查詢結果分析
來源資料
頁籤選單縮合
題 名 | Water Penetration into Middle Ear through Ventilation Tubes in Children while Swimming=置放中耳通氣管的兒童游泳時水是否會進入中耳腔內 |
---|---|
作 者 | 王懋哲; 劉家妤; 蕭安穗; | 書刊名 | 中華醫學會雜誌 |
卷 期 | 72:2 2009.02[民98.02] |
頁 次 | 頁72-75+a14 |
分類號 | 416.821 |
關鍵詞 | 中耳; 積液性中耳炎; 游泳; 中耳通氣管; Middle ear; Otitis media with effusion; Swimming; Ventilation tube; |
語 文 | 英文(English) |
英文摘要 | Background: Ventilation tube insertion is a common treatment for children with persistent otitis media with effusion. Parents are concerned about the morbidity of this procedure and the influence of ventilation tubes on daily activities. Permissibility of swimming is a question that is most often asked. The aim of this study was to investigate the possibility of water penetration through ventilation tubes into the middle ear while swimming in children with ventilation tubes under immediate observation. Methods: We included 14 patients who had otitis media with effusion who received ventilation tube insertion. They had complete ear, nose and throat physical examination. All 14 patients were taken to enjoy surface swimming for 1 hour without ear protection. Before and after swimming, we checked the tympanic membrane and external ear canal using a videotelescope and monitor immediately at the poolside to discover if there was fluid in the external ear canal and middle ear. Patients were followed-up 2 weeks later to check if otorrhea had occurred. Results: The 14 patients were from 5 to 14 years old. Nine were male and 5 were female. Nine patients had bilateral ventilation tubes and 5 had unilateral ones. One ear was excluded due to the tube nearly dropping out. A total of 22 ears were included. Eight ears were noted to be dry after swimming. Five ears were noted to have water over the outer 1 third of the external ear canal. Two ears were noted to have water over the inner 2 thirds of the external ear canal. Water on the tube or tympanic membrane was found in 6 ears. Only 1 ear with water penetration into the middle ear was found. No otorrhea had occurred in any ears after 2 weeks. Conclusion: Water penetration into the middle ear through ventilation tubes and middle ear infection are not likely when surface swimming. Children with ventilation tubes can enjoy swimming without protection in clean chlorinated swimming pools. |
本系統中英文摘要資訊取自各篇刊載內容。