고압산소치료시 발생하는 기압성 중이염의 예방에 대한 고찰

나종원; 박민규; 김성곤; 강창일; 이수영; 최원찬

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자료유형: 학술저널

저자정보: 나종원 박민규 김성곤 강창일 이수영 최원찬

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제45권 제1호

발행연도: 2002.1

수록면: 22 - 25 (4page)

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연구주제

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연구배경

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연구방법

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Background and Objectives：Midle ear barotrauma is a damage of the ear resulting from the pressure diference between the midle ear and the atmospheric environment. We investigated the effects of chewing gum and administering the systemic decongestant in hyperbaric oxygen therapy. Materials and Method：We investigated the cases of the midle ear barotrauma which came from hyperbaric oxygen therapy for finger replantation. We studied 81 patients without E-tube dysfunction. They were divided into three groups：and the patients receiving the systemic decongestant. We investigated the patients for symptoms, otoscopic findings, tympan-ometry, and PTA. Otoscopic findings were classified by modified Teed classification. Results：In the first group, 36 of 60 (60% ) ears had otologic symptoms, 37 of 60 (62% ) ears were above the grade 1, 31 of 60 (52% ) ears were B or C type in tympanometry and 20 of 60 (33% ) ears were above 20dB in AB gap (air-bone gap). In the second group, 23 of 60 (38% ) ears had the otologic symptom, 26 of 60 (43% ) ears were above the grade 1, 19 of 60 (32% ) ears were the B or C type and 10 of 60 (17% ) ears were above 20dB in AB gap. In the third group, 18 of 42 (43% ) ears had the otologic symptoms, 19 of 42 (45% ) ears were above the grade 1, 15 of 42 (36% ) ears were the B or C type and 7 of 42 (17% ) ears were above 20dB in the AB gap. Conclusion：The second group was better than the first group with regard to otologic symptom, otoscopic fin-dings, tympanometry, PTA, and showed statistical significance. On the other hand, the third group was efective but did not show statistical significance. (Korean J Otolaryngol 2002;45:22-5)

#기압성 중이염·고압산소치료. #Midle ear barotrauma· Hyperbaric oxygen therapy.

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