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Acute Otitis Media and Otitis Media With Effusion in Adults
Published in R James A England, Eamon Shamil, Rajeev Mathew, Manohar Bance, Pavol Surda, Jemy Jose, Omar Hilmi, Adam J Donne, Scott-Brown's Essential Otorhinolaryngology, 2022
Autoinflation techniques have a role to play in adults as well as children. Although the benefit is modest, the risks are negligible. Autoinflation is commonly encouraged through the Politzer technique, although mechanical devices such as the OtoventTM balloon and EarPopperTM can be employed to achieve the same effect.
Otitis Media with Effusion
Published in John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed, Paediatrics, The Ear, Skull Base, 2018
A systematic review of autoinflation for the treatment of glue ear in children identified eight studies with 702 participants.144 Pooled estimates found non-significant improvement in tympanometry at less than 1 month (relative risk of improvement (RRI) 1.47, 95% CI 0.69–3.13) and non-significant improvement at more than 1 month (RRI 1.22, 95% CI 1.00–1.49). A composite measure of tympanometry with audiometry showed a significant improvement at more than 1 month (RRI 1.74, 95% CI 1.22–2.50). Because of the low cost and absence of reported adverse effects, it was concluded that autoinflation was worth considering while awaiting natural resolution, and that primary care was a good setting for further studies. Some concerns have been raised though about the age at which the method can be performed reliably in children, and this also requires further evaluation. Currently autoinflation appears the most promising non-surgical management to augment active monitoring (watchful waiting).
Acute Otitis Media and Otitis Media With Effusion
Published in James R. Tysome, Rahul G. Kanegaonkar, Hearing, 2015
There is no evidence to support the use of antihistamines, antibiotics, nasal decongestants or nasal steroids to treat COME. There may be benefit from autoinflation of the ear, and commercially available devices for this purpose include the Otovent® Balloon and the EarPopper®.
Autoinflation compared to ventilation tubes for treating chronic otitis media with effusion
Published in Acta Oto-Laryngologica, 2022
Armin B. Moniri, João Lino, Luaay Aziz, Richard M. Rosenfeld
Autoinflation refers to the opening of, and forcing of air through, the Eustachian tube by the raising of upper airway pressure, to ventilate the middle ear, relieve negative pressure, and clear effusion [5,10]. The Cochrane systematic review evaluated the effect of the existing autoinflation devices and concluded that the overall effect was heterogeneous but suggestive of clinical benefit in the short term [10]. The authors concluded that because of the low cost and absence of adverse effects it is reasonable to consider autoinflation while awaiting natural resolution of OME. Although based on eight randomized controlled trials, this recommendation was relatively weak because all studies were small, of limited treatment duration, and had only short-term follow-up.