Some specific management options to treat and prevent otitis media and certain related conditions are related to Eustachian tube dysfunction, whereas others are not. An understanding of the role that tubal dysfunction plays in the currently available nonsurgical and surgical options can be helpful not only in the decision-making process to treat or not to treat but also the reasons for complica...

BACKGROUND Tympanometry can indicate middle ear effusion in children referred for tympanostomy tube placement. In outpatient setting, objective adjunctive tools are needed to diagnose the otitis media spectrum. METHODS We enrolled and followed 515 children aged 6-35 months at primary care level. We compared tympanometry with pneumatic otoscopy and evaluated the proportions of type A, C1, C2, ...

OBJECTIVES To find out the prevalence of otitis media in school going children from lower socio-economic strata. MATERIAL AND METHODS This study was carried out in a government school, Shree Naragram Secondary School in Morang district, eastern Nepal, and included 1050 children aged between 5-15 years. RESULTS Of the 1050 school children, 346 children were found to have various ENT related ...

OBJECTIVE To determine hearing outcomes in young children receiving early and repeated tympanostomy tube insertion for recurrent acute otitis media or otitis media with effusion. DESIGN Prospective 14-year follow-up. SETTING Central Hospital of Central Finland, a tertiary care hospital. Patients Three hundred five consecutive infants and young children with otitis media received initial tym...

Otitis media is a middle ear disease common in children under three years old. Otitis media can occur in normal individuals with no other symptoms or syndromes, but it is often seen in individuals clinically diagnosed with genetic diseases such as CHARGE syndrome, a complex genetic disease caused by mutation in the Chd7 gene and characterized by multiple birth defects. Although otitis media is ...

OBJECTIVE To determine the effect of antibiotic treatment for acute otitis media in children. DESIGN Systematic search of the medical literature to identify studies that used antibiotics in randomised controlled trials to treat acute otitis media. Studies were examined blind, and the results of those of satisfactory quality of methodology were pooled. SUBJECTS Six studies of children aged 7...

BACKGROUND Secretory otitis media is a very important and common ENT disease, especially in the children. The aetiology of Secretory otitis media is multifocal, and the treatment is initially medical or conservative and if it fails then surgery is indicated. The objective of the study was to determine the efficacy of medical treatment in the management of Secretory otitis media. METHODS This ...

PURPOSE The purpose of this study was two fold: to determine if within a selected population of infants the prevalence of otitis media was greater in pacifier users than in non-pacifier users, and to reveal if an association existed between otitis media and pacifier use. METHODS The study consisted of 200 children, 12 months of age or younger. Parents were surveyed regarding children's pacifi...

In this issue of the Journal, investigators in Pittsburgh and in Turku, Finland, respond to the question of whether infants and young children with acute otitis media benefit from amoxicillin– clavulanate therapy initiated at the time of diagnosis.1,2 Physicians who cared for children 50 years ago would be surprised — more likely shocked — that the question is being asked. Before antimicrobial ...

Otitis media and otitis media with effusion are among the most common childhood illnesses and contribute a great deal to health care costs. The cause of otitis media is multifactorial. Eustachian tube dysfunction, bacterial or viral infection of the middle ear, and nasal inflammation resulting from allergic rhinitis or upper respiratory infection are acknowledged contributing factors. Data from...