The Place of Myringotomy in the Management of Secretory Otitis Media in Children

Archard, J. C.

doi:10.1017/s0022215100067104

Cited by 25 publications

(15 citation statements)

References 6 publications

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“…Parents were also asked to report any adverse side effects oftreatment. In line with other trials audiometric performance was based on the mean hearing loss of the three worst heard frequencies.35 6 16 Tympanometry results were classified according to both the shape of BMJ VOLUME 300 the recording and the pressure in the middle ear, and two categories were established: normal (A and C1) or abnormal (B and C2). '9 Tympanometry was not performed on ears with grommets because valid recordings cannot be made when grommets are in place and are patent.…”

Section: Methodsmentioning

confidence: 99%

“…Firstly, myringotomy results in little or no benefit. '4 16 Secondly, myringotomy plus grommet insertion is effective for up to 12 months,2 3 though two studies found that this procedure was not 12 though again two studies found that it had no effect. "'0 Fourthly, grommet insertion and adenoidectomy are equally effective,23 though repeat surgery is needed more often after grommet insertion than after adenoidectomy.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A randomised controlled trial of surgery for glue ear.

Black

Sanderson

Freeland

et al. 1990

BMJ

102

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pulse ultrasotunid: its reproducibility, validation and variability.Br_7 Dermatol 1982;106:657-67. 12 Edwards C. The uIse of high frequency ultrasounid for the study of strtuctture and dimensions of skin. MIanchester: University of Manchester Faculty of Technology, 1985. (PhD thesis.) 13 Boyle J, Briggs Jl), Mackie RM, Junor BJR, Aitchison TC. Cancer, warts and stunshine in renal transplant patients.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A randomised controlled trial of surgery for glue ear.

Black

Sanderson

Freeland

et al. 1990

BMJ

102

View full text Add to dashboard Cite

show abstract

“…Treatment of secretory otitis by grommets is symptomatic and has no effect upon the basic tubal disease (Tosand Poulsen, 1976), and paracentesis aspirating MEE has been characterized as a purely diagnostic procedure (Archard, 1967). Therefore, better tympanometric results could not be expected at a higher frequency of these procedures.…”

Section: Effects O F Treatmentmentioning

confidence: 99%

Tympanometry in Three-Year-Old Children

Fiellau-Nikolajsen¹

1981

ORL

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All 3-year-old children in a region were screened by tympanometry in January 1976 (503 children), and the 6-year-olds of the same region had tympanometric and tone audiometric screening in January 1979 (498 children), 70% being included both times. Significant improvement in middle ear status had occurred from the age of 3–6 years, but otherwise there was surprisingly little difference between the two age levels, e.g., about one-third of the tympanograms were abnormal in both age groups. Ears having a middle ear pressure of 0 to –99 mm H₂O at 3 years showed significantly better impedance audiology at 6 years, but as regards hearing loss they proved to be like cases who had previously had more or less negative pressure in the middle ear. Out of the flat tympanograms at 3 years a quarter were still flat at 6 years, and every sixth child did not pass tone audiometric screening. The subgroups boys/girls, nursery school/homecare children, urban/rural children that had exhibited differences in middle ear function at 3 years showed identical results at 6 years. A favourable effect of systematic tracing and active treatment of middle ear pathology from the age of 3 years could not be found at tone audiometry and impedance testing at 6 years. This must, inter alia, shake faith in adenoidectomy as a therapeutic or preventive procedure in dealing with middle ear pathology.

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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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The Place of Myringotomy in the Management of Secretory Otitis Media in Children

Cited by 25 publications

References 6 publications

A randomised controlled trial of surgery for glue ear.

A randomised controlled trial of surgery for glue ear.

Tympanometry in Three-Year-Old Children

Tympanic Effusions in Children – Some Parameters Involved

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