Otitis media with effusion—A challenge to otolaryngology

Hoople, Gordon D.

doi:10.1288/00005537-195004000-00001

Cited by 56 publications

(16 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…From 1931 to 1939 only one case was seen and then in 1942 the number of cases dramatically increased. This increase of SOM was noted by others [6]. The methods of diagnosis and care were still those of the first half of the century.…”

mentioning

confidence: 70%

Serous otitis media in the 20th and 21st centuries: evolving views and treatments

Ruben

2009

Acta Oto-Laryngologica

View full text Add to dashboard Cite

The first part of the 20th century saw little change from earlier times in the recognition or treatment of SOM. Our current 21st century conceptualization and concern for SOM has come about from five advances: antibiotics, the rediscovery of the tympanostomy tube, the clinical use of middle ear impedance, the association of a history of otitis with linguistic deficiency, and recognition of the significance of transformation to a communication-based economy.

show abstract

mentioning

confidence: 70%

Serous otitis media in the 20th and 21st centuries: evolving views and treatments

Ruben

2009

Acta Oto-Laryngologica

View full text Add to dashboard Cite

show abstract

“…Others questioned the effectiveness of the method (rather than its possible dangers)-concluding 'any prolonged effect remains doubtful' using radium applicator^,^' but accepting the value of X-ray treatment. 31 This view led largely to the abandonment of radium in favour of X-rays. In addition, the method was used more selectively.23.38*39 An editorial in JAMA in 1951 concluded 'X-ray therapy.…”

Section: Modern Period-post-1940mentioning

confidence: 99%

Fashion, science and technical change: the history of the treatment of glue ear

Black

1985

Clin Otolaryngol

View full text Add to dashboard Cite

One reason for the current epidemic in the rate of surgery for glue ear in children is that a shift in treatment has taken place from non-surgical to surgical methods. An historical review of the treatment of this condition reveals the existence of previous 'surgical epidemics' and the importance of two particular factors-technical developments, such as the design of tympanostomy tubes and the introduction of antibacterial drugs; and the lure of panaceas such as ionizing radiation. In addition, it reveals how medical practice is, like most human behaviour, subject to fashion. Despite this, there is a constant desire by practitioners to be adjudged 'scientific' in their work, and definitions of science are equally susceptible to change over time.

show abstract

“…The encyclopedic work of The comparative development of the clinical picture of eosinophile cases reveals a fairly well-defined type of chronic otitis with the following characteristics: (1) A secretion, in most cases, having a remarkably viscous or gelatinous consistency with a considerable but varying number of eosinophiles; (2) a middle ear mucous membrane which is fairly thickened and often similar in appearance to the nasal mucosa in allergic rhinitis with numerous eosinophiles; (3) a protracted time of healing; (4) occurrence in individuals of allergic disposition manifesting other allergic symptoms, most commonly allergic rhinitis; and (5) likely response to anti-allergic treatment. up the discharge for more than a few weeks at a time.…”

Section: Allergy Of the Middle Earmentioning

confidence: 99%

XVI Aural Manifestations of Allergy

Derlacki¹

1952

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

The one time revolutionary allergic approach to the management of many previously considered surgical problems in rhinology is an accepted fact in our specialty. Now, a similar plan of allergic therapy aimed not only at treating symptoms, but also at the fundamental cause of several acute and chronic disorders of the external, middle and internal ear is evolving.Allergic disease is most often found in such tissues as the skin and the mucous membranes of the respiratory and gastro-intestinal tracts since they are the principal contacts of the human organism with the substances of the environment. The embryological derivatives of those tissues are similarly but less frequently affected by the allergic reaction. The salivary glands, the pancreas and the nasal accessory sinuses are examples. The middle ear and eustachian tube lined by respiratory mucosa, and the membranous labyrinth in the internal ear derived from an infolding of the fetal ectoderm, are pertinent examples.Although the concept that allergic diseases do occur in the ear is not new, the general acceptance and recognition by the otologist of the frequency of allergic states in the ear is not as yet an accomplished fact. Several reasons exist for the failure to recognize allergic ear disease, as well as other allergic disorders. The most important reason is the lack of one accepted conclusive test to prove allergy. The finding of increased eosinophiles in secretions or tissues is strong presumptive evidence of an allergic reaction, but it is not conclusive evidence. Skin tests as a diagnostic measure can often be misleading and disappointing. The most reliable proof of an allergic etiology is the therapeutic test, but even this is not completely conclusive due to the tendency to spontaneous remissions in allergic conditions, particularly in acute ones. The long standing chronic diseases which are resistant to all other forms of treatment and which respond to allergic management should be considered as allergic in origin.

show abstract

Otitis media with effusion—A challenge to otolaryngology

Cited by 56 publications

References 6 publications

Serous otitis media in the 20th and 21st centuries: evolving views and treatments

Serous otitis media in the 20th and 21st centuries: evolving views and treatments

Fashion, science and technical change: the history of the treatment of glue ear

XVI Aural Manifestations of Allergy

Contact Info

Product

Resources

About