摘要
積液性中耳炎的治療流程至今仍未來完全的定論。一般多數耳鼻喉科醫師所接受的通則是病程持續在3個月內採觀察或內科治療。內科治療包括抗生素、類固醇、抗組織胺及去充血劑。病程持續3個月以上且無改善的趨勢，合併傳導性聽力損失時，則開始考慮外科治療。外科治療包括鼓膜切開術、雷射鼓膜切開術、鼓膜切開術合併中耳通氣管植入及腺樣體之切除。本文中提供了各種治療介入時機的建議以供參考。除此之外，醫師也應該對病人做好衛教的工作，以期降低積液性中耳炎的發病率。
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積液性中耳炎並列摘要
Algorithm for management of otitis media with effusion (OME) still remains controversial. For most of otolaryngologists, observation or medical treatment are treatment options within 3 months of effusion. Medical treatment includes antibiotics, steroid, antihistamine and decongestant. For patients with bilateral effusion for over 3 months and conductive hearing impairment of 20 dB HL or worse, surgical intervention should be considered. Surgical management includes tympanotomy, laser tympanotomy, tympanotomy with ventilation tube insertion, and adenoidectomy. We present, in this article, a recommended plan of treatment for OME. Also patient education plays an important role in preventing the occurrence of OME.