Aetiology and treatment of persistent middle-ear effusion

Smyth, G. D. L.; Hall, Stephen F.

doi:10.1017/s002221510009602x

Cited by 10 publications

(5 citation statements)

References 20 publications

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“…Although our findings point to a hereditary predisposition to middle ear disease, and therefore perhaps identify an 'at-risk' group otologically, there is no suggestion as to what the inherited factor may be. Many factors have been implicated in the pathogenesis of SOM: Infection of the upper respiratory tract (Birch etal., 1984;Bylander, 1984), adenoid hyperplasia, immunological disorders (Smyth and Hall, 1983), abnormalities of the middle ear gaseous environment (Sade, 1979).…”

Section: Discussionmentioning

confidence: 99%

Secretory otitis media—Evidence for an inherited aetiology

Rockley¹,

Evans²

1986

J. Laryngol. Otol.

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SummaryIn a study to determine whether or not there is a familial or hereditary pre-disposition to develop secretory otitis media (SOM), the parents of 73 children with presistent SOM and 35 controls were examined clinically, and abnormalities of the tympanic membrane (TM) noted. Analysis of the findings suggests that heredity plays a large part in determining a child's likelihood of developing SOM.

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Section: Discussionmentioning

confidence: 99%

Secretory otitis media—Evidence for an inherited aetiology

Rockley¹,

Evans²

1986

J. Laryngol. Otol.

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“…There is considerable controversy surrounding aetiological factors (Smyth & Hall, 1983), incidence and medical management of the disease (Black, 1985). The present study attempts to demonstrate the developmental implications of early fluctuating hearing loss.…”

Section: Introductionmentioning

confidence: 94%

“…Secretory otitis media is the generic term for a highly prevalent, heterogeneous set of conditions which frequently give rise to middle ear conductive hearing loss in childhood. There is considerable controversy surrounding aetiological factors (Smyth & Hall, 1983), incidence and medical management of the disease (Black, 1985). The present study attempts to demonstrate the developmental implications of early fluctuating hearing loss.…”

Section: Introductionmentioning

confidence: 94%

The Psychological, Educational and Auditory Sequelae of Early, Persistent Secretory Otitis Media

Webster

Bamford

Thyer

et al. 1989

Child Psychology Psychiatry

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Previous studies have suggested an association between chronic middle ear disorders due to secretory otitis media and adverse effects on auditory, educational and psychological development in children. Experimental design of such studies has often been poor. In this study, attempts were made to control extraneous variables more rigorously, using matched pairs. A group of children (n = 10) without current hearing problems but with a history of recurrent early secretory otitis media, aged 7-11 yrs, were compared on auditory, educational and psychological measures with a matched group of children with no history of otitis media. The results indicated weak but distinct differences between the two groups on the educational and psychological measures in favour of the control group. The implications for medical and educational services are outlined.

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“…Successful treatment (i.e. the prevention of recurrence of middle ear effusion requiring repeat grommet insertion) is directly related to the time the grommet remains functional (Smyth et al, 1982;Smyth and Hall, 1983). Gibb and Mackenzie (1985) in a study of 939 grommets demonstrated that the Sheehy collar button had a longer functioning lifespan than the Shepard ventilation tube.…”

Section: Introductionmentioning

confidence: 99%

A comparison of performance of Shepard and Sheehy collar button ventilation tubes

1991

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This study was designed to confirm the longer in situ life of the Sheehy collar button compared with the Shepard tube and to assess the complication rates associated with the two tubes. Cases of bilateral otitis media with effusion had a Shepard tube inserted in one ear and a Sheehy contralaterally. The insertion position was allocated randomly. The patients were then assessed at three-monthly intervals for two years. In 71 per cent of those in whom at least one tube had extruded, the Sheehy remained in situ longer. The antero-inferior tube remained longer than the postero-inferior whichever type was used. There was no significant difference between complication rates, or recurrence rates of middle ear effusion after tube extrusion, for the two types. We conclude that use of a Sheehy rather than a Shepard tube carries no increased risk of complications and the patient may require further surgery less often in total.

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Aetiology and treatment of persistent middle-ear effusion

Cited by 10 publications

References 20 publications

Secretory otitis media—Evidence for an inherited aetiology

Secretory otitis media—Evidence for an inherited aetiology

The Psychological, Educational and Auditory Sequelae of Early, Persistent Secretory Otitis Media

A comparison of performance of Shepard and Sheehy collar button ventilation tubes

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