Glue ear in children: medical management

1986 ◽  
Vol 24 (6) ◽  
pp. 22-24
Keyword(s):  
Otitis Media ◽  
School Child ◽  
Medical Management ◽  
Secretory Otitis Media ◽  
Suppurative Otitis Media ◽  
Childhood Deafness ◽  
Glue Ear ◽  
Serous Otitis Media ◽  
Normal Speech

“Glue ear”, also known as secretory otitis media, serous otitis media or non-suppurative otitis media, is the commonest cause of childhood deafness, interfering with the acquisition of normal speech and learning. It affects at least one pre-school child in ten.1

Middle Ear Effusions: Definitions and Terminology

1976 ◽  
Vol 85 (2_suppl) ◽  
pp. 8-11 ◽  
Author(s):  
Michael M. Paparella
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Clinical Findings ◽  
Serous Fluid ◽  
Suppurative Otitis Media ◽  
Glue Ear ◽  
Serous Otitis Media ◽  
Purulent Fluid ◽  
Clinical Problems ◽  
Ear Effusion

There are many confusing terms which presently apply to the group of clinical problems accompanied by middle ear effusion manifestations. Out of this chaos there is a need for logic and simplicity. All of the middle ear effusions are examples of the broadly descriptive categorical term “otitis media” meaning “inflammation” of the middle ear which includes examples of frank “infection” as well. Based upon clinical and laboratory observations there are essentially four types of intrinsically occurring middle ear fluid which, along with clinical findings, provide the means of identifying the clinically descriptive term which should be used: 1) serous fluid (serous otitis media); 2) mucoid fluid (mucoid otitis media, secretory otitis media, glue ear); 3) bloody fluid (barotrauma, aerotitis); 4) purulent fluid (purulent or suppurative otitis media); and 5) any combination of the above four ( e.g., seropurulent otitis media, serosanguineous otitis media, mucopurulent otitis media, etc.).

New Ways of Looking at Ears

PEDIATRICS ◽  
1977 ◽  
Vol 60 (1) ◽  
pp. 132-132
Author(s):  
Richard J. Gluckman
Keyword(s):  
Clinical Practice ◽  
Otitis Media ◽  
Acoustic Impedance ◽  
Acute Otitis Media ◽  
Doctor Who ◽  
Suppurative Otitis Media ◽  
Impedance Measurements ◽  
Glue Ear ◽  
Serous Otitis Media

Two articles in Pediatrics complement each other very nicely: "Acute Suppurative Otitis Media" by Rowe (56:285, August 1975) and "The Application of Acoustic Impedance Measurements to Pediatric Clinical Practice" by Ehrlich and Tait (55:666, May 1975). The former article expresses indirectly what I have always felt, that is, that a doctor who calls acute otitis media a "red ear" is either using a colloquialism or doesn't know what he is talking about. The second article provides a method for teaching residents and interns how to diagnose not only the acute otitis but also the serous otitis media and "glue ear" that are so frequently missed by the untrained observer.

scholarly journals Relationship between Acute Suppurative Otitis Media and Chronic Secretory Otitis Media: Role of Antibiotics

1984 ◽  
Vol 77 (9) ◽  
pp. 754-757 ◽  
Author(s):  
Robert Mills ◽  
Ann Uttley ◽  
Michelle McIntyre
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Acute Otitis Media ◽  
Secretory Otitis Media ◽  
Sensitivity Testing ◽  
Suppurative Otitis Media ◽  
In Vitro Sensitivity ◽  
Resistance To Penicillin

A total of 204 chronic middle ear effusions from 122 children have been studied. Bacteria were isolated from 30 effusions. The commonest species found were Strep. pneumoniae and H. influenzae. These are also the commonest organisms causing acute otitis media (AOM). A similar pattern of serotypes was also demonstrated. In vitro sensitivity testing showed that most of the organisms isolated were sensitive to most commonly-used antibiotics. The main exception was resistance to penicillin amongst strains of H. influenzae and Staph. aureus. It is suggested that some cases of chronic secretory otitis media (SOM) may arise as a result of incomplete resolution of AOM and that the use of penicillin to treat AOM may be one factor in this process.

Impedance Audiometry Suggested

PEDIATRICS ◽  
1974 ◽  
Vol 54 (3) ◽  
pp. 384-384
Author(s):  
John A. McCurdy
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Middle Ear ◽  
Verbal Ability ◽  
Secretory Otitis Media ◽  
Suppurative Otitis Media ◽  
Significant Percentage ◽  
Children With Hearing Loss ◽  
Verbal Development

The findings of Kaplan et al.1 with respect to impairment of verbal ability in Alaskan children with hearing loss greater than 25 dB ISO secondary to chronic suppurative otitis media warrant renewed attention to a similar otologic problem which constitutes a threat to the verbal development of a significant percentage of all children—hearing impairment secondary to chronic secretory otitis media. Although the hearing loss in chronic secretory otitis media may fluctuate, a significant conductive impairment will persist as long as fluid remains in the middle ear.

Acute Suppurative Otitis Media

PEDIATRICS ◽  
1975 ◽  
Vol 56 (2) ◽  
pp. 285-294
Author(s):  
D. Stewart Rowe
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Pathogenic Bacteria ◽  
Acute Otitis Media ◽  
Polymorphonuclear Cells ◽  
Secretory Otitis Media ◽  
Middle Ear Mucosa ◽  
Suppurative Otitis Media ◽  
Middle Ear Fluid ◽  
Purulent Fluid

Most pediatricians recognize and treat acute otitis media several times each day. Yet there is wide disagreement about certain aspects of its diagnosis and treatment, despite a large and growing literature on the subject. This review attempts to summarize what is known about acute otitis media in children. DEFINITION Acute suppurative otitis media is distinguished from secretory (serous) otitis media by the presence of purulent fluid in the middle ear. Pathogenic bacteria may be cultured from the majority of needle aspirates of this purulent fluid. In secretory otitis media, relatively few polymorphonuclear cells are present in the middle ear fluid, which is either thin and straw-colored (serous) or thick and translucent grey (mucoid). The fluid has the chemical characteristics either of a transudate of plasma or of a mucoid secretion, presumably produced by goblet cells and mucous glands which are greatly increased in the middle ear mucosa of patients with secretory otitis media. Cultures of this middle ear fluid are usually negative for pathogenic bacteria and viruses. Suppurative otitis media can be diagnosed positively only by aspiration of purulent fluid from the middle ear, but this procedure is rarely necessary for initial diagnosis and management. Clinical findings helpful in distinguishing suppurative from secretory otitis media are discussed below. INCIDENCE In a study of 847 British children during the first five years of life, 19% had at least one episode of otitis media; one third of these had more than one episode. This was considered to be a minimal estimate in these children, since otorrhea was the chief criterion for diagnosis.

Bilateral facial nerve palsy following secretory otitis media

1989 ◽  
Vol 103 (7) ◽  
pp. 685-685 ◽  
Author(s):  
D. J. Premachandra ◽  
G. Radcliffe
Keyword(s):  
Facial Nerve ◽  
Otitis Media ◽  
World Literature ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Secretory Otitis Media ◽  
Suppurative Otitis Media ◽  
The World

AbstractFacial nerve palsy is a known complication of acute suppurative otitis media. Cases of facial nerve palsy following secretory otitis media have not been reported in the world literature. We report a case of bilateral facial nerve palsy following secretory otitis media.

Secretory Otitis Media (Glue Ear)

1993 ◽  
Vol 72 (4) ◽  
pp. 254-254
Author(s):  
Jack L. Pulec ◽  
Christian Deguine
Keyword(s):  
Otitis Media ◽  
Secretory Otitis Media ◽  
Glue Ear
Sign in / Sign up

Export Citation Format

Share Document