Authors: I. Šlapák; P. Horník; J. Macháč; M. Máchalová; A. Fryčková **; Viktor Chrobok *; J. Vokurka *; I. Hybášek * Authors‘ workplace: Dětská ORL klinika FN, Brno - Černá Pole, přednosta doc. MUDr. I. Šlapák, CSc. ORL klinika LF UK a FN, Hradec Králové, přednosta doc. MUDr. J. Vokurka, CSc. *Dětská ORL ambulance, Brno - Pekařská ul. ** Published in: Otorinolaryngol Foniatr, , 1999, No. 3, pp. 146-149. Category:
Chronic secretory otitis is defined as the presence of pathological fluid with differentphysical properties in the middle ear for longer ghan three months. At the paediatric ENT Clinic inBrno, at the ENT Clinic in Hradec Králové and the paediatric ENT out-patient department in Brnoa three-year prospective study of children with this diagnosis was made where during treatment ofthis condition the insertion of a ventilation tube was used. The total number of patients was 183 (336ears) incl. 112 boys and 71 girls, means age 6.7 years. The mean period for which the ventilation tubewas inserted was 234 days, the mean follow-up period after extraction of the VT also AT wasperformed. Cure or improvement was achieved in 66% children, the condition was unaltered in 14.7 % and the condition deteriorated in 3.8 %. The authors present criteria used for evaluation, analyzeand discuss indications for the insertion of VT and suggest the procedure to be used in treatmentof this disease.
Key words: children, secretory otitis, ventilation tube, algorithm.
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