Treatment of Serous Otitis Media

Serous otitis media is a serosal inflammation of the mucous membrane of the auditory tube and the tympanic cavity which develops on the background of Eustachian tube dysfunction. It is characterized by the presence of seromucous exudate in the tympanic cavity. The disease occurs more often in children than adults.The objective of the research was to compare the effectiveness of different methods of treating serous otitis media.Materials and methods. The study included 46 patients with serous otitis media at the age of 22-55 years. There were 26 females and 20 males who were treated as inpatients and outpatients in the department of microsurgery of ENT-organs in Ivano-Frankivsk Central City Clinical Hospital during 2012-2016. Disease duration ranged from 10-15 days to 1 month. In all the patients, serous otitis media developed on the background of persistent allergic rhinitis. All the patients underwent comprehensive examination: their complaints as well as anamnestic data were analyzed, ENT examination including the endoscopic examination of the nasal cavity and the nasopharynx, otoscopy, audiometry, impedancemetry and laboratory investigations was performed. All patients were divided into 2 groups: Group I included 21 patients receiving conservative therapy for allergic rhinitis and serous otitis media; Group II comprised 25 patients receiving conservative therapy for allergic rhinitis and treatment of serous otitis media applying myringotomy and bypass surgery of the tympanic cavity.Results. The analysis of the study revealed that in 9 patients of Group I, an improvement in hearing occurred on the third-fourth days after treatment. In 12 patients, treatment was ineffective. 14 patients of Group II who underwent myringotomy with the evacuation of the fluid from the tympanic cavity and subsequent injection of glucocorticoids into the tympanic cavity noted an improvement in hearing immediately after the procedure or the day after. In 11 patients of Group II, a thick mucous exudate was obtained during myringotomy. These patients underwent bypass surgery. The shunt was removed after a thorough cleaning of the tympanic cavity as well as the restoration of the auditory tube function.Conclusions. Myringotomy is more effective and rational method of treating serous otitis media. Myringotomy with subsequent bypass surgery is recommended for patients with a thick mucous exudate in the tympanic cavity in order to prevent chronic adhesive otitis as well as to perform a complete sanation of the tympanic cavity and to restore the auditory tube function.

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Enzyme-potentiated Desensitization in Otolaryngic Allergy

Ear Nose & Throat Journal ◽

10.1177/014556130208100311 ◽

2002 ◽

Vol 81 (3) ◽

pp. 164-167

Author(s):

Jack L. Pulec

Keyword(s):

Allergic Rhinitis ◽

Food Allergy ◽

Otitis Media ◽

Clinical Features ◽

Medical Practice ◽

Preliminary Report ◽

New Method ◽

Effective Technique ◽

Enzyme Potentiated Desensitization ◽

Serous Otitis Media

This is a preliminary report of a new method of treating otolaryngic allergy with enzyme-potentiated desensitization (EPD). The nature of EPD and its use in otolaryngology are described. Thirty-six patients have been treated and followed in a private medical practice since February 1997. This article reviews the clinical features of EPD and provides six cases as examples; the clinical features described include allergic rhinitis, serous otitis media, asthma, dermatitis, fixed food allergy, and Ménière's disease. EPD is an effective technique for the treatment of otolaryngic allergy and offers advantages over conventional techniques.

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Impact of Educational Program on the Management of Chronic Suppurative Otitis Media among Children

International Journal of Otolaryngology ◽

10.1155/2015/624317 ◽

2015 ◽

Vol 2015 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Yousseria Elsayed Yousef ◽

Essam A. Abo El-Magd ◽

Osama M. El-Asheer ◽

Safaa Kotb

Keyword(s):

Risk Factors ◽

Otitis Media ◽

Educational Program ◽

Chronic Suppurative Otitis Media ◽

Control Group ◽

Suppurative Otitis Media ◽

Complete Cure ◽

Group I ◽

Group Ii ◽

The Impact

Background. Chronic suppurative otitis media (CSOM) remains one of the most common childhood chronic infectious diseases worldwide, affecting diverse racial and cultural groups in both developing and industrialized countries.Aim of the Study. This study aimed to assess the impact of educational program on the management of children with CSOM.Subjects and Methods. An experimental study design was used. This study included 100 children of both sexes of 2 years and less of age with CSOM. Those children were divided into 3 groups: group I: it involved 50 children with CSOM (naive) who received the designed educational program; control group: it involved 50 children who were under the traditional treatment and failed to respond; group II: those children in the control group were given the educational program and followed up in the same way as group I and considered as group II.Tools of the Study. Tool I is a structured questionnaire interview sheet for mothers. It consists of four parts: (1) personal and sociodemographic characteristics of child and (2) data about risk factors of otitis media (3) assessment of maternal practice about care of children with suppurative otitis medi (4) diagnostic criteria for suppurative otitis media. Tool II is the educational program: an educational program was developed by the researchers based on the knowledge and practices needs. This study was carried out through a period of 9 months starting from September 2013 to May 2014. The educational program was implemented for mothers of children with CSOM in the form of 5 scheduled sessions at the time of diagnosis, after one week, 1, 3, and 6 months.Results. There were significant differences between children who received the educational program and control group regarding the response to treatment after one and 3 months. The percentages of complete cure increased progressively 32%, 60%, and 84% after 1, 3, and 6 months in group I while they were 24%, 44%, and 64% in group II, respectively. Cure (dry perforation) was 64%, 36%, and 12% among children of group I after 1, 3, and 6 months while it was 64%, 44%, and 24% in group II, respectively. The percentages of compliance to the educational program improved with time in both groups: 44%, 64%, and 80% in group I and 32%, 48%, and 56% in group II after 1, 3, and 6 months, respectively. The percentages of cure were statistically significantly higher among children with complete compliance with the educational program in both groups in comparison to those with incomplete compliance (P= 0.000 for both).Conclusions. From this study we can conclude that the majority of children with CSOM had one or more risk factors for occurrence of the disease; the educational program is effective for management of CSOM (whether cure or complete cure); the higher the compliance of mothers with the program the higher the response rate; regular followup and explanation of the importance of the program played an important role in the compliance with the program.

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Effect of canalplasty in tympanoplasty

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20182711 ◽

2018 ◽

Vol 4 (4) ◽

pp. 1049

Author(s):

M. D. Prakash ◽

Priya Badkar

Keyword(s):

Tympanic Membrane ◽

Otitis Media ◽

Chronic Otitis Media ◽

Study Group ◽

Hearing Improvement ◽

Group I ◽

Uptake Rates ◽

Group Ii

Background: Objective of the study was to analyse the role of canalplasty in tympanoplasty in terms of intra operative ease, complete visualisation of tympanic membrane, graft uptake rates and hearing improvement.Methods: 100 patients with chronic otitis media presenting to our institution from August 2016 to July 2017 were included in this study. Group I consisted of 50 patients who underwent tympanoplasty with canalplasty and Group II had 50 patients who underwent tympanoplasty without canalplasty. Both groups were followed up for 3 months, compared and analysed for hearing improvement and graft uptake. Results: Our results showed that Group I achieved 98% graft uptake rates compared to group II which achieved 92%. In Group II gain in air bone gap was 11.26 dB where as in Group I was about 13.48 dB. Group I had significant hearing improvement compared to Group II.Conclusions: It is advisable to combine canalplasty with tympanoplasty as it gives better visualisation of tympanic membrane facilitating the placement of graft and prevents lateralization of the graft.

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OUTCOMES OF CIRCUMFERENTIAL V/S ANTERIOR TUCKING TYMPANOPLASTY TECHNIQUE IN INACTIVE MUCOSAL CHRONIC OTITIS MEDIA WITH SUBTOTAL PERFORATIONS: A PROSPECTIVE OBSERVATIONAL STUDY

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2021.v14i10.42707 ◽

2021 ◽

pp. 95-98

Author(s):

Sultan Singh Rulania ◽

Sushma Mahich ◽

Rekha Harshvardhan

Keyword(s):

Observational Study ◽

Success Rate ◽

Otitis Media ◽

Uptake Rate ◽

Prospective Observational Study ◽

Chronic Otitis Media ◽

Hearing Gain ◽

Group I ◽

The Mean ◽

Group Ii

Objective: The objective of the study is to compare circumferential versus anterior tucking underlay tympanoplasty technique. Methods: In this prospective observational study, 100 patients with chronic otitis media (Inactive mucosal type) were included, who were randomly allocated in two groups; Group I which comprised of 50 patients in which tympanoplasty with anterior tucking was done, and Group II comprised of 50 patients in which circumferential flap tympanoplasty was done. Improvement in the hearing gain and graft uptake success rate was compared. Results: The mean air-bone gap (ABG) changed from 28.74 dB to 11.52 dB after anterior tucking with a mean change of 17.22 dB and this change was found to be statistically significant (p<0.001). Similarly, the mean ABG changed from 28.92 dB to 11.86 dB after a circumferential flap with a mean change of 17.06 dB and this change was also found to be statistically significant (p<0.001). There was a slightly better improvement (17.22 dB) in the anterior tucking group as compared to the circumferential flap (17.06 dB). This difference was, however, not found to be statistically significant (p=0.830). Three-month graft uptake rate in the anterior tucking group was found 92% and in the circumferential group was 94%. (p>0.05). Conclusions: Our study concluded that both techniques have almost the same results with good graft uptake. Results of hearing improvements in both techniques were also comparable.

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Topical inhalant steroid (budesonide, Pulmicort® nasal) therapy in intubation granuloma

The Journal of Laryngology & Otology ◽

10.1017/s0022215100144147 ◽

1999 ◽

Vol 113 (5) ◽

pp. 427-432 ◽

Cited By ~ 24

Author(s):

Hwan-Jung Roh ◽

Eui-Kyung Goh ◽

Kyong-Myong Chon ◽

Soo-Geun Wang

Keyword(s):

Medical Treatment ◽

Conservative Therapy ◽

Topical Steroid ◽

Surgical Excision ◽

High Recurrence Rate ◽

Complete Disappearance ◽

Group I ◽

First Choice ◽

Intubation Granuloma ◽

Group Ii

AbstractIntubation granuloma of the larynx is an iatrogenic disease which is induced by endotracheal intubation. It has basically been managed by conservative medical treatment with observation. Surgical excision can be considered as a last resort due to the high recurrence rate which subjects the patients to repeated anaesthesia. The purpose of this study is to evaluate the therapeutic effect of topical steroid in intubation granuloma, comparing the results of conservative medical treatment with, or without, surgery (Group I, 14 patients) and inhalant therapy with topical budesonide (Group II, 20 patients).In Group I, complete disappearance of granuloma occurred in six cases within a year (42.8 per cent) with conservative therapy only. Microlaryngeal surgery was performed on the eight cases of persisting granuloma after conservative therapy for a year, resulting in two cases of recurrence. In Group II, the granuloma disappeared completely in 85 per cent within six months and in 95 per cent within 12 months without any remarkable side-effects. We concluded that intubation granuloma of the larynx could be treated with topical inhalant steroid as the first choice of therapy rather than other medical treatment or surgical intervention.

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Effect of ozonotherapy on clinical and immunological indicators in children with allergic rhinitis

Perm Medical Journal ◽

10.17816/pmj38625-34 ◽

2021 ◽

Vol 38 (6) ◽

pp. 25-34

Author(s):

Yan Yurievich Illek ◽

Irina Gennadievna Suetina ◽

Galina Vladimirovna Solovieva ◽

Elena Yurievna Tarasova ◽

Natalia Vladimirovna Khlebnikova ◽

...

Keyword(s):

Allergic Rhinitis ◽

Clinical Remission ◽

Therapy Group ◽

Complex Treatment ◽

Immunological Reactivity ◽

Clinical Indicators ◽

Group I ◽

Complex Therapy ◽

Clinical Indices ◽

Group Ii

Objective. To determine the effect of ozonotherapy on the clinical indicators and immunological reactivity state in children with a moderate course of persisting allergic rhinitis. Materials and methods. Children aged 510 years with a moderate persisting allergic rhinitis were under observation. They were divided into two groups depending on the therapy applied. Group I of allergic rhinitis patients received a complex generally accepted therapy, group II of allergic rhinitis patients a complex therapy associated with ozonotherapy. Clinical indices and immunological reactivity parameters were studied during exacerbation and clinical remission in allergic rhinitis children. Results. Ozonotherapy, included into a complex treatment of group II patients, was established to promote a faster occurrence of full clinical remission and normalization of most parameters of immunological reactivity. Duration of a full clinical remission in the group of allergic rhinitis patients, who received a complex therapy associated with ozonotherapy, more than twofold exceeded its duration in the group of allergic rhinitis patients receiving a complex generally accepted therapy. Conclusions. The data obtained indicate high clinical, immunomodulating and antirelapsing effect of ozonotherapy that allows recommending its wide use in complex of medical measures among children with persisting allergic rhinitis.

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201TI Reinjection Predicts Improvement of Left Ventricular Function following Revascularization

Nuklearmedizin ◽

10.1055/s-0038-1629649 ◽

1993 ◽

Vol 32 (02) ◽

pp. 87-90 ◽

Cited By ~ 1

Author(s):

M. Häsfeld ◽

O. Schober ◽

P. Matheja ◽

M. Schäfers ◽

Th. Budde ◽

...

Keyword(s):

Ejection Fraction ◽

Ventricular Function ◽

Wall Motion ◽

Bypass Surgery ◽

Coronary Bypass ◽

Regional Wall Motion ◽

Left Ventricular ◽

Regional Wall ◽

Group I ◽

Group Ii

SummaryThe aim of this study was to evaluate the correlation between improved TI uptake in reinjection imaging with improvements in regional wall motion and global ejection fraction following PTCA or aorto-coronary bypass surgery. 19 patients with CHD were investigated and divided into two groups according to their thallium uptake in the reinjection studies. Group I showed additional uptake on reinjection imaging compared to the redistribution image, whereas group II showed no additonal uptake. Both groups had a similar number and distribution of affected vessels and location of the leading stenosis. Stress, redistribution and reinjection images were obtained prior to revascularization and evaluated semiquantitatively from a bulls eye scheme. There was a postoperative increase in regional wall motion in group I from 5.3 to 8.8% whereas group II did not show a relevant change (6.3 vs 6.0%). The ejection fraction increased from 55.0 to 66.7% in group I and dit not increase in group II (59.8 vs 58.7%). The overall predictive value of the reinjection image for improvement in wall motion (> 10%) was 91 % and for the redistribution image 58%. Increased uptake in reinjection imaging predicts improved ventricular function following revascularization and indeed indicates viable myocardium with reversible functional impairment.

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Does Pulmonary Artery Venting Decrease the Incidence of Postoperative Atrial Fibrillation after Conventional Aortocoronary Bypass Surgery?

The Heart Surgery Forum ◽

10.1532/hsf98.2013166 ◽

2013 ◽

Vol 16 (6) ◽

pp. 303 ◽

Cited By ~ 1

Author(s):

Onur Gürer ◽

Ismail Haberal ◽

Deniz Ozsoy ◽

Gürkan Cetin

Keyword(s):

Atrial Fibrillation ◽

Cardiopulmonary Bypass ◽

Pulmonary Artery ◽

Aortic Root ◽

Bypass Surgery ◽

Myocardial Revascularization ◽

Group I ◽

Pulmonary Arterial ◽

The Mean ◽

Group Ii

Objectives: In this study, we tested the hypothesis that pulmonary artery venting would decrease the incidence of atrial fibrillation after coronary artery bypass surgery. Methods: This prospective study included 301 patients who underwent complete myocardial revascularization with cardiopulmonary bypass in our department during a 2-year period. The patients were randomly divided into 2 groups: group I included 151 patients who underwent aortic root venting and group II included 150 patients who underwent pulmonary arterial venting for decompression of the left heart. Pre-, peri-, and postoperative risk factors for atrial fibrillation were assessed in both groups. Results: The mean age was similar in the 2 groups. The mean number of anastomoses was significantly higher in group I (2.8 ± 0.8) than in group II (2.4 ± 0.8) (P = 0.001). The mean cross-clamp time was 42.7 ± 17.4 minutes in group I and 54.1 ± 23.8 minutes in group II (P = 0.001). The mean cardiopulmonary bypass time was 66.4 ± 46.1 minutes in group I and 77.4 ± 28.6 minutes in group II (P = 0.08). The incidence of atrial fibrillation was 14.5% (n = 21) in group I and 6.5% (n = 10) in group II (P = 0.02). Multivariate regression analysis showed that pulmonary artery venting decreased the postoperative incidence of atrial fibrillation by 17.6%. Conclusions: Pulmonary arterial venting may be used as an alternative to aortic root venting during on-pump coronary bypass surgery, especially in patients at high risk of postoperative atrial fibrillation.

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Surgical versus medical intervention for the treatment of concurrent otitis media with effusion in children undergoing adenotonsillectomy in the age group 5-15 years: a prospective comparative study

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20212448 ◽

2021 ◽

Vol 7 (7) ◽

pp. 1131

Author(s):

Davis T. Pulimoottil ◽

Padmanabhan Karthikeyan ◽

Nirmal C. Venkataramanujam ◽

Ramiya R. Kaipuzha ◽

Angel Cham Philip

Keyword(s):

Otitis Media ◽

Medical Therapy ◽

Otitis Media With Effusion ◽

Medical Intervention ◽

Bottle Feeding ◽

Age Group ◽

Group I ◽

History Of ◽

Group Ii ◽

Group 5

Background: The aim was to study the prevalence of otitis media with effusion (OME) among children with concurrent chronic adenotonsillitis or adenoid hypertrophy and to study the outcomes of various modalities of treatment.Methods: Over 2 years, 100 children in the age group 5-15 years undergoing adenotonsillectomy were included of which, patients diagnosed with concurrent OME were sequentially allocated into 2 groups. Group I was adenotonsillectomy and medical therapy and group II was adenotonsillectomy and myringotomy with grommet insertion.Results: The prevalence of OME among children in the age group 5-15 years undergoing adenotonsillectomy is 21%. There is a statistically significant relationship between male gender, middle socioeconomic status, joint families, history of bottle feeding, history of exposure to parental smoking and prevalence of OME. Group II fared better in terms of clinical outcomes following surgical intervention, with a success rate of 100%.Conclusions: Surgical treatment for OME has a better clinical outcome as compared to just medical therapy for the same.

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Drug delivery to the tympanum with otitis media with effusion

Russian otorhinolaryngology ◽

10.18692/1810-4800-2020-4-48-54 ◽

2020 ◽

Vol 19 (4) ◽

pp. 48-54

Author(s):

A. I. Kryukov ◽

◽

G. Yu. Tsarapkin ◽

E. V. Gorovaya ◽

A. E. Kishinevskii ◽

...

Keyword(s):

Otitis Media ◽

Middle Ear ◽

Otitis Media With Effusion ◽

Tympanic Cavity ◽

Average Volume ◽

Liquid Form ◽

Auditory Tube ◽

Antiseptic Solution ◽

Second Stage ◽

Endotracheal Anesthesia

Treatment of otitis media with effusion (OME) in most cases requires topical application of medications, which are designed to stop the inflammatory process and act on exudate in the middle ear cavity. One of the most common treatments for OME is catheterization of the auditory tube using a Guillot catheter, which is not always effective. This work presents the second stage of the study on the introduction of drugs into the middle ear using an original ear catheter. The study included patients with OME (N = 14, the duration of the disease from 2 to 3 months). The patients underwent surgical treatment: bypass of the eardrum, septoplasty, turbinoplasty under endotracheal anesthesia. An intraoperative experiment was conducted to evaluate the effectiveness of catheterization of the auditory tube with an original catheter, a tinted solution and Miramistin solution. In all 14 cases, the eardrum of the affected ear during catheterization made oscillatory movements, synchronously with the reciprocating movements of the syringe plunger. In 2 cases (14.3%), we did not visualize the tinted solution behind the eardrum. The full filling of the tympanic cavity with tinted saline was 4 patients (28.6%), while the average volume of the injected solution (V) was 4.09 ml, and in 8 ears (57.1%) the tympanic cavity was partially filled with the contrast solution (V = 7.0 ml). In case of transtubar injection of Miramistin solution in the tympanic cavity in all cases (14 ears), the antiseptic solution enters the external auditory canal after myringotomy. By correlating the average volume of the tympanic cavity with the volume of the injected drug necessary for the initial filling of the tympanic cavity, the minimum loss of the liquid form of the drug was 1: 2.

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