Otitis media con efusión, resultados del tratamiento con drenajes transtimpánicos domésticos.

Our main objective is to show how the Otitis Media with efussion (OME) can be treated. This is a frequent pathology in children in spite of the poor resources that we have. And we also pretend to obtain similar results as the countries in the first world. It was performed an observational, prospective research evaluating the findings and results in the Ear consult from the General University Hospital Carlos Manuel de Cespedes during the period January 2008 to December 2010. There were performed 66 inserctions of transtympanic drainages , all of them with local resources and there were obtained auditive improvement in 37 ears during the period of three months, evidenced through audiograms for a 56%, regular checkups were mantained every three months, even with tympanograms that indicated that 62 ears were healed after 12 months for 94%. There were reported only 7 complications: otorrhea , precocious fall of TTD and precocious obstruction of the ventilation tube. Our results were compared with international authors and they were similar, what indicated that with local initiatives the health problems can be solved for the people.Nuestro objetivo fundamental consiste en demostrar como se puede tratar la Otitis Media con Efusión (OME), una patología frecuente en los niños, a pesar de los pocos recursos con que contamos y lograr resultados similares a los del primer mundo. Se realizó un estudio observacional analítico y prospectivo evaluando los hallazgos y resultados en la consulta de oído del Hospital General Universitario “Carlos Manuel de Céspedes”, en el periodo de enero 2008 a diciembre 2010. Se realizaron 66 inserciones de drenajes transtimpánicos (DTT), todos fabricados con recursos locales, y se obtienen mejorías auditivas en 37 oídos a los tres meses, demostrado por audiogramas para un 56 %, se mantienen chequeos regulares cada tres meses incluso con timpanogramas que indican que 62 oídos fueron curados a los 12 meses para un 94 %. Se reportaron solo 7 complicaciones; otorrea, caída precoz del DTT y obstrucción precoz del tubo ventilatorio. Nuestros resultados fueron comparados con autores internacionales y son similares, lo que indica claramente que con iniciativas locales se resuelven problemas de salud al pueblo