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Chronic otitis media

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https://www.readbyqxmd.com/read/29782444/prevalence-of-hearing-impairment-in-mahabubnagar-district-telangana-state-india
#1
Tess Bright, Islay Mactaggart, Hannah Kuper, G V Murthy, Sarah Polack
OBJECTIVES: To estimate the prevalence of hearing impairment in Mahabubnagar district, Telangana state, India. METHODS: A population-based prevalence survey of hearing impairment was undertaken in 2014. Fifty-one clusters of 80 people aged 6 months and older were selected using probability-proportionate-to-size sampling. A two-stage hearing screening was conducted using otoacoustic emissions on all participants followed by pure-tone audiometry on those aged 4 years and older who failed otoacoustic emissions...
May 16, 2018: Ear and Hearing
https://www.readbyqxmd.com/read/29775023/-the-role-of-th1-th2-cells-imbalance-in-the-pathogenesis-of-secretory-otitis-media
#2
Z H Li, Q Y Fu, Z Y Li, K X Wang, Y C Xu, J P Xue
Objective: The aim of this study is to explore the role of Th1/Th2 cells imbalance in the pathogenesis of secretory otitis media. Method: Ninety secretory otitis media patients were enrolled in observation group. According to medical history, they were divided into acute and chronic group. In addition, 90 healthy volunteers during the same period were selected as the control group. The levels of Th1-type cytokines IFN-γ, Th2-type cytokines interleukin-4 (IL-4) and IFN-γ/IL-4 in peripheral blood were compared between observation group and control group...
February 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29770082/first-reported-case-of-multidrug-resistant-candida-auris-in-canada
#3
I S Schwartz, G W Hammond
Candida auris is a fungal pathogen that has recently emerged as a global threat to public health. It was first described in Japan in 2009 and has since been reported in 17 countries on five continents. This case report describes the first reported case of multidrug-resistant C. auris in Canada. In May 2017, a 64-year-old individual was evaluated for chronic otitis externa. Past medical history included a recent hospitalization in India for elective oral surgery that was complicated by an odontogenic brain abscess...
July 6, 2017: Canada Communicable Disease Report, Relevé des Maladies Transmissibles Au Canada
https://www.readbyqxmd.com/read/29764785/balloon-eustachian-tuboplasty-systematic-review-of-long-term-outcomes-and-proposed-indications
#4
Veera Luukkainen, Ilkka Kivekäs, Juha Silvola, Jussi Jero, Saku T Sinkkonen
Balloon Eustachian tuboplasty (BET) aims to improve the function of the Eustachian tube (ET). The objective of this study was to review the long-term outcome of BET and present the process and results of outlining indications for BET by the Finnish Otosurgical Society. The literature review is based on a database search performed in May 2017. The search resulted in 100 individual articles, which were screened for relevance. Five articles fulfilled the inclusion criteria (follow-up ≥12 months). Five additional articles (follow-up, 6-11 months) were analyzed to obtain supportive information...
April 2018: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/29748449/risk-factors-of-tympanoplasties-in-long-term-observation
#5
Joanna Janiak-Kiszka, Wojciech Kaźmierczak, Kinga Lewandowska, Mateusz Grabowski, Henryk Kaźmierczak, Łukasz Kluczyński
OBJECTIVES: The aim of the study was to evaluate risk factors influencing the results of tympanoplasties on the base of material taken from the Department of Otolaryngology and Laryngological Oncology Collegium Medicum of Nicolaus Copernicus University in Bydgoszcz between 2004-2009. In this period 98 operations were done. The time from operation to hearing examination was 3 to 7 years, mean 5,43. Tympanoplastic operation were divided according to Tos classification. Measuring hearing results, tonal audiometry was done and mean air bone gap on four frequencies was assesed (500, 1000, 2000, 3000 Hz), according to AAO-HNS guidelines (1995)...
April 30, 2018: Otolaryngologia Polska
https://www.readbyqxmd.com/read/29748054/functional-and-anatomical-outcome-of-inside-out-technique-for-cholesteatoma-surgery
#6
Priyanka Chamoli, Chandra Veer Singh, Sheetal Radia, Anand K Shah
BACKGROUND: To study the efficacy of inside-out technique in completely eradicating the cholesteatoma from middle ear and mastoid, preservation of hearing & and quality of life post mastoidectomy with regards to recurrent discharge, wax, granulations. MATERIAL AND METHODS: Non-randomized, prospective, observational study performed at the Department of ENT in our hospital. In the study we included 100 patients presenting with chronic suppurative otitis media with cholesteatoma, they underwent inside out mastoidectomy and were followed up till the end of the study to evaluate the efficacy of inside out mastoidectomy in eradicating the disease from the middle ear cleft...
April 17, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29744230/skull-base-osteomyelitis-from-otitis-media-presenting-as-the-collet-sicard-syndrome
#7
Wong-Kein Low, Hui-Ling Lhu
Skull base osteomyelitis can involve the jugular foramen and its associated cranial nerves resulting in specific clinical syndromes. The Collet-Sicard syndrome describes the clinical manifestations of palsies involving cranial nerves IX, X, XI, and XII. We present a rare atypical case of skull base osteomyelitis originating from infection of the middle ear and causing the Collet-Sicard syndrome. Caused by Pseudomonas aeruginosa and Klebsiella pneumoniae , this occurred in an elderly diabetic man subsequent to retention of a cotton swab in an ear with chronic suppurative otitis media...
2018: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/29728102/stenting-the-eustachian-tube-to-treat-chronic-otitis-media-a-feasibility-study-in-sheep
#8
Friederike Pohl, Robert A Schuon, Felicitas Miller, Andreas Kampmann, Eva Bültmann, Christian Hartmann, Thomas Lenarz, Gerrit Paasche
BACKGROUND: Untreated chronic otitis media severely impairs quality of life in affected individuals. Local destruction of the middle ear and subsequent loss of hearing are common sequelae, and currently available treatments provide limited relief. Therefore, the objectives of this study were to evaluate the feasibility of the insertion of a coronary stent from the nasopharynx into the Eustachian tube in-vivo in sheep and to make an initial assessment of its positional stability, tolerance by the animal, and possible tissue reactions...
May 4, 2018: Head & Face Medicine
https://www.readbyqxmd.com/read/29720274/aerobic-bacteria-associated-with-chronic-suppurative-otitis-media-in-angola
#9
Fabian Uddén, Matuba Filipe, Åke Reimer, Maria Paul, Erika Matuschek, John Thegerström, Sven Hammerschmidt, Tuula Pelkonen, Kristian Riesbeck
BACKGROUND: Chronic suppurative otitis media (CSOM) is an important cause of hearing loss in children and constitutes a serious health problem globally with a strong association to resource-limited living conditions. Topical antibiotics combined with aural toilet is the first-hand treatment for CSOM but antimicrobial resistance and limited availability to antibiotics are obstacles in some areas. The goal of this study was to define aerobic pathogens associated with CSOM in Angola with the overall aim to provide a background for local treatment recommendations...
May 3, 2018: Infectious Diseases of Poverty
https://www.readbyqxmd.com/read/29699430/current-evidence-of-peripheral-vestibular-symptoms-secondary-to-otitis-media
#10
Rafael Costa Monsanto, Ana Luiza Papi Kasemodel, Andreza Tomaz, Michael M Paparella, Norma O Penido
BACKGROUND: The association between otitis media and vestibular symptoms has been hypothesized in the past. Thus, in this study, we aimed to critically analyze (based in a systematic review of the literature) whether patients who have otitis media are at greater risk of developing vestibular impairment or not. METHODS: We performed a systematic review of the literature, and identified potentially relevant articles reporting vestibular symptoms and results of vestibular function tests in patients with otitis media through searches of the PubMED, Web of Science, Scopus, and Google Scholar databases...
April 26, 2018: Annals of Medicine
https://www.readbyqxmd.com/read/29698958/vibrant-soundbridge-implantation-floating-mass-transducer-coupled-with-the-stapes-head-and-embedded-in-fat
#11
Qingsong Liu, Guodong Feng, Yingying Shang, Suju Wang, Zhiqiang Gao
Subtotal petrosectomy may be performed for refractory chronic middle ear diseases, such as massive cholesteatoma or recurrent otitis media. It involves permanent obliteration of the operative cavity, thus precluding the chance to restore conductive hearing via traditional inertial ossicular prostheses. The Vibrant Soundbridge (VSB) is an alternative option for hearing rehabilitation. Vibrant energy is delivered into the inner ear via a floating mass transducer (FMT), which can be coupled with any part of the middle ear acoustic transmission structure...
April 26, 2018: ORL; Journal for Oto-rhino-laryngology and its related Specialties
https://www.readbyqxmd.com/read/29697647/-the-role-of-gastroesophageal-reflux-disease-in-the-development-of-chronic-exudative-otitis-media-in-the-children-during-the-first-year-of-life
#12
I V Rakhmanova, Yu L Soldatsky, A G Matroskin, N S Marenich, V N Shelamova
The objective of the present study was the determination of the incidence of gastroesophageal reflux disease and the evaluation of its possible influence on the development and duration of chronic exudative otitis media in the children during the first year of life. A total of 141 infants at the age of 3 months presenting with exudative otitis media refractory to the conservative treatment throughout the first 1-1.5 months of life were available for the examination. The effectiveness of the anti-reflux therapy was estimated based on the middle ear condition (the presence or absence of exudate) within 3 and 6 months after the initiation of the treatment...
2018: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/29691919/impact-of-different-assumptions-on-estimates-of-childhood-diseases-obtained-from-health-care-data-a-retrospective-cohort-study
#13
Osemeke U Osokogu, Alexandra Pacurariu, Mees Mosseveld, Peter Rijnbeek, Daniel Weibel, Katia Verhamme, Miriam C J M Sturkenboom
PURPOSE: Accurate estimates of disease incidence in children are required to support pediatric drug development. Analysis of electronic health care records (EHR) may yield such estimates but pediatric-specific methods are lacking. We aimed to understand the impact of assumptions regarding duration of disease episode and length of run-in period on incidence estimates from EHRs. METHODS: Children aged 0 to 17 years (5-17 years for asthma) registered in the Integrated Primary Care Information database between 2002 and 2014 were studied...
April 24, 2018: Pharmacoepidemiology and Drug Safety
https://www.readbyqxmd.com/read/29688828/metagenomics-analysis-of-bacterial-population-of-tympanosclerotic-plaques-and-cholesteatomas
#14
M Tayyar Kalcioglu, Dilek Guldemir, Ozlem Unaldi, Oguz Kadir Egilmez, Bekir Celebi, Riza Durmaz
Objective Chronic otitis media can cause cholesteatomas or tympanosclerosis; however, the pathophysiology of such conditions is not completely known. The aim was to identify a bacterial genome that might be present in tympanosclerotic plaques and cholesteatomas using sequence analysis of the gene responsible for the transcription of 16 ribosomal RNA (rRNA). Study Design Metagenomics analysis of the samples. Setting Samples were collected and evaluated at tertiary care centers. Subjects and Methods Sixty-five tympanosclerotic plaques and 37 cholesteatomas were evaluated...
April 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29681564/shewanella-algae-in-a-chronic-suppurative-otitis-media-patient-with-cholesteatoma
#15
Seyda Ignak, Ozlem Unay Demirel, Sevda Soydan, Erkan Esen
We present Shewanella algea infection in a chronic suppurative otitis media (CSOM) patient with cholesteatoma in terms of clinical course and treatment. This is the first time S. algea is found as solely pathogen in a CSOM patient without history of contact with seawater in Turkey. The patient admitted to the hospital several times with complaints of otorrhoea, was diagnosed as otitis media and treated. He was hospitalized to the otorhinolaryngology department for further evaluation of recurrent infections...
April 23, 2018: Drug Discoveries & Therapeutics
https://www.readbyqxmd.com/read/29671212/fungal-suppurative-otitis-media-histopathology-among-patients-in-north-india
#16
Rajpal Singh Punia, Surinder K Singhal, Reetu Kundu, Arjun Das, Jagdish Chander
Chronic suppurative otitis media (CSOM) has a substantial worldwide prevalence and is a major cause of hearing impairment. In cases of CSOM unresponsive to local antibiotics, superimposed fungal infection should be suspected. The aim of the present study was to study the spectrum of cases with fungal otitis media. The study was conducted over a period of 12 years (2006-2017). Fifteen cases of CSOM clinically not suspected to be of fungal etiology that underwent surgery with identification of fungal organisms on histopathology were included in the study...
April 18, 2018: Head and Neck Pathology
https://www.readbyqxmd.com/read/29665318/assessment-of-vestibular-function-in-patients-with-chronic-middle-ear-disease-using-the-vhit-and-vemp-test
#17
J S Sandhu, M Yung, J Parker-George, B Kearney, J Ray
It is widely accepted that middle ear pathology can cause dizziness and imbalance, however this has been a challenging area to investigate, as the bi-thermal caloric test is difficult to interpret in this cohort. Recently vestibular tests that bypass the middle ear have been developed. These are the Video Head Impulse Test (vHIT) and the Bone Conduction Vestibular Evoked Myogenic Potentials (BC-VEMPs). We have successfully carried out pre-operative vHIT and BC-VEMPs on 20 patients awaiting surgery for middle ear pathologies and have shown that complete testing can be done in less than 30 minutes...
April 17, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29664867/short-and-long-term-outcomes-of-titanium-clip-ossiculoplasty
#18
Charissa N Kahue, Brendan P O'Connnell, Matthew M Dedmon, David S Haynes, Alejandro Rivas
OBJECTIVE: To report short (∼4 mo) and long-term (>12 mo) audiometric outcomes following ossiculoplasty using a titanium clip partial ossicular reconstruction prosthesis. METHODS: Case series at a single tertiary referral center reviewing 130 pediatric and adult patients with conductive hearing loss (CHL) secondary to chronic otitis media (n = 121, 93%) or traumatic ossicular disruption (n = 9, 7%) who underwent partial ossiculoplasty from January 2005 to December 2015 with the CliP prosthesis...
April 16, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29659020/surgical-management-of-chronic-otitis-secondary-to-craniomandibular-osteopathy-in-three-west-highland-white-terriers
#19
L Beever, F Swinbourne, S L Priestnall, G Ter Haar, D J Brockman
Three West Highland white terriers were presented for investigation of left-sided para-aural abscessation. CT revealed chronic otitis media with extensive osseous proliferation surrounding the horizontal and vertical ear canals contiguous with the expanded temporal bone, consistent with a unilateral variant of craniomandibular osteopathy. A left total ear canal ablation with lateral bulla osteotomy was performed in all dogs. An ultrasonic bone curette (Sonopet; Stryker) proved useful when removing the osseous proliferation in two dogs...
April 16, 2018: Journal of Small Animal Practice
https://www.readbyqxmd.com/read/29650603/top-studies-relevant-to-primary-care-practice
#20
REVIEW
Danielle Perry, Michael R Kolber, Christina Korownyk, Adrienne J Lindblad, Jamil Ramji, Joey Ton, G Michael Allan
OBJECTIVE: To summarize 10 high-quality studies from 2017 that have strong relevance to primary care practice. QUALITY OF EVIDENCE: Study selection involved routine literature surveillance by a group of primary care health professionals. This included screening abstracts of important journals and Evidence Alerts, as well as searching the American College of Physicians Journal Club. MAIN MESSAGE: Topics of the 2017 articles include whether treating subclinical hypothyroidism improves outcomes or symptoms; whether evolocumab reduces cardiovascular disease as well as low-density lipoprotein levels; whether lifestyle interventions reduce medication use in patients with diabetes; whether vitamin D prevents cardiovascular disease, cancer, or upper respiratory tract infections; whether canagliflozin reduces clinical events in patients with diabetes; how corticosteroid injections affect knee osteoarthritis; whether drained abscesses benefit from antibiotic treatment; whether patients with diabetes benefit from bariatric surgery; whether exenatide reduces clinical events in patients with diabetes; and whether tympanostomy tubes affect outcomes in recurrent acute otitis media or chronic otitis media...
April 2018: Canadian Family Physician Médecin de Famille Canadien
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