Myringotomy, α-Chymotrypsin and Reverse Politzerization for “Glue” Ears

Mawson, Stuart R.

doi:10.1017/s0022215100066913

Cited by 14 publications

(5 citation statements)

References 4 publications

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“…25 The differential diagnosis of effusions is commonly based on morphologic findings, i.e., appearance and position of the tympanic membrane, the presence or absence of fluid in the middle ear, the patency of the lumen of the Eustachian tube and the audiologic findings. Reports appearing in the literature on the general subject of middle ear effusion refer to catarrhal otitis," adhesive otitis,8.24,41 secretory otitiS/,12.23.45 serous otitis," secretory catarrh," and glue ear.…”

Section: A Nomenclaturementioning

confidence: 99%

XXXV Classification of Middle Ear Effusions

Senturia

1970

Ann Otol Rhinol Laryngol

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There seems to be very little agreement as to a classification of middle ear effusions despite efforts to eliminate the differences in terminology. In this report the literature will be reviewed and recommendations made with regard to classification. A. NOMENCLATUREA confusing number of terms are still used to describe the various types of effusion found. Reports appearing in the literature on the general subject of middle ear effusion refer to catarrhal otitis," adhesive otitis,8.24,41 secretory otitiS/,12.23.45 serous otitis," secretory catarrh," and glue ear. 25The differential diagnosis of effusions is commonly based on morphologic findings, i.e., appearance and position of the tympanic membrane, the presence or absence of fluid in the middle ear, the patency of the lumen of the Eustachian tube and the audiologic findings. In the hands of the knowledgeable and experienced otologist a correct diagnosis based on these observations can be made in a high percentage of patients, but mistakes do occur.The physical characteristics of the effusions provide additional information which may be used to classify them. Thus, the clear, low viscosity fluid is commonly referred to as serous or secretory; the milky viscous effusion is referred to as secretory, exudative or glue-like; the opaque milky fluid seen in acute otitis media is described as suppurative or purulent.On the basis of history, otologic and physical findings, and cytologic and biochemical data, which will be presented later, a work-

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Section: A Nomenclaturementioning

confidence: 99%

XXXV Classification of Middle Ear Effusions

Senturia

1970

Ann Otol Rhinol Laryngol

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“…Reports appeared on several agents. Mawson (1967) claimed a 76 per cent resolution rate for chymotrypsin injected into the ear at surgery. Bauer (1968) using intratympanic injection of urea claims immediate success in the majority of cases.…”

Section: Relapse Ratementioning

confidence: 99%

Management of middle-ear effusions in children

1984

J. Laryngol. Otol.

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SummaryA double-blind placebo controlled trial of Mucodyne (carbocisteine, Berk Pharmaceuticals), Actifed (triprolidine HCI and pseudoephedrine HCI, Wellcome) and combined Mucodyne and Actifed in the treatment of middle-ear effusions is reported. The trial was undertaken to assess whether either preparation, alone or in Combination, would reduce the number of children requiring surgical treatment for this condition. No statistical difference between the various groups in avoiding surgical treatment with Mucodyne was associated with a significantly greater number of ears restored to a normal appearance and middle ear function as measured by tympanometry. All patients relapsing after surgery belonged to the groups receiving placebo, Actifed or the combination of Mucodyne and Actifed prior to the operation.

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“…otomy with aspiration, with or without insertion of aerating tubes (Richards et ai, \9 1 l , Shah, 1971 ;Mawson anti Fagan, 1972), antibiotics (Coffey et ai, 1967), instillation of chymotrypsin {Mawson, 1967 ;Mawson and Fagan, 1972), steroids (Archard, 1967) or urea {Bauer, 1968, irradiation of the tubal entrance {Dawes, 1970; Grahne, 1964) and mastoidectomy {Grahne, 1964;Wilson, 1973) have all been used.…”

Section: Windmentioning

confidence: 99%

Tympanic Effusions in Children – Some Parameters Involved

Wind¹

1975

ORL

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A retrospective analysis of 1,078 adenoidectomies and 660 adenotonsillec-tomies in children under the age of 11 is reported, special attention having been paid to the presence of tympanic effusions. Eight parameters involved were recorded and analyzed. Amongst other things, it appeared that in adenoidectomy patients referred to the author transient tympanic effusions were very common (i.e. in 41.8 % of the 2,156 ears) and that adenoid size and eosinophilia did not have any relation with these effusions.

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Myringotomy, α-Chymotrypsin and Reverse Politzerization for “Glue” Ears

Cited by 14 publications

References 4 publications

XXXV Classification of Middle Ear Effusions

XXXV Classification of Middle Ear Effusions

Management of middle-ear effusions in children

Tympanic Effusions in Children – Some Parameters Involved

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