiometry, and radiologic examination were taken
Oral antibiotics (Augmentin or cefixime) were given to all patients orally for 3 months,
Myringotomy and V-tube insertion was done in the patients who had no response after 3 months of medication. The factors implicated in the prognosis of otitis media with effusion were analysed.
The significant risk factors were present inthose with previous myringotomy or V-tube insertion, presence of mucopurulent rhinorrhea and total hazziness on PNS X-rays, but not to adenoid vegetaton, eardrum retraction, age. Sex, bilaterality and
presence
of recurrence. Of recurrence.
Therefore, the presence of previous middle ear surgery and concomitant sinusitis were important prognostic factors in treatment of the otitis media with effusion medically.
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