ĐẶT ỐNG THÔNG KHÍ SÀO BÀO XUYÊN ỐNG TAI TRONG ĐIỀU TRỊ VIÊM XƯƠNG CHŨM CẤP TRẺ EM

Abstract

Nowaday with the support of endoscopy, computed tomography, acute mastoiditis examination and detection (VXCC), especially in children, is still limited. So the certificate variable rate is still high. Objectives: (1) Describe the clinical, endoscopic and computed tomography (CT) morphology of acute mastoiditis in children. (2) Evaluation of the effectiveness of mastoidectomy and trans-otural ostomy (OTK) placement. Subjects and methods: (1) 34 pediatric patients with VXCC were examined by endoscopy and CT. (2) Evaluation of mastoidectomy technique to place OTK through the ear canal. Results: The most common functional symptom was digestive disorders; Collapse of the posterior wall of the ear canal, prolonged ear discharge after tympanic intubation (OTK) tympanic membrane are the most common symptoms on otoscopy, computed tomography (CT) images of the temporal bones show destruction. mastoid septum and temporomandibular group continue to develop strongly. With mastoidectomy and transcavitary OTK placement, 40/44 (91%) ears were dry 4 weeks after surgery and 44/44 (100%) ears were dry after 6 months. Conclusion: (1) Clinical examination combined with otoscopy and CT scan of the temporal bone are 3 basic factors to ensure that VXCC is not missed. (2) Placing OTK in the mastoid cavity, in addition to helping to drain the secretions and ventilating the mastoid cavity, also has the effect of monitoring the results of treatment. (3) With the results of 44/44 (100%) dry ear, mastoidectomy technique to place OTK in the ear canal is an effective technique in the treatment of VXCC in children, capable of wide application. (4) Removal of V.A. and control of environmental factors is supportive treatment to ensure the stability and effectiveness of treatment.