Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-24T14:49:00.080Z Has data issue: false hasContentIssue false
  • English
  • Français

Development of tympanosclerosis in children with otitis media with effusion and ventilation tubes

Published online by Cambridge University Press:  29 June 2007

A. R. Maw
A. R. Maw*
Affiliation:
(Bristol)
*
Mr A. Richard Maw, M.S., F.R.C.S., Department of Otolaryngology, Bristol Royal Infirmary, Bristol.
Get access Rights & Permissions [Opens in a new window]

Abstract

Ventilation tube (VT) insertion is an accepted treatment for chronic otitismedia with effusion (OME) in children. One hundred and eighty five children with bilateral OME were treated by unilateral myringotomy and VT insertion with no treatment to the contralateral ear. During a 5 year follow-up 95 of the children required only one VT but the remainer required more than one but always treatment was carried out to the same ear. The rate of development of tympanosclerosis was measured and scored. After 2–3 yearsthe extent of the sclerotic changes stabilised and the rate of development reached 37–39 per cent in ears receiving only one VT, compared with 47–49 per cent in ears treated by more than one tube. The extent of the changes was no different whether or not one or more than one tube had been inserted. There was no overall evidence of resolution of sclerotic change with time.

Keywords

Otitis media with effusionVentilation tubesTympanosclerosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 8 , August 1991 , pp. 614 - 617
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Black, N. (1985) Glue car: the new dyslexia? British Medical Journal, 290: 1963–1965.CrossRefGoogle Scholar
Larsen, P. L., Tos, M. (1989) Tympanic membrane sequelae after recurrent acute otitis media. In Cholesteatoma and Mastoid Survery (Tos, M., Thomsen, J.Peiterscn, E. eds). Kugler and Ghedini: Amsterdam. 365–371.Google Scholar
Less, T. H. J., Williams, K. K., Skinner, D. W. (1988)Tympanosclerosis. Grommets and shear stresses. Clinical Otolarvngology, 13: 375–380.CrossRefGoogle Scholar
Maw, A. R. (1989) Tympanic membrane changes following middle ear effusion and after treatment with ventilation tubes. In Cholesteatoma and Mastoid Surgery (Tos, M., Thomsen, J., Peitcrson, E. eds). Kugler and Ghedini: Amsterdam, p 383–386.Google Scholar
Maw, A. R., Herod, F. (1986) Otoscopic impedance and audiometric findings in glue ear treated by adenoidectomy and tonsillectomy. A prospective randomised study. Lancer, 2: 1399–1402.CrossRefGoogle Scholar
Parker, A. J., Maw, A. R., Powell, J. E. (1990) Intra tympanic bleeding after grommet insertion and tympanosclerosis. Clinical Otolaryngologx, 15: 203–207.CrossRefGoogle ScholarPubMed
Slack, R. W. T., Maw, A. R., Capper, J. W. R., Kelly, S. (1984) Prospective study of tympanosclerosis developing after grommet insertion. Journal of Laryngology and Otology, 98: 771–774.CrossRefGoogle ScholarPubMed
Stangerup, S. E., Tos, M. (1989) Do grommets affect hearing? In Cholesteatoma and Mastoid Surgery (Tos, M., Thomsen, J., Peiterson, E. eds). Kugler and Ghedini: Amsterdam, p 377–381.Google Scholar
Tos, M., Bonding, P., Poulsen, G. P. (1983) Tymapnosclerosis of the drum in secretory otitis after insertion of grommets. A prospective comparative study. Journal of Laryngology and Otology, 97: 489–496.CrossRefGoogle ScholarPubMed