Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-28T02:10:43.309Z Has data issue: false hasContentIssue false
  • English
  • Français

Paediatric otoscopy—clinical and histological correlation

Published online by Cambridge University Press:  29 June 2007

Carlos B. Ruah ,
Ezequiel Barros ,
Samuel B. Ruah ,
Rui S. Penha ,
Patricia Schachern  and
Michael M. Paparella
Carlos B. Ruah*
Affiliation:
Department of Otolaryngology, Hospital D. Estefånia, Lisbon, Portugal.
Ezequiel Barros
Affiliation:
Department of Otolaryngology, Hospital D. Estefånia, Lisbon, Portugal.
Samuel B. Ruah
Affiliation:
Department of Otolaryngology, Hospital D. Estefånia, Lisbon, Portugal.
Rui S. Penha
Affiliation:
Department of Otolaryngology, Hospital Universitario Egas Moniz, Lisbon, Portugal.
Patricia Schachern
Affiliation:
University of Minnesota Otitis Media Research Center, Department of Otolaryngology, and the Minnesota Ear, Head and Neck Clinic, Minneapolis, MN, USA.
Michael M. Paparella
Affiliation:
University of Minnesota Otitis Media Research Center, Department of Otolaryngology, and the Minnesota Ear, Head and Neck Clinic, Minneapolis, MN, USA.
*
Carlos B. Ruah, R. Rodrigo da Fonseca, 127–3°-Dto. 1000 Lisboa, Portugal.
Get access Rights & Permissions [Opens in a new window]

Abstract

Otoscopy is a subjective clinical method. Its subjectivity has led physicians to verify its accuracy through correlations with findings of otomicroscopy, pneumatic otoscopy, tympanometry, and myringotomy. In the very young population, however, the interpretation of otoscopic findings becomes more difficult. To improve the interpretation of normal otoscopy in young children, an otoscopic-histological correlation was attempted in children up to nine years of age. Twenty-one temporal bones from 15 children aged from two days to nine years who had no evidence of otological disease or congenital anomalies were examined under light microscopy; the thickness of the pars flaecida, posterior superior quadrant, and umbo were measured. Twenty-five eardrums of 15 healthy children without past or present history of otological disease were examined using otoscopy; a photograph of each eardrum was obtained. Our study demonstrates that structural changes in the tympanic membrane during these years of childhood have a good correlation with otoscopic findings. Understanding normal histological changes in the paediatric eardrum may improve our interpretation of otoscopic findings.

Keywords

OtoscopyPaediatric
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 4 , April 1992 , pp. 307 - 312
Copyright
Copyright © JLO (1984) Limited 1992

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

Ars, B. (1989) Organogenesis of the middle ear structures. Journal of Laryngology and Otology, 103: 16–21.CrossRefGoogle ScholarPubMed
Cavanaugh, R. M. (1987) Pneumatic otoscopy in healthy full-term infants. Pediatrics, 79: 4: 520–523.CrossRefGoogle ScholarPubMed
Gates, G. A. (1976) Differential otomanometry. American Journal of Otolaryngology, 7: 147–150.CrossRefGoogle Scholar
Gimsing, S., Bergholtz, L. M. (1983) Otoscopy compared with tympanometry. Journal of Laryngology and Otology, 97: 587–591.CrossRefGoogle ScholarPubMed
Graham, M. D., Reams, C, Perkins, R. (1978) Human tympanic membrane-malleus attachment. Annals of Otology, Rhinology and Laryngology, 87: 426–431.CrossRefGoogle ScholarPubMed
Holmberg, K., Axelsson, A., Hansson, P., Renvall, U. (1985) The correlation between otoscopy and otomicroscopy in acute otitis media during healing. Scandinavian Audiology, 14: 191–199.CrossRefGoogle ScholarPubMed
Jaffe, B. F., Hurtado, F., Hurtado, E. (1970) Tympanic membrane mobility in the newborn (with seven months follow-up). Laryngoscope, 80: 36–48.CrossRefGoogle ScholarPubMed
Kirikae, I. (1959) The structure and function of the middle ear. Thesis. University of Tokyo Press.Google Scholar
Mains, B. T, Toner, J. G. (1989) Pneumatic otoscopy: study of interobserver variability. Journal of Laryngology and Otology, 103: 1134–1135.CrossRefGoogle Scholar
Margolis, C. Z., Porter, B., Barnoon, S., Pilpel, D. (1979) Reliability of the middle ear examination. Israeli Journal of Medical Science, 15: 23–26.Google ScholarPubMed
McLellan, M. S., Webb, C. H. (1957) Ear studies in the newborn infant. Journal of Pediatrics, 51: 671–677.CrossRefGoogle ScholarPubMed
McLellan, M. S., Webb, C. H. (1961) Ear studies in the newborn infant. Journal of Pediatrics, 58: 523–527.CrossRefGoogle Scholar
Northrop, C, Piza, J., Eavy, R. D. (1986) Histological observations of amniotic fluid cellular content in the ear of neonates and infants. International Journal ofPediatric Otorhinolaryngology, 11: 113–127.CrossRefGoogle ScholarPubMed
Paparella, M. M., Meyerhoff, W. L., Goycoolea, M. V. (1980) Silent otitis media. Laryngoscope, 90: 1089–1098.CrossRefGoogle ScholarPubMed
Paradise, J. L., Smith, C. G., Bluestone, C. D. (1976) Tympanometric detection of middle ear effusion in infants and young children. Pediatrics, 58:2: 198–210.CrossRefGoogle Scholar
Ruah, C. B., Schachern, P., Paparella, M. M. (1990) The development and change of the normal human tympanic membrane with age. Otorhinolaryngology, Head and Neck Surgery, Proceedings of the XIV World Congress of Otorhinolaryngology, Head and Neck Surgery, Madrid, Spain, 1989. (Sacristan, T, Alvarez-Vicent, J. J., Bartual, J., Antoli-Candela, E, Rubio, L., eds.), Kugler & Ghedini Publications, Amsterdam, p. 111–114.Google Scholar
Ruah, C. B., Schachern, P. A., Zelterman, D., Paparella, M. M., Yoon, T. H. (1991) Age-related morphologic changes in the human tympanic membrane. A light and electron microscopic study. Archives of Otolaryngology, Head and Neck Surgery, 117: 627–634.CrossRefGoogle ScholarPubMed
Takahara, T., Sando, I. (1987) Mesenchyme remaining in temporal bones from patients with congenital anomalies. A quantitative histopathological study. Annals of Otology, Rhinology and Laryngology, 96: 333–339.CrossRefGoogle Scholar
Takahara, T., Sando, I., Hashida, Y., Shibahara, Y. (1986) Mesenchyme remaining in human temporal bones. Otolaryngology—Head and Neck Surgery, 95: 349–357.CrossRefGoogle ScholarPubMed