In this issue of Pediatrics, Crowson et al1 provide a glimpse to the future for otitis media (OM) diagnosis, perhaps. Data acquisition from 126 normal and 212 abnormal ear images met study quality criteria when children were brought operating room an examination under anesthesia tympanostomy tube placement either recurrent acute (AOM) or with effusion (OME). To meet criteria, 75% surface area t...

introduction: chronic otitis media (com), a persistent and durable inflammation and infection of the middle ear, is a common disorder. alterations in the contralateral ear in sufferers have been observed in recent years. because only a few studies have been reported in this area, we performed this study in order to assess alterations in the contralateral ear of patients with com.   materials an...

The purpose of this study was to evaluate and compare the efficacy of hearing screening tools to identify hearing loss in the older adult population. The test-retest reliability of both the AuDX DPOAE hand-held screener and subjective otoscopic ratings of percent earwax accumulation were evaluated. Additionally, the predictive validity was investigated for five hearing screening tools: the DPOA...

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...

Introduction. Otitis media with effusion is a common pediatric disease whose diagnosis is based on pneumatic otoscopy, pure-tone audiometry, and tympanometry. The aim of this study was to evaluate transiently evoked otoacoustic emissions in the diagnosis of otitis media with effusion as compared to tympanometry. Patients and Methods. 38 children with bilateral otitis media with effusion were st...

A common motif in otolaryngology is the lack of certainty regarding diagnosis for middle ear conditions, resulting in many patients being overtreated under the worst-case assumption. Although pneumatic otoscopy and adjunctive tests offer additional information, white light otoscopy has been the main tool for diagnosis of external auditory canal and middle ear pathologies for over a century. In ...

The most common middle ear diseases are otitis media with effusion (OME), acute otitis media (AOM) and chronic suppurative otitis media (CSOM)). Diagnosing middle ear disease is based mainly on inspection of the tympanic membrane (TM) and indirect measurements of the status of the middle ear. (Tables 1, 2; Figure 1) To improve diagnostic accuracy in general practice the important factors are as...

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, ...

Children with human immunodeficiency virus (HIV) infection are more likely to have hearing loss and are more susceptible to middle ear infections. The purpose of this study was to quantitatively measure middle ear function, using tympanometry, in perinatally HIV-infected (PHIV) and HIV-uninfected children living in Cape Town, South Africa.Hearing-related health questionnaire data were obtained ...

OBJECTIVES/HYPOTHESIS Pulsatile tinnitus in the face of normal findings on otoscopy is a common otological diagnostic dilemma and can be due to serious vascular malformations such as transverse or sigmoid sinus dural arteriovenous fistula (transverse or sigmoid sinus [TS] DAVF). Left untreated, TS DAVF may result in significant morbidity and mortality. TS DAVF can be suspected or diagnosed with...