Study of clinical and demographic profile of patients diagnosed with secretory otitis media

Background:Secretory Otitis Media (SOM) is a common otological condition in children presenting most commonly with hearing loss. If untreated for long time, it can affect the language development of child. Its causes are multifactorial and treatment depends on the etiology. Various treatment modalities (medical and surgical) are available and they are administered in isolation or in combination. The objectives of the study were the present study was conducted with the objectives of knowing the most common age group affected by SOM, the common etiological factors of SOM and the outcome of various modalities of treatment of SOM.Methods:This prospective study was conducted at a tertiary care teaching hospital of North Gujarat. IEC approval and consent from the patients were taken. 40 patients diagnosed with SOM were included in the study and their clinical and demographic details and treatment outcomes were studied. Results:Of the 40 patients, 65% were males. SOM was common in young children. Most of the cases (55%) were below 10 years of age. In 80% of cases SOM was bilateral. Deafness was the most common symptom (95%) with which patients presented with, followed by URTI and pain. All patients had impaired tympanic membrane mobility. Retraction of tympanic membrane was the next common otoscopic finding (85%). Initial management was medical and 18 patients required surgical intervention.Conclusions:SOM is a common ear disorder in children. Initial medical treatment has a definitive role and should be tried in all cases before surgical intervention is contemplated. A variety of surgical procedures are available which can be used depending on the indication. Complete recovery is expected to occur in most of the cases by a period of 3-6 months.

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Simulation of Pathological High Impedance Tympanograms

Journal of Speech Language and Hearing Research ◽

10.1044/jshr.2904.514 ◽

1986 ◽

Vol 29 (4) ◽

pp. 505-514 ◽

Cited By ~ 7

Author(s):

Karel J. Van Camp ◽

Janet E. Shanks ◽

Robert H. Margolis

Keyword(s):

Tympanic Membrane ◽

Otitis Media ◽

Middle Ear ◽

High Frequency ◽

Secretory Otitis Media ◽

High Impedance ◽

The Relationship

The Vanhuyse, Creten, and Van Camp (1975) model for analyzing high frequency tympanograms predicts the shapes of conductance, susceptance, and admittance tympanograms from the relationship between resistance and reactance tympanograms at the tympanic membrane. This model has been applied primarily to low impedance middle-ear pathologies but has not been applied extensively to the more commonly occurring high impedance pathologies. The purpose of this study was to extend the Vanhuyse et al. (1975) model to high impedance pathologies and to identify tympanometric parameters associated with otosclerosis, secretory otitis media, and lateral ossicular fixation. Data from previous experiments on the shape and absolute values of resistance and reactance tympanograms were used to calculate 678-Hz admittance tympanograms that were unique to each of the three high impedance pathologies. Guidelines for differentiating among the middle-ear pathologies on the basis of high frequency tympanometric shapes are presented.

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Significance of a notch in the otoacoustic emission stimulus spectrum

The Journal of Laryngology & Otology ◽

10.1017/s0022215112001533 ◽

2012 ◽

Vol 126 (9) ◽

pp. 897-901

Author(s):

J Grenner

Keyword(s):

Tympanic Membrane ◽

Otitis Media ◽

Clinical Observation ◽

Otoacoustic Emission ◽

Emission Measurement ◽

Frequency Range ◽

Ear Canal ◽

Secretory Otitis Media ◽

Middle Ear Pressure ◽

Transient Evoked Otoacoustic Emission

AbstractObjective:To explain a clinical observation: a notch in the stimulus spectrum during transient evoked otoacoustic emission measurement in ears with secretory otitis media.Methods:The effects of tympanic under-pressure were investigated using a pressure chamber. A model of the ear canal was also studied.Results:Tympanic membrane reflectance increased as a consequence of increased stiffness, causing a notch in the stimulus spectrum. In an adult, the notch could be clearly distinguished at an under-pressure of approximately −185 daPa. The sound frequency of the notch corresponded to a wavelength four times the ear canal length. The ear canal of infants was too short to cause a notch within the displayed frequency range. The notch was demonstrated using both Otodynamics and Madsen equipment.Conclusion:A notch in the otoacoustic emission stimulus spectrum can be caused by increased stiffness of the tympanic membrane, raising suspicion of low middle-ear pressure or secretory otitis media. This finding is not applicable to infants.

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Misleading Editorial

PEDIATRICS ◽

10.1542/peds.75.5.988 ◽

1985 ◽

Vol 75 (5) ◽

pp. 988-988

Author(s):

TORBEN LILDHOLDT

Keyword(s):

Tympanic Membrane ◽

Otitis Media ◽

Surgical Procedures ◽

Prospective Studies ◽

Preliminary Report ◽

Secretory Otitis Media ◽

Scientific Analysis ◽

Ventilation Tubes ◽

Pros And Cons ◽

Types Of Information

To the Editor.— The commentary, "The Attack on the Tympanic Membrane,"1 "calls for some comments as the author referred to a preliminary report of my study.2 Stickler1 suggests that we "demand prospective studies of untested surgical procedures before our patients are subjected to them," and nobody can disagree with that. However, the aim of such investigations is to arrive at a scientific analysis that is based on a weighing of the pros and cons. This process is going on concerning the use of ventilation tubes in secretory otitis media and, if a status has to be made, both types of information should be evaluated.

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Demographic Analysis of Adult Patients Presenting With Unilateral Ear Discharge at National Medical College

Med Phoenix ◽

10.3126/medphoenix.v3i1.20762 ◽

2018 ◽

Vol 3 (1) ◽

pp. 48-51

Author(s):

Amit Jha

Keyword(s):

Otitis Media ◽

Teaching Hospital ◽

Care Center ◽

Tertiary Care ◽

Chronic Otitis Media ◽

Adult Patients ◽

Common Symptom ◽

National Medical College ◽

Medical College ◽

National Medical

Background: Discharging ear is a common symptom among the patients presenting in ENT OPD for consultation. The commonest cause for discharging ear is chronic otitis media. Poverty, ignorance, crowded living conditions due to large families, poor sanitation, and lack of personal and environmental hygiene are some of the main factors behind the prevalence of chronic otitis media. National medical college and teaching hospital is a tertiary care center located in Birgunj metropolitan city in central Nepal. It caters to thousands of patients with discharging ear each year.Methods: This qualitative, descriptive study was carried out in department of ENT-HNS at National Medical College and Teaching Hospital located Birgunj-15, Parsa, Province no. 2 of Nepal for duration of one year from August 1, 2014 to July 30, 2015. Two hundred and five (205) adult patients with complains of unilateral discharging ear were included in the study.Results: Mostly female patients and those in the age group of 15-30 years from Bara and Parsa districts of Nepal including the areas around the Indo-Nepal border avail the services of department of ENT-HNS of National medical college and teaching hospital.Conclusions: The delivery of ENT-HNS services to the concerned patients is insufficient and inefficient owning to various factors. The government of Nepal and India along with National medical college and teaching hospital can work together to improve the situation. Med Phoenix. Vol. 3, Issue. 1, 2018, Page: 48-51

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Secretory otitis media—Evidence for an inherited aetiology

The Journal of Laryngology & Otology ◽

10.1017/s0022215100099370 ◽

1986 ◽

Vol 100 (4) ◽

pp. 389-393 ◽

Cited By ~ 12

Author(s):

T. J. Rockley ◽

P. H. Rhys Evans

Keyword(s):

Tympanic Membrane ◽

Otitis Media ◽

Secretory Otitis Media

SummaryIn a study to determine whether or not there is a familial or hereditary pre-disposition to develop secretory otitis media (SOM), the parents of 73 children with presistent SOM and 35 controls were examined clinically, and abnormalities of the tympanic membrane (TM) noted. Analysis of the findings suggests that heredity plays a large part in determining a child's likelihood of developing SOM.

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Comparing efficacy of Rifaximin plus Lactulose vs. Lactulose alone in treating Hepatic Encephalopathy

Journal of Rawalpindi Medical College ◽

10.37939/jrmc.v24i4.1418 ◽

2020 ◽

Vol 24 (4) ◽

pp. 339-343

Author(s):

Tanveer Hussain ◽

Misbah Sattar ◽

Sara Mustafa ◽

Uzma Batool ◽

Shafqat Iqbal ◽

...

Keyword(s):

Hepatic Encephalopathy ◽

Local Population ◽

Tertiary Care ◽

Simple Random Sampling ◽

Complete Recovery ◽

Treatment Modalities ◽

Care Hospital ◽

Significant Difference ◽

Group A ◽

Group B

Background: Hepatic Encephalopathy is a syndrome observed in patients with liver cirrhosis. Various treatment modalities are in use for treatment of Porto Systemic Encephalopathy (PSE). Our study aimed to compare the efficacy of Rifaximin plus Lactulose vs.Lactulose alone in treating Hepatic Encephalopathy in local population. Materials & Methods: The study was conducted at a tertiary care hospital recruiting decompensated chronic liver disease(DCLD) patients with PSE. Using simple random sampling, patients were divided in two groups (A & B). Patients in group A received Lactulose plus Rifaximin while group B received Lactulose alone. Efficacy of treatment was assessed as return of the conscious level to pre-encephalopathy state as per clinical examination within 1 week after start of the treatment. Results: A total of 124 patients were included in the study with each group (A & B) containing 62 patients. Frequency and percentage of efficacy among group A (Rifaximin plus Lactulose) verses group B (Lactulose alone) in treating Hepatic encephalopathy was 45 (72.6%) and 32 (51.6%) respectively. Conclusion: The study concluded that there is a significant difference in proportions of patients showing complete recovery from Hepatic encephalopathy treated with Lactulose plus Rifaximin as compared to Lactulose alone.

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Atelectasis and Secretory Otitis Media

Annals of Otology Rhinology & Laryngology ◽

10.1177/00034894760850s214 ◽

1976 ◽

Vol 85 (2_suppl) ◽

pp. 66-72 ◽

Cited By ~ 72

Author(s):

J. Sadé ◽

E. Berco

Keyword(s):

Tympanic Membrane ◽

Otitis Media ◽

Chronic Otitis Media ◽

The Other ◽

Inflammatory Factor ◽

Case Histories ◽

Secretory Otitis Media ◽

Stage 4 ◽

The One ◽

Stage 1

That condition where the tympanic membrane is displaced toward the promontory is termed atelectasis. Thirty-seven patients (61 ears) showing various degrees of atelectasis graded from stage 1 to stage 4 were studied. Atelectatic drums are an inflammatory phenomenon occurring in underventilated ears. This conclusion is reached by considering the reversibility of the atelectasis upon ventilation; while the inflammatory factor can be deduced from the history and histopathology of the atelectatic drum, as well as the histology of the necrosed incus, the latter occurs in over a third of our cases. Also pneumatization of the mastoid is almost never present. Twelve (21%) of the ears treated did indeed develop a perforation at one time or another (two had cholesteatomas). Chronic granulating external otitis with specific features occurred in 15% of cases. The characteristics of these ears and their case histories lead us to view atelectatic ears as part of the otitis media syndrome, where their place is somehow transitional between secretory otitis media on the one hand and chronic otitis media on the other.

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