本文由小咖机器人翻译整理

期刊来源：Lancet

原文链接：https://doi.org/10.1016/S0140-6736(24)00259-9

摘要内容如下：

慢性化脓性中耳炎（CSOM）是全球儿童和成人潜在可预防听力损失的主要原因，与社会经济贫困有关。对CSOM的定义缺乏共识，这使得预防、治疗和监测工作变得复杂。当鼓膜穿孔伴有严重或持续的中耳炎症时，就会发生CSOM，导致听力丧失和反复或持续的耳分泌物（耳漏）。胆脂瘤，由鼓膜鳞状上皮向内生长至中耳所致，也可发生。CSOM患者排出物的最佳治疗方法是局部应用抗生素。在资源有限的情况下，局部抗生素可能无法获得，局部消毒剂是一种替代方法。对于持续性疾病，手术修复鼓膜或切除胆脂瘤可能会提供耳漏的长期解决方案，并可能改善听力。自适应空气传导和骨传导助听器的最新发展为康复提供了新的选择。

英文原文如下：

Abstracts

Chronic suppurative otitis media (CSOM) is a leading global cause of potentially preventable hearing loss in children and adults, associated with socioeconomic deprivation. There is an absence of consensus on the definition of CSOM, which complicates efforts for prevention, treatment, and monitoring. CSOM occurs when perforation of the tympanic membrane is associated with severe or persistent inflammation in the middle ear, leading to hearing loss and recurrent or persistent ear discharge (otorrhoea). Cholesteatoma, caused by the inward growth of the squamous epithelium of the tympanic membrane into the middle ear, can also occur. The optimal treatment of discharge in CSOM is topical antibiotics. In resource-limited settings where topical antibiotics might not be available, topical antiseptics are an alternative. For persistent disease, surgery to repair the tympanic membrane or remove cholesteatoma might offer long-term resolution of otorrhoea and potential improvement to hearing. Recent developments in self-fitted air-conduction and bone-conduction hearing aids offer promise as new options for rehabilitation.

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