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https://www.readbyqxmd.com/read/29753496/an-evidence-based-protocol-for-managing-neonatal-middle-ear-effusions-in-babies-who-fail-newborn-hearing-screening
#1
Brittany C Weber, Scott M Whitlock, Kaidi He, Blake S Kimbrell, Craig S Derkay
OBJECTIVES: To evaluate the prevalence of middle ear disease in infants referred for failed newborn hearing screening (NBHS) and to review patient outcomes after intervention in order to propose an evidence-based protocol for management of newborns with otitis media with effusion (OME) who fail NBHS. METHODS: 85 infants with suspected middle ear pathology were retrospectively reviewed after referral for failed NBHS. All subjects underwent a diagnostic microscopic exam with myringotomy with or without placement of a ventilation tube in the presence of a middle ear effusion and had intra-operative auditory brainstem response (ABR) testing or testing at a later date...
April 12, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29602585/trend-in-otolaryngological-surgeries-in-an-era-of-super-aging-descriptive-statistics-using-a-japanese-inpatient-database
#2
Sayaka Suzuki, Hideo Yasunaga, Hiroki Matsui, Kiyohide Fushimi, Tatsuya Yamasoba
OBJECTIVE: To reveal the age distribution and capture the longitudinal trend in otolaryngological surgeries performed in Japan, where society is rapidly aging. METHODS: Using the Diagnosis Procedure Combination database, we extracted data on patients who were hospitalized and underwent any type of otolaryngological surgery in departments of otolaryngology or head and neck surgery from fiscal year 2007 to fiscal year 2013. Type of surgery, patient's age, and fiscal year were compared...
March 27, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29600829/our-experience-of-the-necessity-of-adenoidectomy-or-adenotonsillectomy-at-the-time-of-ventilation-tube-insertion-in-11-941-children-with-middle-ear-effusion
#3
James Johnston, Gabrielle Kinzett-Carran, Murali Mahadevan, Richard G Douglas
Adenoidectomy and tonsillectomy are commonly performed at the time of myringotomy plus ventilation tube insertion (MVTI) in children with otitis media with effusion (OME). However, the evidence supporting this practice is not conclusive. This is because uncertainty remains regarding the pathogenic role of the adenoids in OME. It is unclear if mechanical obstruction is a more or less important factor than the adenoids' role as a bacterial reservoir. Some studies show that children who have large adenoids removed have higher rates of effusion resolution compared to those children with small adenoids...
March 30, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29587128/direct-analysis-of-pathogenic-structures-affixed-to-the-tympanic-membrane-during-chronic-otitis-media
#4
Guillermo L Monroy, Wenzhou Hong, Pawjai Khampang, Ryan G Porter, Michael A Novak, Darold R Spillman, Ronit Barkalifa, Eric J Chaney, Joseph E Kerschner, Stephen A Boppart
Objective To characterize otitis media-associated structures affixed to the mucosal surface of the tympanic membrane (TM) in vivo and in surgically recovered in vitro samples. Study Design Prospective case series without comparison. Setting Outpatient surgical care center. Subjects and Methods Forty pediatric subjects scheduled for tympanostomy tube placement surgery were imaged intraoperatively under general anesthesia. Postmyringotomy, a portable optical coherence tomography (OCT) imaging system assessed for the presence of any biofilm affixed to the mucosal surface of the TM...
March 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29533373/practice-of-otology-during-the-first-quarter-century-of-the-american-otological-society-1868-1893
#5
Pedrom C Sioshansi, Robert K Jackler, Jennifer C Alyono
OBJECTIVE: To describe the practice of otology in America during the first quarter century of the American Otological Society (AOS). METHODS: Two sources were used to determine the most prevalent disease conditions cared for and surgical procedures undertaken during this era. All articles published in the AOS transactions between 1868 and 1893 were studied as were the otology textbooks published by 6 of the first 10 Presidents of the Society. RESULTS: The primary emphasis of late 19th century American otological scholarship was on chronic ear infection with numerous articles focusing on complications of otitis including frequent descriptions of fatalities...
April 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29447805/characterization-of-newborn-hearing-screening-failures-in-multigestational-births
#6
Jonathan Ross Mallen, Jacob B Hunter, Charles Auerbach, Leslie Wexler, Andrea Vambutas
OBJECTIVE: To define the rate and characterize the type of newborn hearing screening failures in multigestational births. METHODS: Retrospective chart review of all multigestational births that occurred in a 10-year period (2002-2012) in which at least one newborn failed newborn hearing screening at two tertiary care hospitals in the Northwell Health System. RESULTS: Out of 125,405 total births, we identified 2961 multigestational births, of which 59 (2...
February 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29299505/utility-of-adjunctive-procedures-with-balloon-dilation-of-the-eustachian-tube
#7
Yehia Ashry, Kosuke Kawai, Dennis Poe
Objective: To assess the role and effect of concomitant adjunctive procedures when combined with balloon dilation of the Eustachian tube (BDET), including a new technique for treating obstructive disease within the bony Eustachian tube (ET). Study Design: Retrospective case series. Setting: Tertiary medical center. Subjects: Adults with persistent (≥2 years): 1) OME or non-fixed TM retraction AND type B or C tympanogram OR 2) Consistent symptoms of barochallenge with flights or diving, all despite medical treatment for ≥6 weeks...
December 2017: Laryngoscope Investigative Otolaryngology
https://www.readbyqxmd.com/read/29275547/noninvasive-in-vivo-optical-coherence-tomography-tracking-of-chronic-otitis-media-in-pediatric-subjects-after-surgical-intervention
#8
Guillermo L Monroy, Paritosh Pande, Ryan M Nolan, Ryan L Shelton, Ryan G Porter, Michael A Novak, Darold R Spillman, Eric J Chaney, Daniel T McCormick, Stephen A Boppart
In an institutional review board-approved study, 25 pediatric subjects diagnosed with chronic or recurrent otitis media were observed over a period of six months with optical coherence tomography (OCT). Subjects were followed throughout their treatment at the initial patient evaluation and preoperative consultation, surgery (intraoperative imaging), and postoperative follow-up, followed by an additional six months of records-based observation. At each time point, the tympanic membrane (at the light reflex region) and directly adjacent middle-ear cavity were observed in vivo with a handheld OCT probe and portable system...
December 2017: Journal of Biomedical Optics
https://www.readbyqxmd.com/read/29232053/differential-diagnosis-of-otitis-media-with-effusion-using-label-free-raman-spectroscopy-a-pilot-study
#9
Rishikesh Pandey, Chi Zhang, Jeon W Kang, Parind M Desai, Ramachandra R Dasari, Ishan Barman, Tulio A Valdez
Otitis media with effusion (OME) is an important and common condition affecting hearing in pediatric patients characterized by the presence of fluid in the middle ear space. The fluid is normally described as serous or mucoid based on differences in the fluid viscosity. The differential diagnosis of two OMEs, namely serous and mucoid is of significant clinical value because while the former is self-limiting, surgical procedure is commonly required for the latter. However, accurate identification of fluid types remains a challenging target unattainable with current clinical modalities due to unavailability of nonperturbative molecular tools...
December 12, 2017: Journal of Biophotonics
https://www.readbyqxmd.com/read/29106885/outpatient-management-of-pediatric-acute-mastoiditis
#10
Ahmed Alkhateeb, Francis Morin, Haya Aziz, Mayuri Manogaran, William Guertin, Melanie Duval
OBJECTIVE: Evaluate the Montreal Children's Hospital experience with outpatient management of uncomplicated acute mastoiditis with parenteral antibiotic therapy alone and determine if it is a safe alternative to inpatient management. SUBJECTS AND METHOD: A retrospective review of pediatric patients diagnosed with acute mastoiditis at a tertiary care pediatric hospital between 2013 and 2015 was performed. Patients with syndromes, immunodeficiency, cholesteatoma, chronic otitis media, cochlear implant in the affected ear, or incidental mastoid opacity were excluded...
November 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28990661/second-tympanostomy-tube-placement-in-children-with-recurrent-acute-otitis-media
#11
Phillip Huyett, Joshua J Sturm, Amber D Shaffer, Dennis J Kitsko, David H Chi
OBJECTIVES/HYPOTHESIS: To determine the rate and predictors of electing for a second bilateral myringotomy and tympanostomy tube placement (BMT) in children with recurrent acute otitis media (RAOM). STUDY DESIGN: Retrospective chart review. METHODS: Charts of 600 children who underwent BMT for RAOM between 2012 and 2014 were reviewed. RESULTS: The overall rate of a second BMT was 15.2% (91/600) and occurred a median of 1...
October 9, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28836107/neural-network-classifier-for-automatic-detection-of-invasive-versus-noninvasive-airway-management-technique-based-on-respiratory-monitoring-parameters-in-a-pediatric-anesthesia
#12
Jorge A Gálvez, Ali Jalali, Luis Ahumada, Allan F Simpao, Mohamed A Rehman
Children undergoing general anesthesia require airway monitoring by an anesthesia provider. The airway may be supported with noninvasive devices such as face mask or invasive devices such as a laryngeal mask airway or an endotracheal tube. The physiologic data stored provides an opportunity to apply machine learning algorithms distinguish between these modes based on pattern recognition. We retrieved three data sets from patients receiving general anesthesia in 2015 with either mask, laryngeal mask airway or endotracheal tube...
August 23, 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/28760715/water-protection-after-tympanostomy-shepard-tubes-does-not-decrease-otorrhea-incidence-retrospective-cohort-study
#13
João Subtil, Ana Jardim, André Peralta Santos, João Araújo, José Saraiva, João Paço
INTRODUCTION: Myringotomy for tube insertion is the most common otologic surgery. Otorrhea is a frequent complication of this procedure and, to prevent it, most surgeons strongly recommend avoiding contact with water as this is thought to adversely impact on post-operative quality of life. OBJECTIVE: To understand the benefit of this recommendation. METHODS: Observational study - retrospective cohort study comparing the incidence of post-operative otorrhea and its impact on patients' quality of life, in two groups of patients comprising children under 10 years of age who underwent bilateral myringotomy and tube placement for chronic otitis media with effusion between May 2011 and May 2012...
July 17, 2017: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/28756202/corrigendum-to-shunting-of-syringomyelic-cavities-by-using-a-myringotomy-tube-technical-note-and-long-term-results-world-neurosurgery-98-2017-1-5
#14
Dorota Tassigny, Basel Abu-Serieh, Daniella Tsague Fofe, Jacques Born, Germain Milbouw
No abstract text is available yet for this article.
September 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28746264/trends-in-otitis-media-and-myringotomy-with-tube-placement-among-american-indian-and-alaska-native-children-and-the-us-general-population-of-children-after-introduction-of-the-13-valent-pneumococcal-conjugate-vaccine
#15
Rosalyn Singleton, Sara Seeman, Margaret Grinnell, Lisa Bulkow, John Kokesh, Susan Emmett, Stephen Holve, Jeffrey McCollum, Thomas Hennessy
BACKGROUND: American Indian/Alaska Native (AI/AN) children have experienced higher otitis media (OM) outpatient visit rates than other US children. To understand recent trends, we evaluated AI/AN OM rates before and after 13-valent pneumococcal conjugate vaccine introduction. METHODS: We analyzed outpatient visits listing OM as a diagnosis among AI/AN children <5 years of age from the Indian Health Service National Patient Information Reporting System for 2010-2013...
January 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/28657970/trends-in-otitis-media-incidence-after-conjugate-pneumococcal-vaccination-a-national-observational-study
#16
Marie Gisselsson-Solen
BACKGROUND: Pneumococcal conjugate vaccine (PCV) was introduced in 2000. The first 7-valent vaccine (PCV7) was followed by a 13-valent vaccine (PCV13) with the same conjugate, and a 10-valent vaccine (PCV10), conjugated to protein D from Haemophilus influenzae. The vaccines offer some protection against pneumococcal acute otitis media (AOM), and, with PCV10, possibly also some protection against H. influenzae AOM. PCV7 was introduced in Sweden in 2009, but from 2010, Swedish counties were free to use either PCV13 or PCV10...
November 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/28586587/laser-myringotomy-versus-ventilation-tubes-in-otitis-media-with-effusion
#17
RANDOMIZED CONTROLLED TRIAL
Mohammad Yousaf, Suhail Ahmad Malik, Tahir Haroon
BACKGROUND: Otitis media with effusion (OME) is a leading cause of difficulty in hearing in paediatric population. Otitis media with effusion must be detected and managed early to prevent conductive hearing loss in children. It was aimed to compare results of laser myringotomy and ventilation tube insertion, in terms of hearing improvement and recurrence of Middle ear effusion (MEE). METHODS: This randomized controlled trial was conducted from February 2012 to January 2015...
October 2016: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/28559947/visual-and-quantitative-analysis-of-cisternography-for-the-detection-of-cerebrospinal-fluid-leakage
#18
Eun Kyoung Choi, Jin Kyoung Oh, Sonya Youngju Park, Ikdong Yoo, Dong-Hyun Kim, Yong-An Chung
We herein present a case of a 29-year-old man with clear rhinorrhea, which persisted for 8 years following a myringotomy. After cotton pledgets were placed in several different regions of the nasal cavity, cisternography using Tc-99m DTPA was performed to measure the radioactivity of each pledget. Cisternography showed subtle uptake in the nasal cavity. However, intense uptake was detected in the pledget placed in the right eustachian tube orifice, where the pledget:serum count ratio was 10.3:1. The patient underwent duroplasty and cranioplasty, and the rhinorrhea resolved...
June 2017: Nuclear Medicine and Molecular Imaging
https://www.readbyqxmd.com/read/28540514/the-effectiveness-of-myringotomy-and-ventilation-tube-insertion-versus-observation-in-post-radiation-otitis-media-with-effusion
#19
Paninee Charusripan, Likhit Khattiyawittayakun
To compare the effectiveness of myringotomy and ventilation tube insertion versus observation in post-radiation otitis media with effusion (OME) in nasopharyngeal carcinoma (NPC). NPC patients who finished radiotherapy and had persistent OME were randomized to myringotomy and ventilation tube insertion and observation groups. The resolution rate of OME and hearing outcomes were evaluated. Forty three patients (23 in control group and 20 in intervention group) were analyzed. One patient in the control group obtained a resolution of OME...
September 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28522133/does-calcemia-influence-the-onset-of-myringosclerosis-after-myringotomy-with-the-insertion-of-ventilation-tubes
#20
Carla Branco, João Paço
INTRODUCTION: Myringosclerosis is one of the most frequent late complications of the insertion of ventilation tubes, and its aetiopathogenesis remains unknown. The calcification that occurs in the formation of myringosclerosis plaque raises the hypothesis of the presence of a calcium metabolism disorder. The objective is to determine whether calcemia contributes to the development of myringoscelerosis after insertion of ventilation tubes. MATERIAL AND METHODS: A longitudinal, prospective, analytical cohort study was conducted in patients undergoing myringotomy with the insertion of ventilation tubes due to otitis media with effusion...
May 15, 2017: Acta Otorrinolaringológica Española
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