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Otitis media with effusion

Andrzej Misiak
Granuloma on tympanic membrane is a rare complication after ventilation drainage of tympanic cavity. The paper presents a case of a child for chronic otitis media with effusion with ventilation drainage of the right tympanic cavity, retained for 24 months, and granuloma on tympanic membrane growing all over the ventilation drain, imitating acute inflammation, causing conductive hearing loss. The patient was treated with the vent tube removal together with granulation inflammatory. Spontaneous healing of the perforation of the tympanic membrane and improve hearing were obtained after a four-month follow-up...
October 19, 2016: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Meirav Sokolov, Ohad Hilly, David Ulanovski, Yotam Shkedy, Joseph Attias, Eyal Raveh
OBJECTIVES: Evaluate the intra- and postoperative effects of untreated otitis media with effusion (OME) in cochlear implant (CI) patients, and to assess the role of ventilation tube (VT) introduction before implantation. STUDY DESIGN: A retrospective chart review. SETTING: Tertiary referral center. PATIENTS: CI patients, aged 10 years or younger, implanted during 2009 to 2013. INTERVENTIONS: Cases were divided into three groups: 1) normal aerated middle ear before CI, 2) OME treated with VT, and 3) untreated OME...
September 30, 2016: Otology & Neurotology
Wenyu Liang, Sunan Huang, Silu Chen, Kok Kiong Tan
The disturbance observer is one of the useful tools for estimating the contact force between the subject body and the environment in robotic and mechatronic systems. This paper introduced a novel automatic office-based ear surgical device for the treatment of Otitis Media with Effusion (OME) under the guidance of force sensing information. Since the force sensing information must be reliable so as to ensure the safety of the device, a contact force estimation method based on the disturbance observer is proposed...
October 13, 2016: ISA Transactions
Katherine Payne, Niall Davison, Alexander Thompson, Kevin O'Brien, Iain A Bruce
Children with a cleft palate (CP) have an increased tendency towards otitis media with effusion (OME) compared with other children; There are no epidemiological data available to indicate how many children within specific age groups with CP have OME, or will still have OME, after the current recommended 'watchful waiting' period of three-months before considering intervention; This study aimed to identify the proportion of 2-year olds with CP, or cleft lip and palate (CLP), that have a confirmed diagnosis of OME and the proportion of 2-year olds with CLP or CP that still have OME after a period of 3-months 'watchful waiting'; Using a structured elicitation exercise, this study identified that experts in the management of children with CP estimated that around 61% of 2-year olds would have a confirmed diagnosis of OME and 55% of these 2-year olds would still have OME after a period of 3-months watchful waiting; In the absence of data from a prospective cohort of children with CP the results from this study can be used as the foundation to inform the design of future prospective randomised trials of interventions for children with CP and OME: An elicitation exercise can be used to estimate the proportion of affected individuals when more definitive data is not available This article is protected by copyright...
October 15, 2016: Clinical Otolaryngology
Oh Eun Kwon, Sang Hyun Park, Sung Su Kim, Haeng Seon Shim, Min Gyeong Kim, Young Il Kim, Sang Hoon Kim, Seung Geun Yeo
OBJECTIVES: Middle ear effusion has been reported to be associated with immune responses in patients with otitis media with effusion (OME). Although various cytokines are involved in immunologic responses in patients with OME, no study to date has assessed the involvement of the pro-inflammatory cytokines interleukin (IL)-17 and IL-22. This study analyzed the levels of expression of IL-17 and IL-22 in the middle ear effusion of patients with OME. METHODS: Patients aged <11 years who were diagnosed with chronic OME and underwent ventilation tube insertion from May 2013 to August 2015 were enrolled...
November 2016: International Journal of Pediatric Otorhinolaryngology
Vanessa Duah, Zhen Huang, Stephanie Val, Christie DeMason, Marain Poley, Diego Preciado
BACKGROUND: Chronic otitis media (COM) is one of the most common childhood diseases. Its pathophysiology is complex and multifactorial. The role of specific mucin glycoprotein subtypes in OM is only recently being elucidated. OBJECTIVE: To determine the relationship between middle ear fluid mucins and clinical variables of patients needing tympanostomy tubes (TT). METHODS: Middle ear effusions (MEE) from children receiving TT were collected over a 2-year period...
November 2016: International Journal of Pediatric Otorhinolaryngology
X Cheng, H Sheng, R Ma, Z Gao, Z Han, F Chi, N Cong, J Wang, X Liu, X Luo, J Yu, Y Ra
OBJECTIVE/HYPOTHESIS: We systematically reviewed the associations between allergic rhinitis or allergy and otitis media with effusion, by reference to published data. STUDY DESIGN: A meta-analysis of case-controlled studies. DATA SOURCE: Five databases (Pubmed, Highwire, Medline, Wanfang, and China National Knowledge Infrastructure) were searched for relevant studies in the English language published prior to November 12, 2015. STUDIES CHOSEN: Studies with clearly defined experimental and control groups, in which the experimental groups had otitis media with effusion together with allergic rhinitis or allergy, were selected...
October 6, 2016: Allergologia et Immunopathologia
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
Devin M Parker, Laura Schang, Jared R Wasserman, Weston D Viles, Gwyn Bevan, David C Goodman
OBJECTIVES: To compare rates of typmanostomy tube insertions for otitis media with effusion with estimates of need in 2 countries. STUDY DESIGN: This cross-sectional analysis used all-payer claims to calculate rates of tympanostomy tube insertions for insured children ages 2-8 years (2007-2010) across pediatric surgical areas (PSA) for Northern New England (NNE; Maine, Vermont, and New Hampshire) and the English National Health Service Primary Care Trusts (PCT)...
September 30, 2016: Journal of Pediatrics
S Torretta, P Marchisio, V Rinaldi, D Carioli, E Nazzari, L Pignataro
Hyaluronic acid (HA) is involved in modulating inflammatory airway processes and mucociliary clearance. Some studies have tested the effectiveness of the topical administration of HA in patients with upper airway diseases with positive preliminary results. A prospective, single-blind, 1:1 randomised controlled study was performed to assess the efficacy and safety of the daily topical administration of 9 mg of sodium hyaluronate in 3 mL of a 0.9 % sodium saline solution on the basis of endoscopic and clinical parameters in children with chronic adenoiditis associated with recurrent acute otitis media and otitis media with effusion; age- and gender-matched children receiving normal 0...
October 1, 2016: European Archives of Oto-rhino-laryngology
V V Wilmot, A Sharma
No abstract text is available yet for this article.
September 29, 2016: Clinical Otolaryngology
Cheryl Clarkson, Flora M Antunes, Maria E Rubio
UNLABELLED: Sound deprivation by conductive hearing loss increases hearing thresholds, but little is known about the response of the auditory brainstem during and after conductive hearing loss. Here, we show in young adult rats that 10 d of monaural conductive hearing loss (i.e., earplugging) leads to hearing deficits that persist after sound levels are restored. Hearing thresholds in response to clicks and frequencies higher than 8 kHz remain increased after a 10 d recovery period. Neural output from the cochlear nucleus measured at 10 dB above threshold is reduced and followed by an overcompensation at the level of the lateral lemniscus...
September 28, 2016: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
Brian A Neff, Stephen G Voss, Matthew L Carlson, Erin K O'Brien, Joseph H Butterfield
OBJECTIVE/HYPOTHESIS: Eosinophilic otitis media (EOM) is a variant of chronic otitis media that is characterized by the development of thick mucoid middle ear effusion, adult onset bronchial asthma, sinonasal polyposis, and aspirin sensitivity. EOM is typically refractory to corticosteroid therapy and surgical intervention. Pegylated interferon (PEG-IFN) has effectively treated hypereosinophilic syndrome in clinical trials; however, the efficacy of this medication for EOM treatment remains undefined...
September 26, 2016: Laryngoscope
Elisabet Einarsdottir, Lena Hafrén, Eira Leinonen, Mahmood F Bhutta, Erna Kentala, Juha Kere, Petri S Mattila
To identify genetic risk factors of childhood otitis media (OM), a genome-wide association study was performed on Finnish subjects, 829 affected children, and 2118 randomly selected controls. The most significant and validated finding was an association with an 80 kb region on chromosome 19. It includes the variants rs16974263 (P = 1.77 × 10(-7), OR = 1.59), rs268662 (P = 1.564 × 10(-6), OR = 1.54), and rs4150992 (P = 3.37 × 10(-6), OR = 1.52), and harbors the genes PLD3, SERTAD1, SERTAD3, HIPK4, PRX, and BLVRB, all in strong linkage disequilibrium...
2016: Scientific Reports
Mirabelle Sajisevi, Kristine Schulz, Derek D Cyr, Daniel Wojdyla, Richard M Rosenfeld, Debara Tucci, David L Witsell
OBJECTIVE: To estimate the nonadherence rate of pressure equalization (tympanostomy) tube (PET) placement in the preceding 3-year period before release of the 2013 American Academy of Otolaryngology-Head and Neck Surgery Foundation clinical practice guideline (CPG). STUDY DESIGN: Analysis of the Truven Health MarketScan Research Databases (2010-2012). SUBJECTS AND METHODS: Medical claims data from 2010 to 2012 were analyzed. Children aged ≤12 years with otitis media (OM)-related diagnoses were identified...
September 13, 2016: Otolaryngology—Head and Neck Surgery
Benjamin Finkelhor Asher, Frederick Timothy Guilford
Context • Oxidative stress and tissue-damaging, oxygen (O2)-related, free-radical formation is inherent in human metabolism, and the tissues of the ear, nose, and throat (ENT) have an increased exposure to injury from those substances. Because glutathione (GSH) is a major component in an antioxidant defense against oxidative damage in ENT tissues, a review of the impact of lowered GSH and oxidative stress in conditions associated with the upper respiratory tract is warranted. Objective • The review intended to summarize the role that oxidative stress and GSH play...
September 2016: Alternative Therapies in Health and Medicine
Tobias Nicolai Andersen, Mikkel Christian Alanin, Christian von Buchwald, Lars Holme Nielsen
INTRODUCTION: Primary ciliary dyskinesia (PCD) is an autosomal recessive genetic disease, which primarily manifests with oto-sino-pulmonary symptoms. Otitis media with effusion (OME) is common from early childhood. The existing literature on OME management in PCD is conflicting. The goals of the present study were firstly to evaluate the long-term hearing in PCD patients and secondly to determine the influence of ventilation tube (VT) insertion on hearing and postoperative otorrhoea. METHODS: A longitudinal retrospective study extracting the hearing level (pure tone average (0...
October 2016: International Journal of Pediatric Otorhinolaryngology
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
Murat Kocyigit, Taliye Cakabay, Safiye G Ortekin, Teoman Akcay, Guven Ozkaya, Selin Ustun Bezgin, Melek Yildiz, Mustafa Kemal Adali
OBJECTIVE: Otitis media with effusion (OME) is a condition in which fluid is retained in the middle ear cavity, but without otalgia, fever, and other symptoms. The incidence of endocrinological disorders has been increasing, but the association between endocrinological disorders and OME has not yet been determined. In this study, it was aimed to investigate the presence of OME in children diagnosed with an endocrinological disease and their relationship with each other. METHODS: Our study was done with 918 children patients (440 boys, 478 girls; mean age: 8...
September 9, 2016: Journal of Clinical Research in Pediatric Endocrinology
Henrik Szőke, Márta Maródi, Zsuzsa Sallay, Balázs Székely, Martin-Günther Sterner, Gabriella Hegyi
BACKGROUND: Chronic otitis media with effusion (COME) and adenoid hypertrophy (AH) are common entities in the pediatric population. The conventional treatment approach (conventional medicine; COM) involved mainly surgery after a period of close observation. In this study, we aimed to introduce an integrative, non-invasive approach (integrative medicine; IM) for COME, AH, and associated episodes of recurrent acute otitis media, and compared outcomes with conventional treatment. METHODS: We conducted a prospective, non-randomized study in an integrative primary care pediatric practice and a conventional pediatric otolaryngological clinic, where treatment modality was determined by patient preference...
2016: Forschende Komplementärmedizin, Research in Complementary Medicine
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