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 retrospe...

OBJECTIVE To analyze immunocompetent cells as well as 2 factors involved in inflammation and also thought to be involved in bone remodeling-interleukin 6 (IL-6) and inducible nitric oxide synthase in the human middle ear, including the tympanic membrane. DESIGN Biopsy specimens were obtained from the human middle ear and tympanic membrane during surgery. Using an immunohistochemical technique...

Objective: To investigate the expression of receptor for advanced glycation endproducts (RAGE) in adenoid hypertrophy in children and the change in the level of soluble receptor for advanced glycation endproducts (sRAGE) in tympanic effusion. Methods: Fifteen adenoidal specimens were collected from patients with adenoidal hypertrophy and secretory otitis media and patients with simple adenoidal...

In the absence of any acute otological symptoms including pain and temperature, a middle ear effusion in association with hearing loss has been designated by various names, i.e. catarrhal otitis, exudation otitis, serous otitis, nonsuppurative otitis, glue ear, and currently the most fashionable terms, otitis media with effusion and secretory otitis media. A middle ear effusion without inflamma...

Cholesteatoma may be classified as either primary or secondary. Primary cholesteatoma occurs when its formation precedes the TM perforation and Secondary cholesteatoma develops from an ingrowth of skin through a TM perforation. Chronic Secretory Otitis Media (CSOM) In chronic secretory otitis media, fluid may be present for more than two months in the middle ear behind a TM with increased vascu...

The possible causal role of the nasal mucosa and nasal allergy in chronic otitis media with or without effusion was studied in 38 young adults by means of nasal provocation tests (NPT) with various inhalant allergens, performed by rhinomanometry and combined with tympanometry. The parameters were recorded before and up to 56 hrs after the allergen challenge. Of the 38 patients in whom 109 NPTs ...

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In an open-label study, the concentrations of azithromycin in middle ear effusions and plasma were determined in 29 children between 1 and 8 years of age with a diagnosis of either secretory otitis media of at least 1 month's duration or acute otitis media. Azithromycin (10 mg/kg) was administered as a single dose 12, 24 or 48 h before the insertion of tympanostomy tubes to 17 children with sec...

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 ...