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头颈部恶性肿瘤因肿瘤本身或/和治疗因素造成分泌性中耳炎比较常见,尤其多发生于鼻咽癌患者。以往文献中提倡鼓膜切开插管(M&T)治疗顽固的中耳渗出,但忽略了M&T致中耳严重感染的并发症。总结1990～1992年Memorial Sloan-Kettering癌症中心治疗的头颈部恶性肿瘤伴发分泌性中耳炎52例患者,其中鼻咽癌11例,鼻窦癌22例,头颈部淋巴瘤3例,其它16例。双耳积液10例,单耳积液42例。鼓膜切开插管一次以上者占47％(20/43),感染四次以上或因长期流
Head and neck cancer due to the tumor itself or / and the treatment of secretory otitis media is more common, especially in patients with nasopharyngeal carcinoma. Previously, the literature advocated tympanotomy (M & T) for the treatment of stubborn middle ear exudation, but ignored the M & T-induced complications of the middle ear. Summarize 52 cases of head and neck malignant tumor with secretory otitis media treated by Memorial Sloan-Kettering Cancer Center from 1990 to 1992, including 11 cases of nasopharyngeal carcinoma, 22 cases of sinus cancer, 3 cases of head and neck lymphoma and 16 cases of other 16 cases . 10 cases of binaural effusion, mononuclear effusion in 42 cases. 47% (20/43) of patients with more than one episode of tympanotomy, more than four infections, or long-term flow