Adenoidectomy versus Tympanostomy in Chronic Secretory Otitis Media

1980 ◽  
Vol 89 (3_suppl) ◽  
pp. 316-318 ◽  
Author(s):  
Gabriel Marshak ◽  
Ziva Ben Neriah
Keyword(s):  
Age Distribution ◽  
Age Groups ◽  
Normal Hearing ◽  
The Other ◽  
Middle Ear Effusion ◽  
Cure Rate ◽  
Secretory Otitis Media ◽  
Ear Effusion ◽  
Atopic Child

Fifty-eight consecutive charts of children suffering from mucoid middle ear effusion proven by myringotomy who were followed for two years were reviewed. Half of the group underwent adenoidectomy and the other half, with similar age distribution, had tympanostomy. Only 20.7% of the adenoidectomized children had normal hearing and aerated middle ears during the two-year follow-up, whereas 59% had normal hearing following tympanostomy. Adenoidectomy had no additional beneficial effect on the cure rate obtained by tympanostomy, which proved to be more effective in all age groups, and in the nonallergic child. In the atopic child, however, both modalities yielded similarly poor results.

scholarly journals Effect of head and neck radiotherapy on the Eustachian tube functions

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Ahmed Abdullah Hamd ◽  
Essam Abd El-Wanes Behiry ◽  
Adel Tharwat Atallah ◽  
Sherif Maher Elaini ◽  
Ahmed Hamdy Alshafai
Keyword(s):  
Head And Neck ◽  
Eustachian Tube ◽  
Contralateral Side ◽  
Head And Neck Tumors ◽  
Eustachian Tube Dysfunction ◽  
Middle Ear Effusion ◽  
Neck Tumors ◽  
Tube Dysfunction ◽  
Ear Effusion

Abstract Background Nowadays, radiotherapy is widely used in management of many types of tumors including head and neck tumors; in this study, we concerned with its reverse effects on the Eustachian tube functions and if this effect is temporary or permanent. Results The whole (30) patients have tympanogram at both ears before starting radiotherapy; all patients (100%) were normal. In the immediate post radiotherapy tympanogram at the contralateral side, 6.7% of patients had effusion, and 20% had Eustachian tube dysfunction, while at the ipsilateral side, 20% of patients had effusion, and 33.3% had ET dysfunction. In the follow-up tympanogram 12 weeks post radiotherapy, we found that 6.7% of patients had effusion, and (10%) had Eustachian tube dysfunction at the contralateral side, while 6.7% of patients had effusion, and only 20% had Eustachian tube dysfunction at the ipsilateral side. Conclusion From this study, we concluded that patients with head and neck tumors treated by radiotherapy (apart from the nasopharynx) have a high incidence of affection of Eustachian tube function namely middle ear effusion and Eustachian tube dysfunction. The possibility for development of middle ear effusion and Eustachian tube dysfunction increases with increased tumor stage. Eustachian tube functions immediately post radiotherapy and after 12 weeks of the end of radiotherapy was affected by different effects according to the tumor site. The Eustachian tube functions significantly improved within 12 weeks after the last dose of radiotherapy, and we recommend audiological follow-up for patients with head and neck tumors treated with radiotherapy.

scholarly journals FREQUENCY OF INFECTION AFTER CEREBROSPINAL FLUID SHUNTING PROCEDURES

2020 ◽  
Author(s):  
Kashif Ramooz ◽  
Eesha Yaqoob ◽  
Nadeem Akhtar ◽  
Fraz Mehmood ◽  
Saad Javed
Keyword(s):  
Cerebrospinal Fluid ◽  
Age Distribution ◽  
Age Groups ◽  
Csf Shunts ◽  
Ethical Approval ◽  
The Central Nervous System ◽  
Rate Study ◽  
Cerebrospinal Fluid Shunting ◽  
Prolonged Hospital

ABSTRACTHydrocephalus is routinely treated by surgical procedures. Cerebrospinal fluid shunt placement is a critical therapeutic intervention for hydrocephalus.CSF shunting has multiple complications among which infection is very common. The major cause of morbidity and mortality in patients with CSF shunts is theinfection of the central nervous system (CNS).It can lead to prolonged hospital stay, increase the number of operative procedures 03 times more than then none infected cases and has twice the fatality rate. Study of such type of complication will help the patients to improve their health and also improve our sterilization techniques and reduce burden of hospital and patients expenditures. The objective of the study was to determine the frequency of infection after cerebrospinal fluid shunting procedures.Case series study was used as study design.Study was conducted from 10-2010 to 10-06-2011.One hundred and forty four patients with both genders of all age groups undergoing cerebrospinal fluid shunting, meeting inclusion and exclusion criteria, were selected for the present study after informed consent of patient or guardian and approval by the hospital ethical committee. Follow up was ensured by taking the telephonic contact and address of patient.Total no of patients were 144 among which, 89 were males and 55 were females. Age distribution was from 01 month to 75 years with the mean age of 15.280 and standard deviation was ± 20.450. Post-operative infection was present in 20(13.9%) patients.Author’s approvalAll the authors have seen the manuscript and approved it.Declaration of interestNoneConflict/Competing of InterestNone.Disclosure of FundingNone.Ethical ApprovalAttached

Grommets Don't Work

PEDIATRICS ◽  
1980 ◽  
Vol 65 (6) ◽  
pp. 1198-1199
Author(s):  
A. Mervyn Fox
Keyword(s):  
Surgical Management ◽  
Middle Ear ◽  
Conservative Management ◽  
Controlled Trial ◽  
The Other ◽  
Matched Pairs ◽  
Middle Ear Effusion ◽  
Tube Dysfunction ◽  
Glue Ear ◽  
Ear Effusion

I would like to draw to the attention of readers of the paper by Donaldson ("Surgical Management Eustachian Tube Dysfunction and its Importance in Middle Ear Effusion," Pediatrics 61:6774-6777, 1978) a recent report by Brown et al (Brown MJKM, Richards SH, Ambegaokar AG: "Grommets and Glue Ear—A Five-Year Followup of a Controlled Trial," J R Soc Med 71:353-356, 1978) in which the results of management of seromucinous otitis media were studied in 60 matched pairs of ears by drainage in one ear and conservative management in the other.

Efficacy of medical treatment as an adjunct to surgery in the treatment of secretory otitis media

1986 ◽  
Vol 100 (12) ◽  
pp. 1347-1350 ◽  
Author(s):  
T. H. J. Lesser ◽  
M. I. Clayton ◽  
D. Skinner
Keyword(s):  
Medical Treatment ◽  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Randomised Trial ◽  
Control Group ◽  
Middle Ear Effusion ◽  
Secretory Otitis Media ◽  
Ear Effusion

AbstractIn a pilot controlled randomised trial of 38 children who had bilateral secretory otitis media, with effusion demonstrated at operation, we compared the efficacy of a six-week course of an oral decongestant—antihistamine combination and a mucolytic preparation with a control group in preventing the presence of middle-ear effusion six weeks after myringotomy and adenoidectomy. The mucolytic preparation decreased the presence of middle-ear effusion when compared to the decongestant-antihistamine combination and the control group (p=0.06).

Comparison of the proteins of middle ear effusion with human mast cell proteins

1995 ◽  
Vol 109 (12) ◽  
pp. 1146-1150
Author(s):  
Yoseph Rakover ◽  
Amir Shneyour ◽  
Gabriel Rosen ◽  
Yaacov Lensky
Keyword(s):  
Mast Cells ◽  
Middle Ear ◽  
Human Mast Cell ◽  
Middle Ear Effusion ◽  
Secretory Otitis Media ◽  
Human Mast Cells ◽  
Gradient Gel Electrophoresis ◽  
Protein Components ◽  
Ear Effusion

AbstractIn order to clarify the role of mast cells in the aetiology of secretory otitis media (SOM), we compared the protein components of middle ear effusion (MEE) with human mast cells using acrylamide gradient gel electrophoresis and electrofocusing methods. This first direct comparison between the proteins of MEE and human mast cells has been made possible by a method developed in our laboratory for cultivation of human mast cells in tissue culture.On electrophoresis, we found that out of 12 bands of MEE proteins that were different from the serum, seven (58 per cent) had a similar electrophoretic migration rate (Rx) to mast cells. On electrofocusing, three of the four bands of MEE had a similar Rx to the mast cells. We have shown that proteins of mast cells and MEE had similar Rxs. Therefore, our study supports previous studies which suggests that mast cells play an important role in the aetiology of SOM.

Possible Long-Term Consequences of Middle Ear Effusion

1980 ◽  
Vol 89 (3_suppl) ◽  
pp. 246-248 ◽  
Author(s):  
Denzil N. Brooks
Keyword(s):  
Middle Ear ◽  
Hearing Aids ◽  
The Elderly ◽  
Middle Ear Effusion ◽  
Surgical Interventions ◽  
Impedance Testing ◽  
Auditory Impairment ◽  
Ear Effusion

Three studies will be reported in this paper and the suggestion made that there may be a connection between the findings. The first study concerns the middle ear status of 48 children treated in 1966/67 for middle ear effusion and followed up after ten years. Prior to treatment the median HL was 20 dB (SD = 13 dB) and at follow-up the median HL was 8 dB (SD = 5 dB). However, the otologic and tympanometric findings were less encouraging. Abnormal tympanic membranes (TM) were observed in almost half the children, the rate of abnormality relating to the number of surgical interventions made. However, the TM changes may be due either to the treatment or the disease itself. The second study concerns 104 children monitored by impedance testing over a ten-year period and tends to support the hypothesis that the effusion itself is the probable cause of the changes in the TM. The third study relates to applicants for hearing aids. Excluding those with clearly defined conditions such as otosclerosis, noise trauma and Meniére's disorder, etc, two clear groups emerged, one with uncontaminated sensorineural (SN) loss, the other with mainly SN loss but with a significant conductive overlay. Though the median hearing losses of the two groups are the same, the average age for the SN group (77; SD = 7 years) is 12 years greater than that of the “conductive” group (65; SD = 14 years). Few of the SN group can recall auditory dysfunction in childhood, but the majority of the conductive group have clear recall. It seems probable that middle ear disorders in childhood may give rise to auditory impairment in the elderly such that when combined with age-associated hearing loss the need for prosthetic aid arises at a much lower age.

Ring versus ‘Mercedes-Benz’ cartilage-perichondrium graft tympanoplasty in management of pars tensa cholesteatoma

2011 ◽  
Vol 125 (12) ◽  
pp. 1232-1238 ◽  
Author(s):  
O A Albirmawy
Keyword(s):  
University Hospital ◽  
Prospective Clinical Study ◽  
Middle Ear Effusion ◽  
Operative Results ◽  
Pars Tensa ◽  
Hearing Acuity ◽  
Hearing Outcomes ◽  
Anatomical Outcomes ◽  
Ear Effusion

AbstractObjective:To compare anatomical and audiological outcomes of ring versus ‘Mercedes-Benz’ cartilage-perichondrium graft tympanoplasty in patients with pars tensa cholesteatoma.Study design:Prospective clinical study.Setting:Otolaryngology department, Tanta University Hospital, Egypt.Patients and methods: Over three years, 60 ears in 60 patients underwent surgery for either sinus or tensa retraction cholesteatoma, reconstructed using either a ring-shaped (30 ears) or Mercedes-Benz symbol shaped (30 ears) cartilage-perichondrium graft, with at least two years' follow up. Post-operative drum perforation and retraction, cholesteatoma residue and recurrence, middle-ear effusion, and hearing acuity were monitored.Results:Anatomical outcomes were equivalent in both groups, but slightly better in the Mercedes group. Hearing improved significantly in both groups (pre- vs post-operative results), but significantly more so in the ring group. Within-group hearing outcomes were unaffected by cholesteatoma type or tympanoplasty type.Conclusion:The Mercedes-Benz technique may be superior to the ring technique in preventing neodrum retraction. However, the ring graft technique had better hearing outcomes, perhaps due to its more physiological design.

scholarly journals A RANDOMISED CONTROL STUDY TO COMPARE THE EFFICACY OF CEFUROXIME, CLARITHROMYCIN, AND LEVOFLOXACIN IN THE MANAGEMENT OF PAEDIATRIC UPPER RESPIRATORY TRACT INFECTION

2021 ◽  
pp. 103-106
Author(s):  
GOUTHAMI PADUGUNDLA ◽  
JYOTHIRMAYEE V ◽  
BETHALA RAVALI ◽  
JAGILLAPURAM ARUNDHATHI ◽  
THAKUR SRILATHA ◽  
...  
Keyword(s):  
Respiratory Tract ◽  
Age Distribution ◽  
Age Groups ◽  
Efficacy Rate ◽  
Pool Data ◽  
Upper Respiratory Tract ◽  
Cure Rate ◽  
Significant Difference ◽  
Upper Respiratory ◽  
Tract Infections

Background: The upper respiratory infections cause considerable morbidity mainly in children due to the fact that they mainly affect children. Accordingly, a study was conducted on antibiotics to compare the effectiveness of clarithromycin, cefuroxime, and levofloxacin for treating upper respiratory tract infections (URTI) in children. Methods: A prospective observational study for a period of 6 months was conducted in the pediatrics department of RVM hospital. Outpatients under the age of 14 years given antibiotics for the treatment of URTI were included in the study. A total of 99 study subjects were included in the study, divided into three groups each containing 33 sample sizes (clarithromycin, cefuroxime, and levofloxacin). Patient data was collected using a form and verbal consent was obtained from patients/patient representatives, and drugs were given using the lottery method. Follow-up was done and noted for the 3rd, 5th, 7th day through telephonic calls, and the collected data were evaluated using statistical analysis. Results: Pool data from 99 patients shows that many patients belong to 0–5 years age groups (age distribution), and males were more than female (gender distribution). Clarithromycin (cure rate 3 days) and cefuroxime (cure rate 5 days) showed an equal rate of cure percentage (94%), while levofloxacin for 3–5 days with a 3% failure rate. A significant difference of p<0.05 (p=0.000) was observed and no adverse events were noted. Conclusion: The study findings showed, out of 3 drugs, clarithromycin and cefuroxime showed an equal efficacy rate of 94%, but clarithromycin showed shorter duration of outcome, i.e., 3 days. Hence, clarithromycin is effective than the other two drugs in the treatment of URTI.

scholarly journals TBE Vaccination Breakthrough Cases—Does Age Matter?

Vaccines ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 932
Author(s):  
Heinz-J. Schmitt ◽  
Gerhard Dobler ◽  
Dace Zavadska ◽  
Zane Freimane ◽  
Dimitrios Fousteris ◽  
...  
Keyword(s):  
Age Distribution ◽  
Age Groups ◽  
The Other ◽  
Vaccine Uptake ◽  
Priming Dose ◽  
Southern Germany ◽  
Diagnostic Practices ◽  
Tick Borne Encephalitis ◽  
Vaccine Failures ◽  
Scientific Rationale

Tick-borne encephalitis (TBE) vaccines are highly effective in preventing TBE and vaccine failures (VF) are rare events. In this study, we compared the age distribution of TBE cases and TBE VF in three endemic countries: Sweden, Southern Germany, and Latvia. While the age distribution of TBE cases was similar for those <50 years versus those ≥50 years in all three countries, in Sweden, a higher proportion of VF cases was ≥50 years, whereas most VF cases in Latvia were <50 years of age and more evenly distributed between those <50 years versus those ≥50 in Southern Germany. Here, theoretical explanations were provided, including differences in diagnostic practices, vaccine uptake between age groups, behavioral patterns and underlying medical conditions, as to why VF were generally older in Sweden than the other countries. There is no scientific rationale to give an extra priming dose of TBE vaccine to subjects ≥50 years of age.

Tympanometry

1981 ◽  
Vol 2 (9) ◽  
pp. 266-294
Keyword(s):  
Middle Ear ◽  
External Auditory Canal ◽  
The Other ◽  
Middle Ear Effusion ◽  
Other Hand ◽  
Free Environment ◽  
Sound Conduction ◽  
Otoscopic Examination ◽  
Ear Effusion

Tympanometry as a test of otologic status has the following attributes, uses, and advantages: (1) can be carried out simply, rapidly, and atraumatically, by appropriately trained nonprofessionals; (2) does not require, as does conventional audiometry, a sound-free environment; (3) is not influenced by the amount of cerumen ordinarily present in the external auditory canal; (4) is entirely objective, requiring no response on the part of the patient; (5) is exceedingly sensitive in detecting middle-ear effusion (or other middle-ear abnormalities that affect sound conduction); (6) is therefore useful in office screening, especially of difficult-to-examine patients, by (a) virtually obviating the need for routine otoscopic examination in patients more than 6 months of age who are asymptomatic and have normal tracings, and on the other hand (b) pointing up the need for further diagnostic attention to patients whose tracings are abnormal;

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