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For proper surgical treatment of otitis media exudative in children: diagnosis of refractory cases and new surgical treatment methods

Research Project

Project/Area Number 17K11342
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Otorhinolaryngology
Research InstitutionJichi Medical University

Principal Investigator

Ito Makoto  自治医科大学, 医学部, 教授 (50283106)

Project Period (FY) 2017-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords滲出性中耳炎 / 急性中耳炎 / 光干渉断層撮影 / 鑑別診断 / 小児滲出性中耳炎 / 外科治療 / 診断 / 医療・福祉
Outline of Final Research Achievements

The purpose of this study was to establish a differential diagnostic method for refractory cases of pediatric exudative otitis media, to clarify the indication criteria for surgical treatment, and to validate a minimally invasive treatment method with fewer sequelae. We investigated the usefulness of various examinations including optical coherence tomography (OCT) of the tympanic membrane in children with otitis media exudative, and since OCT can now be imported, it can provide information on the degree of thickening of the tympanic membrane and biofilm formation on the back surface of the middle ear cavity. OCT provides information on the degree of thickening of the tympanic membrane and biofilm formation on the back surface of the middle ear cavity, making it possible to differentiate not only between acute and chronic otitis media, but also between refractory and prolonged cases of otitis media, congenital otitis media with pearloma, cholesterin otitis media, and other conditions.

Academic Significance and Societal Importance of the Research Achievements

小児難聴の最大の原因である、滲出性中耳炎の治療適正化を考える上で、実際の臨床において求められているのは、鼓膜チューブ留置術などの外科治療が真に必要な症例を、発症後の比較的早期に鑑別することである。ところが、発症後3カ月ー半年以内にそのような難治・遷延例を推定する試みはなされてこなかった。これまでは、各種治療を行なっても最終的に予後不良な症例を選別して手術症例を選択してきたが、難治例を早期に鑑別可能となれば、積極的な外科治療によって生育期の難聴を改善すべき症例を鑑別することが可能となる。

Report

(7 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (14 results)

All 2022 2021 2020 2019 2018

All Journal Article (10 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 10 results,  Open Access: 5 results) Presentation (3 results) (of which Invited: 3 results) Book (1 results)

  • [Journal Article] Clinical practice guidelines for the diagnosis and management of otitis media with effusion (OME) in children in Japan. 2022 update2022

    • Author(s)
      Hidaka Hiroshi、Ito Makoto、Ikeda Ryoukichi、Kamide Yosuke、Kuroki Haruo、Nakano Atsuko、Yoshida Haruo、Takahashi Haruo、Iino Yukiko、Harabuchi Yasuaki、Kobayashi Hitome
    • Journal Title

      Auris Nasus Larynx

      Volume: 26 Issue: 5 Pages: 0-0

    • DOI

      10.1016/j.anl.2022.12.004

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Pharmacotherapy focusing on for the management of otitis media with effusion in children: Systematic review and meta-analysis.2021

    • Author(s)
      Ryoukichi Ikeda, HiroshiHidaka, MakotoIto, YosukeKamide, HaruoKuroki, AtsukoNakano, HaruoYoshida, HaruoTakahashih, YukikoIinoi, YasuakiHarabuchi, HitomeKobayashik: Pharmacotherapy focusing on for the management of otitis media with effusion in chil
    • Journal Title

      Auris Nusus Larynx

      Volume: 電子版 Issue: 5 Pages: 748-754

    • DOI

      10.1016/j.anl.2022.03.017

    • Related Report
      2022 Annual Research Report 2021 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Modified meatotympanoplasty for external auditory canal stenosis and lateralized tympanic membrane: a preliminary study2020

    • Author(s)
      Kase Kina、Ito Makoto、Hatano Miyako、Sugimoto Hisashi、Shimada Mari、Yoshizaki Tomokazu
    • Journal Title

      Acta Oto-Laryngologica

      Volume: 140 Issue: 4 Pages: 327-332

    • DOI

      10.1080/00016489.2020.1714723

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Deletion of CD38 and supplementation of NAD + attenuate axon degeneration in a mouse facial nerve axotomy model2020

    • Author(s)
      Takaso Y, Noda M, Hattori T, Roboon J, Hatano M, Sugimoto H, Brenner C, Yamamoto Y, Okamoto H, Higashida H, Ito M, Yoshizaki T, Hori O.
    • Journal Title

      Sci Rep

      Volume: 10 Issue: 1 Pages: 17795-17795

    • DOI

      10.1038/s41598-020-73984-3

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 小児滲出性中耳炎の治療とそのエビデンスー目的を意識した小児滲出性中耳炎の診断ー2020

    • Author(s)
      伊藤真人
    • Journal Title

      日本耳鼻咽喉科学会会報

      Volume: 123 Pages: 123-126

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Microglial activation in the cochlear nucleus after early hearing loss in rats.2019

    • Author(s)
      Noda M, Hatano M, Hattori T, Takarada-Iemata M, Shinozaki T, Sugimoto H, Ito M, Yoshizaki T, Hori O.
    • Journal Title

      Auris Nasus Larynx.

      Volume: 印刷中 Issue: 5 Pages: 716-723

    • DOI

      10.1016/j.anl.2019.02.006

    • Related Report
      2019 Research-status Report 2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] より安全な口蓋扁桃手術の検討-当地におけるPowered Tonsillotomy-2019

    • Author(s)
      手塚綾乃、島田茉莉、伊藤真人
    • Journal Title

      口腔・咽頭科

      Volume: 32 (1) Pages: 15-18

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] 明視下パワーデバイスによるアデノイド・口蓋扁桃切除術ー安全確実な手術を目指してー2019

    • Author(s)
      伊藤真人
    • Journal Title

      口腔・咽頭科

      Volume: 32 (2) Pages: 91-96

    • NAID

      130007853472

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Usefulness of reconstructed 3D images for cochlear implantation in a case with a facial nerve anomaly.2018

    • Author(s)
      Nakamura K, Dias MS, Sasaki T, Sugimoto H, Hatano M, Ito M.
    • Journal Title

      Auris Nasus Larynx.

      Volume: 45 Issue: 5 Pages: 1103-1106

    • DOI

      10.1016/j.anl.2018.02.002

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Surgical Indication of Inner Ear Malformation associated with Bacterial Meningitis2018

    • Author(s)
      Yumiko Hamano, Kina Kase, Ayano Tetsuka, Mari Dias, Kenichi Nakamura1 Toru Sasaki and Makoto Ito
    • Journal Title

      Clinics in Surgery

      Volume: ー

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 乳幼児急性中耳炎の現状と対応2020

    • Author(s)
      伊藤真人
    • Organizer
      第121回日本耳鼻咽喉科学会総会
    • Related Report
      2020 Research-status Report
    • Invited
  • [Presentation] 小児急性中耳炎・滲出性中耳炎診療の変遷2020

    • Author(s)
      伊藤真人
    • Organizer
      日本耳科学会
    • Related Report
      2020 Research-status Report
    • Invited
  • [Presentation] 急性中耳炎との関係を重視した、小児滲出性中耳炎の治療2018

    • Author(s)
      伊藤 真人
    • Organizer
      第119回日本耳鼻咽喉科学会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Book] 小児滲出性中耳炎診療ガイドライン 2022年版2022

    • Author(s)
      日高浩史、伊藤真人、池田怜吉、上出洋介、黒木春郎、仲野敦子、吉田晴郎、飯野ゆき子、高橋春雄
    • Total Pages
      94
    • Publisher
      金原出版
    • Related Report
      2022 Annual Research Report

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Published: 2017-04-28   Modified: 2024-01-30  

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