BACKGROUND Studies concerning spectral gradient acoustic reflectometry (SG-AR) have analyzed middle ear effusion only as 1 entity. The usefulness of SG-AR to detect specific otoscopic diagnoses of otitis media in young children is unknown. METHODS Among 515 children aged 6-35 months, we compared SG-AR with pneumatic otoscopy and evaluated the proportions of 5 manufacturer-recommended SG-AR le...

Acute otitis media (AOM) and otitis media with effusion (OME) are common diseases in childhood. Alloiococcus otitidis is a newly recognized species of gram-positive bacterium which was recently discovered as a pathogen associated with OME. Although some studies show that A. otitidis is frequently detected in children with OME, no study is available concerning the clinical efficiency of antibiot...

We thank Messrs G C Fox, M Hardingham, and J M Robinson for allowing us to study their patients. 1 Maw AR. Otitis media with effusion (glue ear). In: Kerr AG, Groves J, Evans NG, eds. Scott-Brown's otolaryngology. 5th ed. Vol 6. London: Butterworth, 1987:159-76. 2 Hinton AE. Surgery for otitis media with effusion in children and its relationship to parental smoking. J Laryngol Otol 1989;103:559...

An initial ECG revealed striking ST-segment elevations and T-wave inversions in the anteroseptal leads; these findings appeared to be acute. The cardiac troponin levels and creatine kinase (CK) and MB CK fractions obtained during a "rule out myocardial infarction (MI)" protocol were all elevated. In the first 24 hours, no signs or symptoms of congestive heart failure appeared and oxygen saturat...

We report a case of malignant melanoma of Eustachian tube with extension to the middle ear cavity and nasopharynx in a 51-year-old woman who presented with right ear fullness. Computed tomography showed a soft tissue mass in the middle ear cavity and caused the widening and eroding of the bony eustachian tube. Magnetic resonance imaging showed well enhancing mass in eustachian tube extending na...

OM, or inflammation of the middle ear, is a highly prevalent infection in children worldwide. OM is a multifactorial disease with multiple risk factors, including preceding or concurrent viral URT infection. Hence, OM is also a polymicrobial disease. The mechanisms by which viruses predispose to bacterial OM are replete; however, all are predicated on the general principle of compromise of prim...

This paper is centered on the development of a new training and rehearsal simulation system for middle ear surgery. First, we have developed and validated a mechanical atlas based on finite element method of the human middle ear. The atlas is based on a microMRI. Its mechanical behavior computed in real-time has been successfully validated. In addition, we propose a method for the registration ...

UNLABELLED Tympanometry plays a fundamental role in the identification of middle ear alterations, which are frequent in the population with cleft lip and palate. AIM do a retrospective analysis of the otoscopy and tympanometric exams of infants with cleft lip and palate who were not operated. Retrospective study. MATERIALS AND METHODS we analyzed 273 charts from infants with cleft lip and p...