Serios otitis media is one of those ear Troubles that has enjoyed a very extensive research two decaides.
I ts recognition in medical literature goes b,ick tc eighteenth century. Since then there has been rather little progress in this field. The discovery of antibiotcs and thence lessening of in
fecticus ear diseases, attention has been paid to preserve the function of ear, and naturally light has been directed to the problem of ear effusion vnd th;s ill part has been respnnsible for detecting and curing this ailment successfully and
efficiently, and to scme extent there has been a rather good progress in understanding its ethiology and pathology.
In th;s article with regard to aforementioned facts the subject has been discussed in the following manner.
1- Eth;ology: Allergy and upper respiratory tract, infections, misuse of antibiotics and Eustachian tube insufficiency hs been displayed.
2- HistopAthologv: In this dise!:lse the mucos3l linning of the middle ear cleft is changed and there :s methaplask changes from single squ;:imous ep,ithelium to respiratory type of epi-thelium, that is pseudostratifed ciliated columnar epithelium with secretory goblet cells.
3- Diagnosis: this is based on three factors: a- hearing impairment stated by patientor his parents, and appearance of tympanic membrane.
b- audiometric and impedance measurement.
c- paracenthesis and drainge of the middle ear cleft fluid.
4- M:a1pgcment, is as follows:
a- Treatment of predispesing factors l;keallergy, adenoids. sinusitis and etc.
b- fluid drainge after parncenthes•s.
c- Teflen Grommet Drain tube insertion.
At the conclusion a few intresting cases have been discussed. which have been seen by the writer.
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دریافت: 1398/12/24 | پذیرش: 1398/12/24 | انتشار: 1398/12/24