Exudative Catarrhal Otitis Media: Modern Approaches To Diagnosis And Management
Keywords:
otitis media with effusion; exudative catarrhal otitis media; Eustachian tube dysfunction; tympanometry; conductive hearing loss; pediatric otolaryngology; PRP/PRF therapy; myringotomy; tympanostomy tubes; adenoid hypertrophy; middle ear effusion.Abstract
Exudative catarrhal otitis media (ECOM) represents an inflammatory process within the tympanic cavity, characterized by the accumulation of serous or mucous effusion in the absence of pronounced signs of acute inflammation. The condition is one of the most common causes of hearing impairment in preschool- and early school-aged children and frequently develops with minimal symptoms, ultimately leading to persistent morphological changes of the middle ear. This article provides up-to-date information on the pathogenesis, classification, clinical features, diagnostic methods, and therapeutic approaches to ECOM, including medical treatment, endoscopic techniques, and preventive strategies.
References
Rosenfeld R.M., Shin J.J., Schwartz S.R., et al. Clinical Practice Guideline: Otitis Media with Effusion (Update). Otolaryngology–Head and Neck Surgery. 2016;154(1 Suppl):S1–S41.
Бутт А.А., Свистушкин В.М. Средний отит у детей: современные подходы к диагностике и лечению. Вестник оториноларингологии. 2020;85(5):43–48.
Степанова Ю.Ю., Пальчун В.Т. Болезни уха, горла, носа. Национальное руководство. М.: ГЭОТАР-Медиа; 2020.
Coates H., Thornton R., Langlands J., et al. Otitis media with effusion: An update. Paediatric Respiratory Reviews. 2019;29:72–79.
Schilder A.G.M., Chonmaitree T., Cripps A., et al. Otitis media. Nat Rev Dis Primers. 2016;2:16063.
Harmon K., Meyer T. Otitis media with effusion in children. American Family Physician. 2020;102(9):562–570.
Буянов А.Л., Никифорова Г.Н. Экссудативный средний отит у детей: диагностика и лечение. Российская оториноларингология. 2018;3:51–57.
Kuo C.L., Shiao A.S., Yung M., et al. Updates and knowledge gaps in tympanostomy tube placement. Clinical Review in Otolaryngology. 2021;46(4):912–923.
Sadé J., Luntz M. Eustachian Tube Dysfunction. In: Therapy of Ear Diseases. Springer; 2014:125–139.
Минасян В.А. Эндоскопическая диагностика патологии слуховой трубы. Российская ринология. 2019;27(2):38–45.
Choi J.E., Song J.J., Chang S.O. Outcome of balloon dilation for eustachian tube dysfunction: A meta-analysis. Laryngoscope. 2021;131(2):414–423.
Ryan A.F., Kurabi A., Wong A., et al. Immunology of otitis media. Annals of Otology, Rhinology & Laryngology. 2020;129(7):741–754.
Ahsan S.F., Mehta M., Gudis D. Otitis Media with Effusion: Risk Factors and Management. Journal of Clinical Medicine. 2022;11(18):5363.
Гуревич С.Г., Комаров Ф.И. Аденоидная вегетация у детей: клиника, диагностика и лечение. М.: Медпрактика-М; 2019.
Yusupjonovna S. E. PREVENTION OF CHRONIC OTITIS MIDDLE WITH FUNGAL ETIOLOGY //SCIENTIFIC ASPECTS AND TRENDS IN THE FIELD OF SCIENTIFIC RESEARCH. – 2024. – Т. 3. – №. 26. – С. 175-176.
Yusupjonovna S. E. TREATMENT APPROACHES FOR SENSORINEURAL HEARING LOSS //Introduction of new innovative technologies in education of pedagogy and psychology. – 2025. – Т. 2. – №. 5. – С. 157-158.
Yusupjonovna S. E. DIFFUSE EXTERNAL OTITIS //FORMATION OF PSYCHOLOGY AND PEDAGOGY AS INTERDISCIPLINARY SCIENCES. – 2024. – Т. 3. – №. 29. – С. 466-468.
Shodieva E. SENSORINEURAL HEARING IMPAIRMENT //International Journal of Political Sciences and Economics. – 2025. – Т. 1. – №. 3. – С. 168-172.
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