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Eustachian tube function and tympanic membrane findings after chronic secretory otitis media

Ryding, Marie LU ; White, Peter LU and Kalm, Olof LU (2004) In International Journal of Pediatric Otorhinolaryngology 68(2). p.197-204
Abstract
Objective: The etiology of secretory otitis media (SOM) is multifactorial. The main factors discussed are infection and tuba[ dysfunction. This study aimed to detect poor tuba[ function and tympanic membrane pathology in young adults after extremely long-standing SOM. Methods: Thirty-four patients, 16-25 years old, with previous chronic SOM persisting at least 6 years (mean 11.2 years, range 6.2-18.6 years), were retrospectively examined at a mean of 18 years after their first myringotomy or tube insertion and comparison was made with 15 controls. The medical records were scrutinized, otomicroscopic examination was performed and the Eustachian tube function was studied in a mini pressure chamber. Results: The mean age at SOM onset was 2.4... (More)
Objective: The etiology of secretory otitis media (SOM) is multifactorial. The main factors discussed are infection and tuba[ dysfunction. This study aimed to detect poor tuba[ function and tympanic membrane pathology in young adults after extremely long-standing SOM. Methods: Thirty-four patients, 16-25 years old, with previous chronic SOM persisting at least 6 years (mean 11.2 years, range 6.2-18.6 years), were retrospectively examined at a mean of 18 years after their first myringotomy or tube insertion and comparison was made with 15 controls. The medical records were scrutinized, otomicroscopic examination was performed and the Eustachian tube function was studied in a mini pressure chamber. Results: The mean age at SOM onset was 2.4 years (range 0.5-8.4 years) and the mean period from the last myringotomy or when the last tube had disappeared to follow-up was 6.7 years (range 1.3-12.8 years). Tympanic membrane pathology was found in 76% of the ears of SOM patients and in none (0%) of controls (P < 0.001). The youngest patients had more atrophy than the older patients (P < 0.05) and more myringosclerosis was observed in patients with shorter interval between SOM ending and examination. The patients were found to have significantly poorer active tuba[ function; i.e. higher inability to equilibrate negative or negative and positive middle ear pressure, compared with controls (P < 0.001). The majority of the patients (74%) still experienced some kind of discomfort in their ears at the time of examination. Conclusions: Still in adulthood patients with chronic SOM during childhood exhibit dysfunction of the tube and tympanic membrane pathology to a high extent. (C) 2003 Elsevier Ireland Ltd. AIL rights reserved. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
tubal function, otitis media with effusion, sequelae, tympanic membrane, pathology
in
International Journal of Pediatric Otorhinolaryngology
volume
68
issue
2
pages
197 - 204
publisher
Elsevier
external identifiers
  • wos:000188543100010
  • pmid:14725987
  • scopus:0347320589
ISSN
1872-8464
DOI
10.1016/j.ijporl.2003.10.013
language
English
LU publication?
yes
id
9a394281-9f68-4ab9-a3b7-cc8dfd7d41e9 (old id 289048)
date added to LUP
2007-10-31 11:01:49
date last changed
2017-12-10 03:52:23
@article{9a394281-9f68-4ab9-a3b7-cc8dfd7d41e9,
  abstract     = {Objective: The etiology of secretory otitis media (SOM) is multifactorial. The main factors discussed are infection and tuba[ dysfunction. This study aimed to detect poor tuba[ function and tympanic membrane pathology in young adults after extremely long-standing SOM. Methods: Thirty-four patients, 16-25 years old, with previous chronic SOM persisting at least 6 years (mean 11.2 years, range 6.2-18.6 years), were retrospectively examined at a mean of 18 years after their first myringotomy or tube insertion and comparison was made with 15 controls. The medical records were scrutinized, otomicroscopic examination was performed and the Eustachian tube function was studied in a mini pressure chamber. Results: The mean age at SOM onset was 2.4 years (range 0.5-8.4 years) and the mean period from the last myringotomy or when the last tube had disappeared to follow-up was 6.7 years (range 1.3-12.8 years). Tympanic membrane pathology was found in 76% of the ears of SOM patients and in none (0%) of controls (P &lt; 0.001). The youngest patients had more atrophy than the older patients (P &lt; 0.05) and more myringosclerosis was observed in patients with shorter interval between SOM ending and examination. The patients were found to have significantly poorer active tuba[ function; i.e. higher inability to equilibrate negative or negative and positive middle ear pressure, compared with controls (P &lt; 0.001). The majority of the patients (74%) still experienced some kind of discomfort in their ears at the time of examination. Conclusions: Still in adulthood patients with chronic SOM during childhood exhibit dysfunction of the tube and tympanic membrane pathology to a high extent. (C) 2003 Elsevier Ireland Ltd. AIL rights reserved.},
  author       = {Ryding, Marie and White, Peter and Kalm, Olof},
  issn         = {1872-8464},
  keyword      = {tubal function,otitis media with effusion,sequelae,tympanic membrane,pathology},
  language     = {eng},
  number       = {2},
  pages        = {197--204},
  publisher    = {Elsevier},
  series       = {International Journal of Pediatric Otorhinolaryngology},
  title        = {Eustachian tube function and tympanic membrane findings after chronic secretory otitis media},
  url          = {http://dx.doi.org/10.1016/j.ijporl.2003.10.013},
  volume       = {68},
  year         = {2004},
}