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Wenchao Gao, Wenyu Liang, Kok Kiong Tan
To treat a worldwide common ear disease (OME), a device allowing fast grommet tube insertion has been designed in our earlier works (Gao et al., 2015 [1] and Liang et al., 2013 [2]). However, the instrument has to be manually placed as close as to the Tympanic Membrane before the insertion procedures. To realize a fully automated surgical process, the instrument shall be automatically manipulated to align to the axial direction of ear canal and proceed to complete the surgery. A vision-based servomechanism is proposed to solve the path planning problem...
October 5, 2016: ISA Transactions
M Khalid-Raja, K Tzifa
OBJECTIVE: This study aimed to evaluate the activity of paediatric otolaryngology services required for children with Down's syndrome in a tertiary referral centre. METHODS: A review of the paediatric otolaryngology input for children with Down's syndrome was performed; data were obtained from the coding department for a two-year period and compared with other surgical specialties. RESULTS: Between June 2011 and May 2013, 106 otolaryngology procedures were performed on children with Down's syndrome...
October 6, 2016: Journal of Laryngology and Otology
Vasileios Gkiousias, Christopher Collett Butler, Victoria Shepherd, James Michael Kilgour, Cherry-Ann Waldron, Emma Thomas-Jones, Nick Francis
OBJECTIVES: Otitis media with effusion (OME) is a common cause of hearing loss and possible developmental delay in children, and there are a range of 'preference sensitive' treatment options. We aimed to evaluate the attitudes and beliefs of parents of affected children to treatment options including watchful-waiting, hearing aids, grommets, and, oral steroids with the intention of developing our understanding of decision-making and the factors influencing it, sources of parental information, and satisfaction with information provision...
October 2016: International Journal of Pediatric Otorhinolaryngology
Faisal R Ali, Emma E Craythorne
No abstract text is available yet for this article.
September 2016: Journal of the American Academy of Dermatology
Zahir Mughal, Vijay Thirunavukarasu, Adnan Darr, Mudit Jindal
BACKGROUND: Grommet insertion is a common procedure in children. A lengthy otolaryngology follow-up can have an adverse impact on clinic waiting times, new patient appointment availability, and pecuniary disadvantage for the hospital. OBJECTIVE OF REVIEW: To consolidate research and opinion concerning follow-up care following grommet insertion in a pediatric population. SEARCH STRATEGY: The literature between January 1990 and September 2015 was searched on MEDLINE (Ovid), Google Scholar, PubMed and Web of Science databases...
September 2016: International Journal of Pediatric Otorhinolaryngology
Klemens Trieb
: The treatment of metacarpophalangeal destruction by rheumatoid arthritis is often an indication for joint replacement, here the swanson spacer still has his place. The flexible spacer may be implanted with or without titanium guide sleeves ("grommets"). However, the imaginary abrasion protection for the silicone grommets may in turn lead through micro-movements to wear as it is observed in the case shown here. PATIENTS AND METHODS: One over a period of 30 years suffering from rheumatoid arthritis 69 years old female patient is presented...
July 8, 2016: Current Rheumatology Reviews
T Tikka, A Opeodu, R Irving, J Murphy
BACKGROUND: Cerebrospinal fluid otorrhoea is a rare entity. Only a few cases of spontaneous bilateral cerebrospinal fluid otorrhoea have been reported. In all cases, there was a definite time interval between the two (left and right) presentations. OBJECTIVES: To raise awareness and report on the very rare entity of bilateral spontaneous cerebrospinal fluid otorrhoea. CASE REPORT: This paper reports the case of a bilateral, synchronous, spontaneous cerebrospinal fluid otorrhoea in a 44-year-old female...
August 2016: Journal of Laryngology and Otology
Chin-Kuo Chen, Jui Fang, Yung-Liang Wan, Po-Hsiang Tsui
Ultrasound detection of middle ear effusion (MEE) is an emerging technique in otolaryngology. This study proposed using ultrasound characterization of the mastoid to noninvasively measure MEE-induced mastoid effusion (ME) as a new strategy for determining the presence of MEE. In total, 53 patients were enrolled (Group I: normal, n = 20; Group II: proven MEE through both otoscopy and tympanometry, n = 15; Group III: patients with MEE having effusions observed during grommet surgery, n = 18). A 2...
2016: Scientific Reports
Rachel Easto, Rishi Shukla, Charlie Rowland, Richard Williams
Paediatric grommet insertions are a common ENT procedure which is typically carried out as a daycase procedure. National guidelines exist (NICE CG60) outlining the criteria for grommet insertions. At our institution it was noted that children were experiencing long waits for their grommet surgery with 78% breaching the national 18 week RTT target by time of surgery in the preceding 6 months. 38% of children were attending for surgery with out of date audiograms and as a consequence, due to children no longer meeting the NICE criteria for grommet insertions, 8% of children were being cancelled on the day of surgery...
2016: BMJ Quality Improvement Reports
Konstantinos Markou, Marios Stavrakas, Petros Karkos, Georgios Psillas
Otosclerosis in childhood and adolescence or juvenile otosclerosis is a rare disorder resulting in conductive hearing loss. A 9-year-old boy presented to our clinic, suffering from moderate hearing loss. According to his parents, his hearing acuity had progressively deteriorated over the past 2 years. Otoscopy and tympanometry revealed bilateral secretory otitis media and the patient underwent bilateral grommet insertion. However, he continued to report of hearing loss and a right exploratory tympanotomy was performed...
2016: BMJ Case Reports
Stephen L Barrett
This case illustrates the complexity and interrelationship of osseous pathology with peripheral nerve entrapment and neuromata. She had an iatrogenic nerve injury of a branch of the medial dorsal cutaneous nerve causing her painful scar. Secondarily, she developed an injury to her common peroneal nerve from the cast immobilization, resulting in palsy/drop foot. The tarsal tunnel entrapment was likely a sequela of the cast immobilization and chronic swelling. Her postoperative chronic pain was compounded by the failure to use grommets with the polymeric silicon (Silastic) implant at the initial surgery, leading to a breakdown of the implant with subsequent detritic synovitis...
April 2016: Clinics in Podiatric Medicine and Surgery
Wafaa A Kaf, Enass S Mohamed, Hamza Elshafiey
PURPOSE: Accurate estimation of mild, low-frequency hearing loss is difficult in young children. This study aimed to determine the accuracy of 40-Hz sinusoidal auditory steady-state response (sASSR) compared with tone burst auditory brainstem response (TB-ABR) to detect mild, low-frequency hearing loss in children with otitis media with effusion and to measure postoperative thresholds. METHODS: Thresholds at 500 and 4000 Hz were measured behaviorally and electrophysiologically using TB-ABR and 40-Hz sASSR with a Kalman filter in 26 children with otitis media with effusion...
March 2016: American Journal of Audiology
Rupert G Ricks, Rachel Easto, Venkat M Reddy
The insertion of middle ear ventilation tubes remains one of the most common procedures for ENT surgeons. A common concern amongst patients undergoing such procedures is the effect on their ability to partake in swimming and other water sports. Currently there is little evidence comparing the penetration ability of different water solutions encountered by swimmers. This study compares the water penetration of four different water solutions for Shah, mini-Shah, T tube and titanium bobbin ventilation tubes. A model was constructed to replicate a grommet inserted through a tympanic membrane using a syringe barrel, latex membrane and one of the ventilation tubes...
October 2016: European Archives of Oto-rhino-laryngology
Harold Heah, Sue Rene Soon, Heng-Wai Yuen
INTRODUCTION: With the advent of antibiotics, complications of middle ear diseases have become less common. It is crucial for physicians to recognise the disease and to treat its complications early. Herein, we present our institution's experience with patients who required emergency surgical intervention for complications of middle ear disease. METHODS: Data on patients who underwent emergency surgery for complications of middle ear disease, from 2004 to 2011, was retrieved from the archives of the Department of Otolaryngology, Changi General Hospital, Singapore...
February 4, 2016: Singapore Medical Journal
Daniel Moualed, Liam Masterson, Sanjiv Kumar, Neil Donnelly
BACKGROUND: Following middle ear ventilation tube (tympanostomy tube or grommet) insertion, most surgeons advise that a child's ears should be kept dry during the immediate postoperative period. Following the initial period some surgeons will permit swimming or bathing, whereas other surgeons will recommend ongoing water precautions. A large number of studies have been conducted to explore the association between water exposure and ear infections in children with ventilation tubes, however a range of differing conclusions exist regarding the need for water precautions and there is wide variation in clinical practice...
2016: Cochrane Database of Systematic Reviews
Kate J Fitzsimons, Lynn P Copley, Jan H van der Meulen, Channa Panagamuwa, Scott A Deacon
OBJECTIVE: To assess grommet insertion practice in the first 5 years of life among children with an orofacial cleft in England. DESIGN: Analysis of national administrative data of hospital admissions. SETTING: National Health Service hospitals, England. PATIENTS: Patients born between 1997 and 2005 who underwent surgical cleft repair. INTERVENTION: Children receiving grommets before the age of 5 years...
January 11, 2016: Cleft Palate-craniofacial Journal
J Smallridge, A J Hall, R Chorbachi, V Parfect, M Persson, A J Ireland, A K Wills, A R Ness, J R Sandy
OBJECTIVES: To compare oral health and hearing outcomes from the Clinical Standards Advisory Group (CSAG, 1998) and the Cleft Care UK (CCUK, 2013) studies. SETTING AND SAMPLE POPULATION: Two UK-based cross-sectional studies of 5-year-olds born with non-syndromic unilateral cleft lip and palate undertaken 15 years apart. CSAG children were treated in a dispersed model of care with low-volume operators. CCUK children were treated in a centralized, high volume operator system...
November 2015: Orthodontics & Craniofacial Research
Gabriella Fekete-Szabó, Fekete Kiss, László Rovó
INTRODUCTION: The authors report about the efficacy of inserted tympanostomy tube in children with serous otitis media. AIM: The aim of the authors was to assess the status of eardrum, the function of Eustachian tube and hearing level 10 years after the use of tympanostomy tube. METHOD: Patients filled out a questionnaire and microscopic examination of tympanic membrane, tympanometry, Eustachian tube function examination, and audiometry tests were performed...
November 15, 2015: Orvosi Hetilap
Oğuz Kuşcu, Rıza Önder Günaydın, Mehtap İcen, Onur Ergün, Mavis Emel Kulak Kayikci, Taner Yılmaz, Fatma Figen Özgür, Mehmet Umut Akyol
PURPOSE: The aim of the study is to compare long term otoscopic and audiological findings of cleft palate patients with or without early grommet insertion. METHODS: Cleft palate patients followed-up in Hacettepe University between 2008 and 2013 were included in the study. Age, gender, cleft types and palate surgery data, grommet tube insertion history and otological - audiological evaluations of the patients were recorded. Patients were evaluated in three groups according to grommet insertion history: A-early routine grommet insertion, B-grommet insertion during follow-up, C-no grommet insertion...
December 2015: Journal of Cranio-maxillo-facial Surgery
Oumama El Ezzi, Georges Herzog, Martin Broome, Chantal Trichet-Zbinden, Judith Hohlfeld, Jacques Cherpillod, Anthony S de Buys Roessingh
OBJECTIVE: Grommets may be considered as the treatment of choice for otitis media with effusion (OME) in children born with a cleft. But the timing and precise indications to use them are not well established. The aim of the study is to compare the results of hearing and speech controls at three and six year-old in children born with total cleft or cleft palate in the presence or not of grommets. METHODS: This retrospective study concerns non syndromic children born between 1994 and 2006 and operated for a unilateral cleft lip palate (UCLP) or a cleft palate (CP) alone, by one surgeon with the same schedule of operations (Malek procedure)...
December 2015: International Journal of Pediatric Otorhinolaryngology
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