A systematic review of adenoidectomy in the treatment of otitis media with effusion in children

作者：Tian Xiao-Yan; Wang Mei-Qun; Liu Yue-Hui^*

来源：International Journal of Clinical and Experimental Medicine, 2018, 11(10): 10639-10645.

• Adenoidectomy
• otitis media effusion
• randomized controlled trial
• systematic review
• meta-analysis

Object: Systematic reviews and meta-analyses were conducted to assess the efficacy and security of adenoidectomy for otitis media with effusion in children. Method: Based on the principles and methods of Cochrane systematic reviews, Electronic search included PubMed, Medline, Elisevier, Ovid, CBM, CKNI, VIP and Wanfang datebase. Randomized controlled trials about using adenoidectomy to treat otitis media with effusion in children were included. Meta-analysis was performed for the result of homogeneous studies using RevMan 5.2 software. If meta-analysis can't be done, qualitative descriptions were made. Results: Adenoidectomy (with or without myringotomy) in reducing the episode of acute otitis media, removing the middle ear effusion were superior to myringotomy or observation. Adenoidectomy with tympanostomy tube in the removal of the middle ear effusion and improving hearing level were superior to tympanostomy tube. Three trials described postoperative haemorrhage, incipient malignant hyperthermia, postoperative pneumonia, velopharyngeal insufficiency. Conclusions: Our research shows a benefit of adenoidectomy in the removal of middle ear effusion in children with OME. Adenoidectomy combined with tympanostomy tube in improving hearing level was superior to tympanostomy tube. At present, there is no evidence shows adenoidectomy has serious postoperative complications.

• 出版日期2018
• 单位南昌大学