SECRETORY OTITIS MEDIA THE SIGNIFICANCE OF NEGATIVE MIDDLE EAR PRESSURE AND THE RESULTS OF A CONTROLLED STUDY OF VENTILATION TUBES

1984 ◽  
Vol 3 (4) ◽  
pp. 376
Author(s):  
T. Lindholdt
1998 ◽  
Vol 77 (9) ◽  
pp. 770-777 ◽  
Author(s):  
Therese Ovesen ◽  
Jens D. Børglum

The insertion of ventilation tubes to equalize pressure in the middle ear is the most common procedure used to treat otitis media. This article evaluates the advantages and drawbacks of ventilation and explores the various roles of the components of middle ear pressure, with special emphasis on oxygen-derived free radicals.


1989 ◽  
Vol 98 (10) ◽  
pp. 767-771 ◽  
Author(s):  
Iain W. S. Mair ◽  
Oddbjørn Fjermedal ◽  
Einar Laukli

A comparison has been made of air conduction threshold changes up to 1 year after myringotomy, aspiration of middle ear fluid, and insertion of ventilation tubes in ten patients with bilateral and 12 with unilateral secretory otitis media (SOM). Pure tone air conduction thresholds have been analyzed in three frequency groups: Low frequency (LF; 0.25, 0.5, and 1 kHz), high frequency (HF; 2,4, and 8 kHz), and extra-high frequency (EHF; 10, 12, 14, and 16 kHz). In the LF and HF ranges, significant improvement came during the first 24 hours after intubation, while in the EHF range, threshold lowering occurred gradually over the following 2 months. Possible explanations for these findings are discussed.


1990 ◽  
Vol 110 (3-4) ◽  
pp. 266-273 ◽  
Author(s):  
Fikret Kiroglu ◽  
Mehmet Kaya ◽  
Can Özsahinoglu ◽  
Levent Soylu ◽  
Sait Polat

1988 ◽  
Vol 97 (3) ◽  
pp. 219-221 ◽  
Author(s):  
Richard A. Buckingham

Secretory otitis media, middle ear atelectasis, and retraction type cholesteatomas are the most frequently occurring chronic middle ear diseases; and eustachian tube obstruction and the generation of negative or less than atmospheric middle ear pressure is said to be an essential factor in the pathogenesis of these diseases. It has been found that habitual sniffing causes high degrees of negative middle ear pressure in diseased ears; this finding demonstrates eustachian tube patency rather than obstruction. Ears intubated for chronic secretory otitis media, middle ear atelectasis, and cholesteatoma were examined to identify patent eustachian tubes. More than one third of the patients aspirated a solution into the middle ear with one or more sniffs by aspirating air from their middle ears, demonstrating eustachian tube patency rather than obstruction.


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