To observe the prognostic difference of tympanocentesis in different kinds of otitis media effusion.
This study is a prospective, observational clinical study to observe the difference in prognosis of tympanocentesis in different kinds of otitis media effusion (OME), especially OME after radiotherapy for nasopharyngeal carcinoma (NPC). A total of 234 patients diagnosed with OME who are given the treatment of tympanocentesis only, including outpatient and inpatient patients, were included in the study. The middle ear effusion collected during the tympanocentesis is sent for bacterial culture. The positive rate of the effusion and the recurrence rate within 24 weeks will be compared in order to figure out whether bacterial infection is an important influencing factor for some kinds of OME in addition to eustachian tube dysfunction, which is acknowledged.
Study Type
OBSERVATIONAL
Enrollment
234
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou, Guangdong, China
Positive Bacterial Culture Rate in Middle Ear Effusion
Time frame: Up to 24 weeks
Changes in Air Pressure (Tympanogram)
Tympanogram changed from type B to type A or type C.
Time frame: Collected at 6, 12, 24 Weeks after Tympanocentesis
Eustachian Tube Dysfunction Questionnaire (ETDQ-7)
The ETDQ-7 tool is used to assess the symptoms of Otitis Media With Effusion (OME), which consists of seven items with a scale of graduated responses ranging from 1 (No Problem) to 7 (Severe Problem), and 4 would correspond to a Moderate Problem. If the total score is more than 14, it is considered that there is eustachian tube dysfunction. The average post-operative ETDQ-7 score is less than 2.1 or decrease \> 0.5 (minimal clinically important difference=0.5), it is considered that the eustachian tube function is improved.
Time frame: Collected at 6, 12, 24 Weeks after Tympanocentesis
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