Anatomical Variations in Chronic Otitis Media Surgery; Comparison of Tomography and Perioperative Findings

Background: Chronic otitis media (COM) affects 0.5-30% of individuals in any community and over 20 million people are estimated to suffer from this condition worldwide. COM often evolves in a continuum. Squamosal disease is more commonly found in poorly pneumatized bones, but whether the sclerosis is relevant to the etiology of the disease or is caused by it, has not been fully resolved. Our study aimed at comparing the mastoid pneumatization patterns obtained using X-ray mastoid and high-resolution computed tomography (HRCT) temporal bone. It was an interventional study.Methods: Sixty patients of unilateral squamosal COM, aged more than 8 years, underwent X-ray mastoid Schuller’s view and HRCT temporal bone, using Philips extended brilliance 48 slice CT. Results: Upon analysis, in diseased and healthy ears, the coincidence of X-ray and HRCT findings was 63.33% and 80% respectively.Conclusions: HRCT temporal bone should be done in all cases of squamosal COM to know the extent of the disease, pneumatization patterns and the presence of anatomical variations.

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Clinical Characteristics of Bilateral Chronic Otitis Media

Korean Journal of Otorhinolaryngology - Head and Neck Surgery ◽

10.3342/kjorl-hns.2014.57.12.821 ◽

2014 ◽

Vol 57 (12) ◽

pp. 821 ◽

Cited By ~ 1

Author(s):

Jisung Kim ◽

Soo Kyoung Park ◽

Jae Hong Park ◽

Dong Wook Lee ◽

Young-Seok Choi ◽

...

Keyword(s):

Otitis Media ◽

Clinical Characteristics ◽

Chronic Otitis Media

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The Development of an Automatic Chronic Otitis Media Operation Recording System with Concurrent Data Input Process

Korean Journal of Otorhinolaryngology - Head and Neck Surgery ◽

10.3342/kjorl-hns.2012.55.1.14 ◽

2012 ◽

Vol 55 (1) ◽

pp. 14

Author(s):

Sung Wan Byun ◽

Soo Yeon Jung ◽

Ilhoe Jung ◽

Jin Young Park

Keyword(s):

Otitis Media ◽

Chronic Otitis Media ◽

Recording System ◽

Data Input ◽

Input Process

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A study of relationship between preoperative hearing and intraoperative findings in squamosal type of chronic otitis media

MedPulse International Journal of ENT ◽

10.26611/1016938 ◽

2019 ◽

Vol 9 (3) ◽

pp. 106-110

Author(s):

Ajit Lokare ◽

◽

Mukund Jadhav ◽

Koustubh Khandake ◽

◽

...

Keyword(s):

Otitis Media ◽

Chronic Otitis Media

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Faculty Opinions recommendation of A randomised controlled trial of active chronic otitis media comparing courses of eardrops versus one-off topical treatments suitable for primary, secondary and tertiary healthcare settings.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717955853.793460754 ◽

2012 ◽

Author(s):

Marc Bennett

Keyword(s):

Randomised Controlled Trial ◽

Otitis Media ◽

Controlled Trial ◽

Chronic Otitis Media ◽

Healthcare Settings ◽

Tertiary Healthcare ◽

Topical Treatments ◽

Randomised Controlled

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Comparison of the Aditus ad Antrum Diameter on CT between Patients with Chronic Otitis Media and Healthy Individuals

Current Medical Imaging Formerly Current Medical Imaging Reviews ◽

10.2174/1573405615666190327110216 ◽

2019 ◽

Vol 15 (10) ◽

pp. 990-993 ◽

Cited By ~ 1

Author(s):

Elif Gündoğdu ◽

Uğur Toprak

Keyword(s):

Computed Tomography ◽

Otitis Media ◽

Middle Ear ◽

Healthy Subjects ◽

Normal Values ◽

Chronic Otitis Media ◽

Healthy Individuals ◽

Inner Diameter ◽

Male Patients ◽

The Right

Background: The middle ear cavity is ventilated through the aditus ad antrum. Aditus blockage contributes to the pathology of otitis media. Objective: To determine the normal values of the aditus ad antrum diameter on computed tomography and to investigate its relationship with chronic otitis media and related pathologies (tympanosclerosis and myringosclerosis). Methods: The temporal CT images of 162 individuals were evaluated retrospectively. In the axial sections, the inner diameter of the aditus was measured at the narrowest point at the cortex. The differences in diameter were compared between diseased and healthy ears. Results: In healthy individuals, the diameter was narrower in women. There was no difference between the right and left ears in healthy subjects. No correlation was found between age and diameter. In male patients with myringosclerosis, the diameter was slightly narrower on both sides but more marked on the left. In female patients with myringosclerosis, the diameter in both ears was slightly narrower. In cases of otitis media and tympanosclerosis, the diameter was less than that of healthy individuals, despite the lack of statistically significant result in all cases. Conclusion: The aditus ad antrum was narrower in diseased ears, indicating that a blocked aditus may contribute to the development of otitis media, as well as mucosal diseases.

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Cochlear implantation in patients with chronic otitis media: 7 years’ experience in Maastricht

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-008-0842-2 ◽

2008 ◽

Vol 266 (8) ◽

pp. 1159-1165 ◽

Cited By ~ 21

Author(s):

Job T. F. Postelmans ◽

Robert J. Stokroos ◽

Joris J. Linmans ◽

Bernd Kremer

Keyword(s):

Otitis Media ◽

Cochlear Implantation ◽

Chronic Otitis Media

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Impact of Patient Socioeconomic Disparities on Time to Tympanostomy Tube Placement

Annals of Otology Rhinology & Laryngology ◽

10.1177/00034894211015741 ◽

2021 ◽

pp. 000348942110157

Author(s):

Jennifer L. McCoy ◽

Ronak Dixit ◽

R. Jun Lin ◽

Michael A. Belsky ◽

Amber D. Shaffer ◽

...

Keyword(s):

Otitis Media ◽

Otitis Media With Effusion ◽

Private Insurance ◽

Chronic Otitis Media ◽

The United States ◽

Socioeconomic Disparities ◽

Tube Placement ◽

Median Income ◽

Public Insurance ◽

Tympanostomy Tubes

Objectives: Extensive literature exists documenting disparities in access to healthcare for patients with lower socioeconomic status (SES). The objective of this study was to examine access disparities and differences in surgical wait times in children with the most common pediatric otolaryngologic surgery, tympanostomy tubes (TT). Methods: A retrospective cohort study was performed at a tertiary children’s hospital. Children ages <18 years who received a first set of tympanostomy tubes during 2015 were studied. Patient demographics and markers of SES including zip code, health insurance type, and appointment no-shows were recorded. Clinical measures included risk factors, symptoms, and age at presentation and first TT. Results: A total of 969 patients were included. Average age at surgery was 2.11 years. Almost 90% were white and 67.5% had private insurance. Patients with public insurance, ≥1 no-show appointment, and who lived in zip codes with the median income below the United States median had a longer period from otologic consult and preoperative clinic to TT, but no differences were seen in race. Those with public insurance had their surgery at an older age than those with private insurance ( P < .001) and were more likely to have chronic otitis media with effusion as their indication for surgery (OR: 1.8, 95% CI: 1.2-2.5, P = .003). Conclusions: Lower SES is associated with chronic otitis media with effusion and a longer wait time from otologic consult and preoperative clinic to TT placement. By being transparent in socioeconomic disparities, we can begin to expose systemic problems and move forward with interventions. Level of Evidence: 4

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Factors associated with the development of paediatric chronic otitis media by age nine: a prospective longitudinal cohort study of 6560 children

The Journal of Laryngology & Otology ◽

10.1017/s0022215120002182 ◽

2020 ◽

pp. 1-12

Author(s):

P J Clamp ◽

K De-Loyde ◽

A R Maw ◽

S Gregory ◽

J Golding ◽

...

Keyword(s):

Cohort Study ◽

Otitis Media ◽

Maternal Education ◽

Univariate Analysis ◽

Chronic Otitis Media ◽

Birth Cohort Study ◽

Control Group ◽

Factors Associated ◽

Prospective Longitudinal

Abstract Objective This study aimed to analyse social, health and environmental factors associated with the development of chronic otitis media by age nine. Method This was a prospective, longitudinal, birth cohort study of 6560 children, reviewed at age nine. Chronic otitis media defined as previous surgical history or video-otoscopic changes of tympanic membrane retraction, perforation or cholesteatoma. Non-affected children were used as the control group. Results Univariate analysis demonstrated an association between chronic otitis media and otorrhoea, snoring, grommet insertion, adenoidectomy, tonsillectomy, hearing loss, abnormal tympanograms and preterm birth. Multivariate analysis suggests many of these factors may be interrelated. Conclusion The association between chronic otitis media and otorrhoea, abnormal tympanograms and grommets supports the role of the Eustachian tube and otitis media (with effusion or acute) in the pathogenesis of chronic otitis media. The role of snoring, adenoidectomy and tonsillectomy is unclear. Associations suggested by previous studies (sex, socioeconomic group, parental smoking, maternal education, childcare, crowding and siblings) were not found to be significant predictors in this analysis.

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