Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-24T04:39:04.489Z Has data issue: false hasContentIssue false
  • English
  • Français

Tympanic membrane atelectasis in childhood otitis media with effusion

Published online by Cambridge University Press:  29 June 2007

H. L. Tay  and
R. P. Mills
H. L. Tay*
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee
R. P. Mills
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee
*
Mr H. L. Tay, F.R.C.S., Department of Otolaryngology, Ninewells Hospital, Dundee DD1 9SY Fax: 01382 632816
Get access Rights & Permissions [Opens in a new window]

Abstract

A prospective study on the dynamics of tympanic membrane atelectasis during the treatment for glue ear was performed in a sample of 115 ears of 83 children aged between one and 11 years. The progression in the degree of pars tensa atelectasis was analysed in relation to six potentially relevant factors. Multivariate analysis showed that the factor with the most predictive value on the progression of the pars tensa retraction was the grade of atelectasis at initial detection (p<0.0001). The use of grommets did not have any significant influence on the outcome grade of atelectasis. There was an association between previous grommet insertion and localized retractions in the inferior segment of the pars tensa (P<0.0001). However, localized retractions in the postero-superior quadrant were not associated with previous grommet insertion (P<0.02). Although the hearing thresholds of atelectatic ears were significantly worse than normal ears especially at 4 kHz (p<0.006), the difference was less than 5 dB.

Keywords

AtelectasisTympanic membraneOtitis media with effusion
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 6 , June 1995 , pp. 495 - 498
Copyright
Copyright © JLO (1984) Limited 1995

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

Buckley, G., Hinton, A. (1991) Otitis media with effusion in children shows a progression resolution with time. Clinical Otolaryngology 16: 354–357.CrossRefGoogle Scholar
Mills, R. P. (1991) Management of retraction pockets of the pars tensa. Journal of Laryngology and Otology 105: 525–528.CrossRefGoogle ScholarPubMed
Padgham, N., Mills, R., Christmas, H. (1989) Has the increasing use of grommets influenced the frequency of surgery for cholesteatoma? Journal of Laryngology and Otology 103: 1034–1035.CrossRefGoogle ScholarPubMed
Palva, A., Karma, P., Karja, J. (1977) Cholesteatoma in children. Archives of Otolaryngology, Head and Neck Surgery 103: 74–77.Google ScholarPubMed
Pfaltz, C. R. (1988) Retraction pocket and development of cholesteatoma in children. In Advances in Otorhinolaryngology: Pediatric Otology. (Cremers, C., Hoogland, G., eds.), Karger, Basel, pp 118–123.Google Scholar
Roland, N. J., Phillips, D. E., Rogers, J. H., Singh, S. D. (1992) The use of ventilation tubes and the incidence of cholesteatoma surgery in the paediatric population of Liverpool. Clinical Otolaryngology 17: 437–439.Google Scholar
Sade, J. (1979) The atelectatic ear. In Secretory Otitis Media and its Sequelae. (Sade, J., ed.), Churchill–Livingstone, London, pp 64–88.Google Scholar
Sade, J., Avraham, S., Brown, M. (1981) Atelectasis, retraction pockets and cholesteatoma. Acta Otolaryngologica 92: 501–512.Google Scholar
Sade, J., Avraham, S., Brown, M. (1982) Dynamics of atelectasis and retraction pockets. In Proceedings of the 2nd International Conference on Cholesteatoma and Mastoid Surgery. (Sade, J., ed.), Kugler Publications,Amsterdam, pp 267–281.Google Scholar
Smyth, G. D. L. (1980) The sequelae of middle ear effusion. In Chronic Ear Disease. (Smyth, G. D. L., ed.), Churchill–Livingstone, London, pp 21–43.Google Scholar
Thomson, I. S. D. (1974) Exudative otitis media, grommets and cholesteatoma. Journal of Laryngology and Otology 88: 947–953.Google Scholar
Tos, M. (1981) Upon the relationship between secretory otitis in childhood and chronic otitis and its sequelae in adults. Journal of Laryngology and Otology 95: 1011–1022.CrossRefGoogle ScholarPubMed
Tos, M., Stangerup, S. -E., Larsen, P. (1987) Dynamics of eardrum changes following secretory otitis. Archives of Otolaryngology, Head and Neck Surgery 113: 380–385.CrossRefGoogle ScholarPubMed
Wells, M. D., Michaels, L. (1983) Role of retraction pockets in cholesteatoma formation. Clinical Otolaryngology 8: 39–45.CrossRefGoogle ScholarPubMed