Introduction Although the number of tonsillectomy and adenoidectomy procedures has declined over the past 50 to 60 years, these operations continue to be among the procedures performed most commonly in the United States, second only to myringotomy with tube insertion. According to the most recent compilation of national health statistics (1996), more than 287,000 children younger than age 15 ye...

Dichotic listening performance was studied in children who at an early age had undergone a myringotomy with insertion of ventilating tubes for persistent middle ear infections (otitis media with effusion; OME) and compared with age-equivalent children who had no history of otitis media or hearing problems. The OME group consisted of 19 children with a median age of 9 years; 15 of whom were righ...

Materials and Methods: Twenty-six children with serous otitis media, ages ranging between 4-14 years were prospectively included into the study. A diagnosis of OME was made on the basis of the patient’s history and examination, otoscopy, tympanogram and pure tone audiometry. The MEEs were collected via a sterile, disposable aspirator (Juhn Tym-Tap®, Xomed Inc., Jacksonville, FL 32216, USA) afte...

We present here the case of a 33-month-old male patient with Wolf-Hirschhorn syndrome (WHS) and who underwent tympanoplasty and myringotomy. WHS is caused by a rare chromosomal abnormality, which is the deletion of the short arm of chromosome number 4. The typical craniofacial features of WHS patients such as micrognathia, microcephaly and the muscular weakness can make using neuromuscular bloc...

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...

Conflicting reports regarding the hazards of anaesthesia in children presenting for surgery with an upper respiratory tract infection have appeared in the literature. In the present study 130 children undergoing general anaesthesia with face mask for myringotomy and grommet insertion were graded as having either an acute or recent upper respiratory tract infection or were asymptomatic according...

~~~~~~~~~~~~~~~~~~~~W Mr. N. SHAH, lecturer, Professorial Unit, the Institute of Laryngology and Otology, London W.C.1, writes: Myringotomy and aspiration of fluid from the middle ear is a common practice in otology. Children with fluid (serous or "glue ") are operated on under general anaesthesia with the aid of a Zeiss microscope. A glass suction cannula (see photograph) for aspiration of flu...

INTRODUCTION Petrositis is a rare but severe complication of acute otitis media and mastoiditis. Despite efficient antibiotic therapy, there are still reports of both intratemporal and intracranial complications of otitis media with the potential risk of high morbidity and mortality. Petrositis has traditionally been treated with surgery, but recent advances in imaging, with improved antibiotic...

In pediatric anesthesia, four essential patient monitors are used for virtually every case (unless unusual circumstances preclude their use). They include pulse oximetry, capnography, electrocardiography (ECG), and blood pressure measurement. These monitors are components of the Basic Monitoring Standards of the American Society of Anesthesiologists (www.asahq.org/ PublicationsAndServices/stand...

Using nitrous oxide, we examined the gas exchange function through the middle ear mucosa in ears with otitis media with effusion (OME) in children, and found the function to be impaired in 50% of them. The size of the mastoid was significantly smaller in ears with negative gas exchange function than those with positive function, and the presence or absence of the function was even more signific...