Alternative treatment for otitis media with effusion: eustachian tube rehabilitation

L D'Alatri, P M Picciotti, M R Marchese, A Fiorita, L D'Alatri, P M Picciotti, M R Marchese, A Fiorita

Abstract

In this study, we evaluated the effectiveness of eustachian tube rehabilitation (ETR) as treatment for otitis media with effusion (OME). Thirty-five children with persistent OME were enrolled. Patients were divided into three groups: group I (isolated OME); group II (OME and atypical swallowing); group II (OME, habitual mouth breathing and atypical swallowing). All children underwent ETR. Otomicroscopy and tympanograms were performed before treatment, and at one and three months following ETR. Considering the overall patient population after ETR (one and three months later), the prevalence of type A tympanogram increased significantly compared to before therapy (p < 0.005), while the prevalence of type B tympanogram decreased significantly (p < 0.005). We found significant differences between pre- and both post-therapy control in groups I and II. However, children in group II experienced significant improvement of middle ear conditions only three months after the end of therapy (p < 0.005). On the basis of the physiopathologic knowledge of OME and the underlying principles of ETR, we conclude that ETR can be considered a useful therapy in management of OME.

Keywords: Eustachian tube; Eustachian tube rehabilitation; Habitual mouth breathing; Otitis media with effusion; Swallowing.

Figures

Fig. 1.
Fig. 1.
Tympanometric results of group I (26/70 ears) before ETR (pre) and at each post-treatment assessment (post 1 = one month after ETR; post 2 = three months after ETR).
Fig. 2.
Fig. 2.
Tympanometric results of group II (14/70 ears) before ETR (pre) and at each post-treatment assessment (post 1 = one month after ETR; post 2 = three months after ETR).
Fig. 3.
Fig. 3.
Tympanometric results of group III (30/70 ears) before ETR (pre) and at each post-treatment assessment (post 1 = one month after ETR; post 2 = three months after ETR).

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