We thank Dr. Ozdogan and colleagues for their comments regarding our article on the management of palatal myoclonus with botulinum toxin. As we state in the article, weakening of the palatal musculature to treat the symptoms of a clicking tinnitus, awareness of palatal movements with or without rhinolalia, or both can potentially lead to velopharyngeal incompetence, rhinophonia, dysphagia, and ...

Acute otitis externa, also known as 'swimmer's ear', is a common disease of children, adolescents and adults. While chronic suppurative otitis media or acute otitis media with tympanostomy tubes or a perforation can cause acute otitis externa, both the infecting organisms and management protocol are different. This practice point focuses solely on managing acute otitis externa, without acute ot...

 Abstract Background: The children with middle ear effusion need repeated re-tympanostomies. Adenoidectomy is an effective surgical intervention in the management of chronic otitis media with effusion in conjunction with in-sertion of tympanostomy tubes (TTs). To find out whether TTs in different positions decrease the rate of re-tympanostomies study was done. Methods: The present study retrosp...

I appreciated the communication from Dr. Casselbrant et al. regarding the article titled “What Is the Role of Tympanostomy Tubes in the Treatment of Recurrent Acute Otitis Media?” This group has made many important contributions to our understanding of the pathophysiology and treatment of acute otitis media. Clarification of the findings in their study also helps to understand the importance of...

The incidence of mastoiditis in pediatric age has consistently increased over the last two decades due to increase of antibiotic-resistant bacteria. Compared to young patients, occurrence of acute otitis media complications such as acute mastoiditis and subperiosteal abscess is relatively low in adults. Various treatments for acute mastoiditis with subperiosteal abscess such as tympanostomy tub...