Aspectos diagnósticos da otite média com derrame na faixa etária pediátrica

Valente, Maria Helena; Escobar, Ana Maria de Ulhôa; Grisi, Sandra Josefina Ferraz Ellero

doi:10.1590/s1519-38292010000200003

Cited by 7 publications

(4 citation statements)

References 36 publications

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“…This finding can lead us to the conclusion that VPD as well as CAs present in this group could be justified by these otorhinolaryngologic alterations and could lead to damage of the sampled children's hearing, as opacification and tympanic membrane retraction, along with other items, are evidence of the presence of effusion in the middle ear. 20 However, a similar result ( Table 4 ) can be visualized for the control group, in which the patients with CLP do not manifest VPD nor CAs. Opacification and retraction were also reported in other studies.…”

Section: Discussionsupporting

confidence: 63%

Can Peripheral Hearing Justify the Speech Disorders in Children with Operated Cleft Palate?

Cerom

Macedo

Feniman

2013

Int. Arch. Otorhinolaryngol.

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Introduction Any impairment in the hearing ability of a child with cleft lip and palate may cause difficulties in receptive and expressive language. Purpose Check the association between velopharyngeal dysfunction (VPD), compensatory articulation (CA), and peripheral hearing loss in children with cleft palate surgery. Methods Retrospective study with 60 children (group 1: presence of VPD and CA; group 2: absence of VPD, presence of CA; group 3: presence of VDP, absence of CA; group 4: absence of VPD and CA), age 4 to 5 years old, with cleft palate surgery, through the analysis of the hearing, VP, and speech evaluations. Results Group 4 presented 80% normal hearing; group 1 had 60% hearing loss. The conductive hearing loss type was the most frequent. The glottal stop was the most frequent in group 1 and the middorsum palatal plosive in group 2. There was no significant association (p = 0.05) between hearing loss and the presence of compensatory articulations (groups 2 and 4), nor between hearing loss and the presence of VPD (groups 3 and 4; p = 0.12). Statistical significance (p = 0.025) was found when the group with VPD was associated with the group with CA, that is, group 1 with the control group (group 4). Conclusion Significant association between peripheral hearing loss, compensatory articulations, and VPD was verified for the children in group 1, which not only presented compensatory articulations but also VPD.

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Section: Discussionsupporting

confidence: 63%

Can Peripheral Hearing Justify the Speech Disorders in Children with Operated Cleft Palate?

Cerom

Macedo

Feniman

2013

Int. Arch. Otorhinolaryngol.

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“…Otitis media with effusion (OME) was diagnosed by the following criteria (8): 1) at least two tympanic membrane anomalies including discoloration or darkening; and/or 2) retracted or concave tympanic membrane; and 3) decreased mobility or lack of movement on pneumatic otoscopy (PO). When pneumatic otoscopy proved inconclusive, tympanometry with a type B curve was employed.…”

Section: Methodsmentioning

confidence: 99%

Painful Diabetic Neuropathy as a Cause for Refractory Ear Pain in Type 2 Diabetic Patients

Attia

Hamdan

2022

Otology &Amp; Neurotology

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ObjectiveTo assess painful diabetic neuropathy (PDN) as a cause for refractory ear pain in type 2 diabetics.DesignAn observational prospective case series study.SettingOtolaryngology departments of tertiary referral hospitals from November 2019 to January 2021.PatientsSixty-eight patients with type 2 diabetes with refractory ear pain of more than 1-month duration not responding to the routine analgesics.InterventionDiagnostic intervention.Main Outcome MeasureThe primary outcome measure was the prevalence of painful diabetic neuropathy among different causes of ear pain in the study sample of type II diabetics with refractory ear pain with an assessment of the response of these cases to routine neuropathic pain treatment with pregabalin.ResultsFifteen out of 68 (22.1%) were diagnosed as having painful diabetic neuropathy based on the “Douleur Neuropathique en 4 Questions” (DN4) questionnaire with its mean value being 6.47±1.19. There was a highly significant improvement of the 10 items of painful diabetic neuropathy scales after 1 month of treatment (p < 0.001 for all). There was a significant positive correlation between the Hemoglobin A1c level and duration of diabetes at one hand and intensity of pain derived from the painful diabetic neuropathy scale at the other hand (p = 0.0002, and p = 0.032 respectively).ConclusionPainful diabetic neuropathy showed a potential correlation with refractory ear pain in type II diabetic patients with significant improvement after painful diabetic neuropathy treatment. Further studies are needed to confirm these findings.

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“…6 It has a pattern of occurrence inversely proportional to age, with at least one episode in 91.1% of children up to two years old, 66% between two and five years old and 22% between five and 12 years old. 7 The OME presents multifactorial and still controversial etiopathogenesis. 5,8 Because of an inflammatory reaction in the middle ear mucosa of diverse etiology (infectious or not), there is excessive production of fluid in the tympanic cavity.…”

Section: Introductionmentioning

confidence: 99%

A Relação Entre a Patogênese Da Otite Média Efusiva E Helicobacter Pylori Em Crianças: Uma Revisão Integrativa

PEDRO¹,

VEIGA²,

TSUTIDA³

et al. 2021

Publ. Biologicas

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Objective: To discuss the role of Helicobacter pylori (HP) in the pathogenesis of otitis media with effusion (OME) in children in an integrative literature review.Method: Integrative review made in 2020 performed in the following databases: PUBMED and Biblioteca Virtual em Saúde (BVS), which includes MEDLINE, SciELO and LILACS. The descriptors "Helicobacter pylori", "Otitis Media with Effusion", "Child" and "Children" were used. It was found 66 articles, of which duplicates or without relevance to the theme were excluded, leaving 18 to full-text reading. From these, only 16 complied with the research question.Results: A total of 11 articles showed the presence of Helicobacter pylori in middle ear effusion (MEE) and/or biopsy by different methods, especially PCR, used in 12 of the 16 articles. The positivity of the samples varied between 2.9% and 70% in the analyzed studies, but only 6 of them suggested the middle ear of children with otitis media with effusion and the clinical improvement of the disease with alternative treatment for this bacterium. The other studies question the relationship ear, presence of not viable organisms for OME and non-acidic environment for HP. Conclusions:on the etiopathogenesis of otitis media with effusion.

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Aspectos diagnósticos da otite média com derrame na faixa etária pediátrica

Cited by 7 publications

References 36 publications

Can Peripheral Hearing Justify the Speech Disorders in Children with Operated Cleft Palate?

Can Peripheral Hearing Justify the Speech Disorders in Children with Operated Cleft Palate?

Painful Diabetic Neuropathy as a Cause for Refractory Ear Pain in Type 2 Diabetic Patients

A Relação Entre a Patogênese Da Otite Média Efusiva E Helicobacter Pylori Em Crianças: Uma Revisão Integrativa

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