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Glue under pressure: A bad prognostic sign for recurrence of otitis media with effusion

Published online by Cambridge University Press:  29 June 2007

M. A. Salam  and
C. Wengraf
M. A. Salam*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Hull Royal Infirmary, Hull.
C. Wengraf
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Hull Royal Infirmary, Hull.
*
18 Arundel Close, Warwick, WarwickshireCV34 5HZ.
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Abstract

One hundred and thirteen children with bilateral otitis media with effusion (OME) underwent myringotomy and insertion of Shah grommets. They were classified into three groups according to the presence or absence of ‘glue under pressure’ unilaterally or bilaterally. The follow up period ranging between 18 and 32 months determined the comparative rate of recurrence of OME and the number of grommet reinsertions. This study shows a significantly higher incidence of recurrent OME, requiring grommet reinsertion, in ears with glue under pressure (60 per cent) compared to those with glue not under pressure (7.4 per cent). Thus it was possible to identify a subset of children with OME who have a poorer prognosis for recurrence and who should be treated with long-stay grommets in the first instance.

Keywords

Otitis media with effusion
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 11 , November 1992 , pp. 974 - 976
Copyright
Copyright © JLO (1984) Limited 1992

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