Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-19T15:37:43.272Z Has data issue: false hasContentIssue false
  • English
  • Français

Otosurgery of incipient adhesive otitis media in children

Published online by Cambridge University Press:  29 June 2007

Kristian Otto Nielsen  and
Kristian Bak-Pedersen
Kristian Otto Nielsen
Affiliation:
Hvidovre, Denmark
Kristian Bak-Pedersen*
Affiliation:
Hvidovre, Denmark
*
Department of Otorhinolaryngology, Hvidovre Hospital, DK-2650 Hvidovre, Denmark.
Get access Rights & Permissions [Opens in a new window]

Summary

In 20 children, 21 ears with incipient adhesive otitis media were treated by mobilizing the thin, adherent tympanic membrane, strengthening it with a fascial graft, inserting SilasticR on the promontory, and establishing middle-ear drainage. The evaluation criteria were adhesive, atrophic and retractive changes in the tympanic membrane. The median follow-up period was 19 months. At follow-up, the material showed a statistically significant improvement in hearing, with a median hearing-loss of 17 db. postoperatively against 30 db. pre-operatively. There was a pronounced improvement in the adhesive and atrophic, as well as in the retractive, changes in the tympanic membrane.

The present method of otosurgery is taken to be justified by the threat that incipient adhesive otitis media will develop into total middle-ear atelectasis with maximum hearing-loss and a risk of cholesteatoma. A further justification is afforded by the favourable therapeutic results.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 98 , Issue 4 , April 1984 , pp. 341 - 345
Copyright
Copyright © JLO (1984) Limited 1984

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Buckingham, R. A., and Ferrer, J. L. (1966) Reversibility of chronic adhesive otitis media with polyethylene tube, middle ear air-vent, a Kodachrome time lapse study. Laryngoscope, 76: 993–1014.CrossRefGoogle ScholarPubMed
Farrior, J. B., Buckingham, R. A., Donaldson, J. A., Rambo, J. H. T., Wright, W. K., and Zöllner, F. (1969) Management of atelectatic middle ear. Archives of Otolaryngology, 89: 199–206.CrossRefGoogle Scholar
Graham, M. D., Knight, P. R., and Abor, A. (1981) Atelectatic tympanic membrane reversal by nitrous oxide supplemented general anesthesia and polyethylene ventilation tube insertion. Laryngoscope, 91: 1469–1471.CrossRefGoogle ScholarPubMed
Magnusson, B. (1981) The atelectatic ear. International Journal of Pediatric Otolaryngology, 3: 24–35.CrossRefGoogle Scholar
Ojala, L. (1953) Pathogenesis and histopathology of chronic adhesive otitis. Archives of Otolaryngology, 57: 378–401.CrossRefGoogle ScholarPubMed
Paparella, M. M., and Jung, T. T. K. (1981) Experience with tympanoplasty for atelectatic ears. Laryngoscope, 91: 1472–1477.CrossRefGoogle ScholarPubMed
Siirala, U. (1964) Pathogenesis and treatment of adhesive otitis. Acta Otolaryngology, Supplement 188: 9–18.CrossRefGoogle ScholarPubMed
Silverstein, H. (1970) Permanent middle ear aeration. Archives of Otolaryngology, 91: 313–318.CrossRefGoogle ScholarPubMed
Tos, M. (1972) Tympanoplasty in chronic adhesive otitis media. Acta Otolaryngologica, 73: 53–60.CrossRefGoogle ScholarPubMed