Article Sidebar

PDF
Issue: No. 98 (2026): CHÀO MỪNG NGÀY KHOA HỌC, CÔNG NGHỆ VÀ ĐỔI MỚI SÁNG TẠO VIỆT NAM NĂM 2026
Section: Article
DOI: 10.58490/ctjump.2026i98.4522
Date Published: 25/05/2026
Views 0
Downloads 0
How to Cite
Tran, N. P. T., & Nguyen, K. D. T. (2026). A STUDY ON THE CLINICAL AND PARACLINICAL CHARACTERISTICS AND TREATMENT OUTCOMES OF ACUTE OTITIS MEDIA USING ENDOSCOPIC TYMPANOSTOMY TUBE INSERTION COMBINED WITH TOPICAL CIPROFLOXACIN EAR DROPS IN CAN THO, 2024-2026. Cantho Journal of Medicine and Pharmacy, 98, 225-231. https://doi.org/10.58490/ctjump.2026i98.4522

A STUDY ON THE CLINICAL AND PARACLINICAL CHARACTERISTICS AND TREATMENT OUTCOMES OF ACUTE OTITIS MEDIA USING ENDOSCOPIC TYMPANOSTOMY TUBE INSERTION COMBINED WITH TOPICAL CIPROFLOXACIN EAR DROPS IN CAN THO, 2024-2026

Ngoc Phuong Thao Tran1, , Ky Duy Tam Nguyen2
1 Can Tho University of Medicine and Pharmacy
2 Can Tho Children Hospital

Main Article Content

Abstract

Background: Acute otitis media is an acute inflammatory condition of the tympanic cavity and middle ear mucosa, commonly observed in children. Otoscopic endoscopy combined with tympanometry is essential for objective assessment of middle ear lesions. Tympanostomy tube insertion contributes to significant hearing improvement, drainage of purulent effusion, restoration of middle ear ventilation, reduction of recurrent episodes of acute otitis media, and enhancement of treatment efficacy when combined with topical antibiotic and anti-inflammatory therapy. Objective: To describe the clinical and paraclinical characteristics and evaluate treatment outcomes of acute otitis media in children treated with endoscopic tympanostomy tube insertion combined with topical Ciprofloxacin ear drops. Materials and methods: A cross-sectional descriptive study was conducted on 60 ears diagnosed with acute otitis media and treated with endoscopic tympanostomy tube insertion combined with topical Ciprofloxacin ear drops. Results: Children under 6 years of age accounted for the highest proportion (61.7%). Male patients were more common than females, accounting for 76.7% and 23.3%, respectively. Otalgia was the most frequent reason for hospital admission (58.4%). Bulging tympanic membrane was observed more frequently than hyperemic tympanic membrane, with rates of 61.7% and 38.3%, respectively. Flat tympanogram was the most common tympanometric finding (83.3%). The mean duration to achieve a dry ear was 2.2 weeks. Good treatment outcomes were achieved in 95% of cases. Conclusion: Endoscopic tympanostomy tube insertion combined with topical Ciprofloxacin ear drops is an effective treatment modality for acute otitis media in children. 

Keywords

Acute otitis media, tympanometry, tympanostomy tube insertion, Ciprofloxacin

Article Details

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

References

1. Danishyar A., Ashurst J.V. Acute Otitis Media. StatPearls Publishing. 2023.
2. Hoàng Văn Cúc, Nguyễn Văn Huy. Giải phẫu người. Nhà xuất bản Y học. 2018. 161-171.
3. Đặng Xuân Hùng, Huỳnh Khắc Cường. Thính học lâm sàng bệnh tai giữa chẩn đoán và xử trí nâng cao. Nhà xuất bản y học. 2019. 123-142.
4. Le C.T., Freeman D.W., Fireman B.H. Evaluation of ventilating tubes and myringotomy in the treatment of recurrent or persistent otitis media. Pediatric Infectious Disease Journal. 1991. 10, 2–11, https://doi.org/10.1097/00006454-199101000-00002.
5. Dohar J., Giles W., Roland P., et al. Topical ciprofloxacin/dexamethasone superior to oral amoxicillin/clavulanic acid in otitis media with otorrhea through tympanostomy tubes. Pediatrics. 2006. 118(3), 561–569, https://doi.org/10.1542/peds.2005-2033.
6. Nguyễn Như Đua, Đoàn Thị Hồng Hoa. Nghiên cứu đặc điểm lâm sàng của bệnh nhân viêm tai giữa cấp tái phát tại bệnh viện Nhi Trung Ương. Tạp chí Y học Việt Nam. 2025. 556(3), 288291, https://doi.org/10.51298/vmj.v556i3.16513.
7. Đỗ Tùng Anh, Nguyễn Thị Khánh Vân, Đỗ Hoàng Quốc Chinh. Nghiên cứu đặc điểm lâm sàng của viêm tai giữa cấp ở trẻ em 6 tuổi tại bệnh viện Tai Mũi Họng Trung Ương năm 2024. Tạp chí Y học Việt Nam. 2024. 550(2), 335-338, https://doi.org/10.51298/vmj.v550i2.14273.
8. Ren Y., Sethi R.K.V., Stankovic K.M. Acute Otitis Media and Associated Complications in United States Emergency Departments. Otology & Neurotology. 2018. 39, 1005–1011, https://doi.org/10.1097/MAO.0000000000001929.
9. Trương Lê Anh Kiệt, Phạm Thanh Thế, Nguyễn Kỳ Duy Tâm. Nghiên cứu đặc điểm lâm sàng, cận lâm sàng viêm tai giữa cấp trẻ em và đánh giá kết quả điều trị phẫu thuật nội soi đặt ống thông khí màng nhĩ. Trường Đại học Y dược Cần Thơ. 2022. 41-45.
10. Trần Viết Luân. Nghiên cứu tác dụng đặt ống thông nhĩ trong điều trị viêm tai giữa ứ dịch ở trẻ em. Trường Đại học Y Thành phố Hồ Chí Minh. 2005.
11. Mai Ý Thơ. Nghiên cứu đặc điểm lâm sàng, thính lực, nhĩ đồ và kết quả đặt ống thông khí trong viêm tai giữa tiết dịch trẻ em. Tạp chí Tai Mũi Họng Việt Nam. 2013. 58(13), 62–67.
12. Rosenfeld R.M., Tunkel D.E., Schwartz S.R., et al. Clinical Practice Guideline: Tympanostomy Tubes in Children. Otolaryngology–Head and Neck Surgery. 2022. 166(1), 1–55, https://doi.org/10.1177/01945998211065662.
13. Kujala T., Alho O.P., Luotonen J., et al. Tympanostomy with and without adenoidectomy for the prevention of recurrences of acute otitis media: a randomized controlled trial. Pediatric Infectious Disease Journal. 2012. 31(6), 565–569, https://doi.org/10.1097/inf.0b013e318255ddde.