Craniofacial morphology and otitis media with effusion in children

Francesco, Renata Cantisani Di; Paulucci, Bruno; Nery, Cláudio de Góis; Bento, Ricardo Ferreira

doi:10.1016/j.ijporl.2008.03.027

Cited by 50 publications

(47 citation statements)

References 25 publications

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“…The facial axis describes the mandible position and, consequently, the facial development direction. It is known that the face develops in the forward and downward directions 9 , corroborating the findings of our previous study 1 . Higher Facial Axis values are associated with smaller faces.…”

Section: Discussionsupporting

confidence: 92%

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O padrão facial é fator predisponente para otite média com efusão em crianças?

Nery¹,

Buranello²,

Pereira³

et al. 2011

Braz. j. otorhinolaryngol. (Impr.)

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Abnormalities in craniofacial morphology are associated with Eustachian tube dysfunction and otitis media with effusion (OME). Aim: to evaluate the relationship between facial pattern and craniofacial growth direction, and OME in children with enlarged tonsils and adenoids (ETA). Methods: Clinical prospective survey in 79 children (41 male and 38 female), ranging from 4 to 10 years of age, with tonsil and adenoid enlargement (Brodsky's grades III and IV). Forty children presented with OME (study group) and 39 did not (control group). Cephalometric analysis was used to determine the facial pattern. Results: There was no correlation observed between facial pattern and OME (c 2 = 0.25 p = 0.88). Facial Axis was larger in the OME group (F(1.75) = 3.68 p = 0.05) and the Lower Anterior Facial height was smaller (F(1. 75) = 3.99 p = 0.05) in children with otitis media with effusion. Conclusions: There was no correlation between OME and facial pattern in children with ETA although a more horizontal facial growth direction, and a smaller lower anterior facial height was observed consistently among subjects in this group. This suggests that abnormal positioning of the eustachian tube influences the development of OME in children with ETA.

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Section: Discussionsupporting

confidence: 92%

“…Abnormalities in the craniofacial morphology are associated with Eustachian tube dysfunction and otitis media with effusion (OME) 1 . Pautow reported that the Eustachian Tube morphology is associated with the shape of the head 2 .…”

Section: Introductionmentioning

confidence: 99%

O padrão facial é fator predisponente para otite média com efusão em crianças?

Nery¹,

Buranello²,

Pereira³

et al. 2011

Braz. j. otorhinolaryngol. (Impr.)

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“…7,8 Recurrent infections can cause functional, morphological and histological changes in adenoid which sometime even needs surgical intervention to overcome the clinical manifestations induced by adenoid disorders. [9][10][11] Recurrent adenoid tissue infections without nasopharyngeal obstruction may also lead to acute OME which supports the theory of adenoids can act as a reservoir for pathogens. 12,13 Adenoid enlargement remains the most important cause of nasal obstruction which can lead to OME and Eustachian tube dysfunction.…”

Section: Introductionmentioning

confidence: 62%

Untitled

2016

Zanco J Med Sci

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“…Mechanical obstruction of the ET because of adenoid hypertrophy may be an important factor in OME [11,12]. Kinderman et al found that obstruction of the ET orifice by adenoid tissue was associated with tympanograms suggestive of abnormal pressure in the middle ear [13].…”

Section: Discussionmentioning

confidence: 99%

Prediction of Fluid Characteristics in Pediatric Otitis Media with Effusion from the Tympanometry

Sayed¹,

Mawgoud²,

Ghayes³

2017

Otolaryngol

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Objective: To correlate the characteristics of type B tympanogram with the type of middle ear fluid in children suffering from persistent OME. Methodology:A prospective study was conducted on children with persistent OME for more than 3 months who failed to respond to medical treatment with type B tympanogram in one or both ears and were candidate for myringotomy. The middle ear fluid was aspirated and the viscosity of the fluid was evaluated objectively by measuring the diameter of the diffusion circle on a filter paper in mm.Results: Thirty eight children (70 ears) were enrolled in this study. The shape of type B tympanogram was either flat (67.14%) or peaked (32.86 %).Three fluid types were noticed in OME namely serous, mucoid and glue. The shape was highly correlated with the type of secretions. Compliance and gradient of type B tympanogram were negatively correlated with the viscosity of the secretions. Conclusion:Tympanometry is a beneficial clinical tool in prediction, diagnosis and management of OME. Characteristics of type B tympanogram were correlated with the viscosity of middle ear fluid. Detailed analysis of type B tympanogram can assist the clinicians in determining the indication of comprehensive treatment.

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Craniofacial morphology and otitis media with effusion in children

Cited by 50 publications

References 25 publications

O padrão facial é fator predisponente para otite média com efusão em crianças?

O padrão facial é fator predisponente para otite média com efusão em crianças?

Untitled

Prediction of Fluid Characteristics in Pediatric Otitis Media with Effusion from the Tympanometry

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