Chronic serous otitis media in the adult

Mair, I. W. S.; Schrøder, Knut E.; Kearney, Mairead

doi:10.1017/s0022215100086862

Cited by 8 publications

(4 citation statements)

References 25 publications

(11 reference statements)

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“…6,9 Our results and those of other authors cast doubt on the value of routine nasopharyngeal biopsy when there is no obvious mass on flexible nasendoscopy. 1,10 It is important to note that a number of patients with nasopharyngeal masses may refuse or be unfit for general anaesthesia. In these cases, biopsy may be performed under local anaesthetic.…”

Section: Discussionmentioning

confidence: 99%

Routine nasopharyngeal biopsy in adults presenting with isolated serous otitis media: is it justified?

et al. 2006

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Nasopharyngeal malignancy accounts for less than 2 per cent of all head and neck cancers. Serous otitis media (SOM) causing deafness is a recognized indicator of nasopharyngeal obstruction and the possibility of a nasopharyngeal malignancy must be considered in all adults. Examination under anaesthesia (EUA) and biopsy of the nasopharynx is routinely undertaken in many centres to rule out nasopharyngeal malignancy in adults with SOM. The purpose of this 10-year retrospective study was to evaluate the case records of all adult cases of SOM, including their presentation, clinical findings, management and nasopharyngeal biopsy results. Eighty-five patients were included in the study. Fifty-nine presented with unilateral SOM and 26 with bilateral SOM. The primary presenting complaint in all cases was hearing loss. A nasopharyngeal mass was documented in 55 patients (69 per cent). Four nasopharyngeal masses were noted to have irregular or exophytic mucosa on flexible nasendoscopy. All patients underwent a EUA of the ears and a nasopharyngeal biopsy. The four patients with suspicious-looking masses were all found to have malignancies (two squamous cell carcinomas, one B-cell non-Hodgkin lymphoma and one adenocarcinoma). Three of these patients presented with unilateral SOM and one with bilateral SOM. All other patients with masses were found to have benign lymphoid hyperplasia. In total, 4.7 per cent of the adults with conductive hearing loss secondary to SOM were found to have a malignancy on nasopharyngeal biopsy. We would advocate a high index of suspicion of a nasopharyngeal tumour in adults presenting with SOM. If a mass is found in the nasopharynx then it should be biopsied. If no mass is found then it is not necessary to biopsy; however, close follow up, with repeat fibre-optic nasendoscopy, is advised.

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Section: Discussionmentioning

confidence: 99%

Routine nasopharyngeal biopsy in adults presenting with isolated serous otitis media: is it justified?

et al. 2006

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“…According to the statement given by the patients,they being used to make repeated swallowing, hawking, yawings or even valsalva as an effort open the blocked eustachian tube suffer from eructation,belching and this is the relation with GERD which needs further research . MRI showed tensor veli palatini destruction and eustachian tube erosion, localised effusion in mastoid or tympanum or both in NPC 41 ; study revealed that 33% such OME resolved after radiotherapy although radiation to ears, ET and NP for NPC and other head-neck cancers itself is also a causative factor in OME 44 but luckily or unluckily we did not have any NPC in our study. Overall, reduction or alleviation of the nasal obstructive lesions should lessen the magnitude of the otological lesions or even heal up them totally but leaving the obstructive nasal lesions as it is may not improve/heal up the otological lesions even after surgical procedures which we found clinically and it will explore the field of further study.…”

Section: Resultsmentioning

confidence: 46%

Otological Presentation of Obstructive Nasal Lesions: A Study of 50 Cases

Islam¹,

Akram

Mahmud

et al. 2021

Bangladesh J of Otorhinolaryngology

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Purpose: To analyze and realize the importance of the Eustachian tube dysfunction (ETD) in the pathogenesis of the middle ear infections as to raise the awareness amongst the Otolaryngologists consider the tubal dysfunctions in the management of the otitis media. Materials and methods: 50 patients of aural discharge, aural fullness, aural pain, hearing loss and tinnitus along with nasal obstruction were selected from July 2013 upto December 2013 in the outpatient department (OPD) of Otorhinolaryngology - Head and Neck Surgery dept. of Dhaka Medical College Hospital under a specific prospective study protocol. All patients of aural fullness, hearing loss, aural pain, tinnitus, aural discharge along with nasal obstruction with or without sore throat were included; patients of sensorineural hearing loss, primary external ear pathology, ear malignancy and congenital ear diseaseswere excluded. Results: 58% patients were below 20 years, 50% were children, 64% were male and 36% female. 62% patients got aural fullness, 60% hearing loss 40% mild, 14% moderate, 6% severe conductive and 8% mixed), 26% tinnitus, 32% aural discharge and 30% aural pain and amongst the patients of otitis media with effusion (OME), 100% got hearing loss, 73% aural fullness, 33% tinnitus, 27% aural pain and 13% dizziness. 78% patients got septal deviation, 58% hypertrophied inferior turbinates (HIT), 32% enlarged adenoids (EA), 62% allergic rhinitis, 26% acute upper respiratory tract infection (URTI), 4% nasal polyps and 48% sinusitis/mucosal thickening and amongst the children, 64% got enlarged adenoids, 56% HIT, 76% septal deviation (SD), 24% acute URTI, 4% antrochoanal polyp, 20% adenoid with HIT and 44% adenoid with SD. Regarding findings in the patients of enlarged adenoid, 37.5% patients got eustachian tube dysfunction (ETD) and 62.5% got hearing loss due to OME as well as acute otitis media (AOM), chronic otitis media (COM) and it showed that mild adenoid caused ETD occasionally on URTI but mild adenoid with HIT caused OME. Conclusion: The obstructive nasal lesions are intermingled with otitis media, so this association should be sought out and underlying nasal lesions must be managed if any as a part of treatment of the otitis media. Bangladesh J Otorhinolaryngol 2021; 27(2): 159-169

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“…[51,52,[54][55][56] Both of the voltage and current from the TENG could effectively create conditions for promoting skin wound healing according to the natural healing mechanism. [57] 2. 1…”

Section: Wound Healingmentioning

confidence: 99%

Advances in Healthcare Electronics Enabled by Triboelectric Nanogenerators

Chen

Xie

Liu

et al. 2020

Adv Funct Materials

104

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The treatment, diagnosis, and monitoring of diseases have attracted more and more attention in recent years. Healthcare electronics help effectively treat and real-time monitor diseases. Triboelectric nanogenerators (TENGs) show great potential for healthcare applications because of their superiority including low cost, flexible structures, and self-powered property. Herein, the recent key advancements in TENG-based healthcare applications are comprehensively reviewed. TENGs could not only harvest the mechanical energy from the body to make electrical stimulation but also generate different electrical signals in response to external stimuli. Integrated systems combined with TENGs and other sensors could also promote sensing stability. The materials, structures, working mechanisms, and performance of each application are discussed. The existing limitations and prospects for further TENG-based healthcare are finally put forward.

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Chronic serous otitis media in the adult

Cited by 8 publications

References 25 publications

Routine nasopharyngeal biopsy in adults presenting with isolated serous otitis media: is it justified?

Routine nasopharyngeal biopsy in adults presenting with isolated serous otitis media: is it justified?

Otological Presentation of Obstructive Nasal Lesions: A Study of 50 Cases

Advances in Healthcare Electronics Enabled by Triboelectric Nanogenerators

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