Nursing Analysis of Tympanocentesis for Secretory Otitis Media

A comparison has been made of air conduction threshold changes up to 1 year after myringotomy, aspiration of middle ear fluid, and insertion of ventilation tubes in ten patients with bilateral and 12 with unilateral secretory otitis media (SOM). Pure tone air conduction thresholds have been analyzed in three frequency groups: Low frequency (LF; 0.25, 0.5, and 1 kHz), high frequency (HF; 2,4, and 8 kHz), and extra-high frequency (EHF; 10, 12, 14, and 16 kHz). In the LF and HF ranges, significant improvement came during the first 24 hours after intubation, while in the EHF range, threshold lowering occurred gradually over the following 2 months. Possible explanations for these findings are discussed.

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Sequelae of Secretory Otitis Media: Changes in Middle Ear Biomechanics

Acta Oto-Laryngologica ◽

10.3109/00016489709113410 ◽

1997 ◽

Vol 117 (3) ◽

pp. 382-389 ◽

Cited By ~ 13

Author(s):

Michael Gaihede ◽

Torben Lildholdt ◽

Johnny Lunding

Keyword(s):

Otitis Media ◽

Middle Ear ◽

Secretory Otitis Media

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Treatment of secretory otitis media with Kampo medicine

Archives of Oto-Rhino-Laryngology ◽

10.1007/bf00463934 ◽

1988 ◽

Vol 245 (4) ◽

pp. 234-236 ◽

Cited By ~ 7

Author(s):

K. Ikeda ◽

T. Takasaka

Keyword(s):

Otitis Media ◽

Kampo Medicine ◽

Secretory Otitis Media

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Antibiotic Treatment of Children With Secretory Otitis Media

Archives of Otolaryngology - Head and Neck Surgery ◽

10.1001/archotol.1990.01870010112030 ◽

1990 ◽

Vol 116 (1) ◽

pp. 108-108

Author(s):

G. E. SHAMBAUGH

Keyword(s):

Otitis Media ◽

Antibiotic Treatment ◽

Secretory Otitis Media

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

Journal of the Royal Society of Medicine ◽

10.1177/014107688407700909 ◽

1984 ◽

Vol 77 (9) ◽

pp. 754-757 ◽

Cited By ~ 17

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.

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Secretory otitis media in chronic lymphatic leukaemia

The Journal of Laryngology & Otology ◽

10.1017/s0022215100082670 ◽

1976 ◽

Vol 90 (8) ◽

pp. 773-783 ◽

Cited By ~ 6

Author(s):

Tauno Palva ◽

Pekka Karma ◽

Juhani Kärjä ◽

Antti Palva

Keyword(s):

Otitis Media ◽

Chronic Lymphatic Leukaemia ◽

Secretory Otitis Media

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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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