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Acute Otitis Media
Published in Raymond W Clarke, Diseases of the Ear, Nose & Throat in Children, 2023
Surgery has a limited role, but myringotomy to release a tense bulging eardrum may be considered in recalcitrant cases where there has been little or no response to medical therapy, or where complications have developed.
The Special Sense Organs and Their Disorders
Published in Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss, Understanding Medical Terms, 2020
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss
An otologist is a specialist in treating disorders of the ear. This specialty is often combined with treatment of the upper respiratory tract (otolaryngology), and the patient may be referred to an otolaryngologist for hearing disorders. Antimicrobial drugs are used in treatment of otitis media to eradicate the pathogen, shorten the period of illness, and prevent suppurative (pus) complications. Myringotomy, incision into the tympanic membrane, is a procedure utilized for drainage of the middle ear. A tympanoplasty or myringoplasty is performed to repair perforations of the tympanic membrane that do not satisfactorily heal spontaneously.
Facial nerve—a clinical and anatomical review
Published in J. Belinha, R.M. Natal Jorge, J.C. Reis Campos, Mário A.P. Vaz, João Manuel, R.S. Tavares, Biodental Engineering V, 2019
Fernand Gentil, J.C. Reis Campos, Marco Parente, C.F. Santos, Bruno Areias, R.M. Natal Jorge
The facial nerve decompression, is recommended in patients with Bell’s palsy or in cases of herpes zoster if a patient develop into a total paralysis within two weeks with proper therapy and when in the electroneuronography the percentage degeneration of the fibers is higher than 90%, and in cases of traumatic injuries. Myringotomy in cases of the acute otitis media.
Correlation of pathogenic effects of laryngopharyngeal reflux and bacterial infection in COME of children
Published in Acta Oto-Laryngologica, 2021
Lei Lei, Zhao Yu, Rong Yu, Hui Yang, Jian Zou, Jianjun Ren, Jie Zhang, Dalin Zhong
Children (2–14 years old) diagnosed with COME between 2018 and 2019 were included in the COME group. They received unilateral or bilateral myringotomy with tube placement or eardrum puncturing suction. Children (1.5–14 years) with congenital/acquired profound deafness indicated for cochlear implantation (CI) were enrolled in the CI group. All the above patients were undertaken operations at the Department of Otolaryngology- Head and Neck Surgery of West China Hospital of Sichuan University. Exclusion criteria for COME patients were patients with acute otitis media, perforation of tympanic membrane, anaphylactic disease, malignant tumor of nasopharynx or craniofacial deformities. Exclusion criteria for the CI patients were craniocerebral injury disease, tympanic membrane perforation, otitis media and other middle ear diseases. Patients on medication for reducing stomach acidity, such as proton pump inhibitors, in the past two weeks preceding the date of sample collection were also excluded.
Autoimmune inner ear disease secondary to Hashimoto’s thyroiditis: a case report
Published in Journal of Community Hospital Internal Medicine Perspectives, 2018
A 61-year-old female with a history of HT with positive antithyroid peroxidase (anti-TPO) antibodies, on thyroxine replacement therapy was referred to the ENT clinic by her primary care physician due to progressive right-sided hearing loss for 2 weeks. She denied having any vertigo, nausea, or vomiting but did give a history of mild flu-like symptoms associated with an aural fullness. She was noted to have right tympanic membrane dullness and was treated with antibiotics along with nasal steroids due to a suspected sinus/ear infection. A right-sided myringotomy and pressure equalization tube insertion was performed due to a persistent right middle ear effusion. However, her symptoms continued to worsen and involvement of the left ear was noted as well. At that time, on pure tone audiometry, she had an asymmetric moderate left-sided sensorineural and right-sided mixed hearing loss pattern. An MRI of the brain and internal auditory canal with and without contrast did not show any lesion or mass although some nonspecific bilateral enhancement of the cochlea was noted.
Frequency-specific efficacy of intratympanic steroid on idiopathic sudden sensorineural hearing loss
Published in Acta Oto-Laryngologica, 2020
Hideaki Suzuki, Toyoaki Ohbuchi, Ba Hung Do, Thi Nga Nguyen, Tetsuro Wakasugi, Jun-ichi Ohkubo, Takuro Kitamura
Twelve patients (6.9%) in the HBO group underwent myringotomy due to acute otitis media/otitis media with effusion. Of 199 ears with follow-up periods ≥2 months after the completion of treatment in the IT group, perforation of the tympanic membrane remained in 7 ears (3.5%), but no patients underwent myringoplasty. Insulin was introduced and/or increased due to the elevation of the blood glucose level in 24 patients (68.6% of 35 patients with DM) in the HBO group and in 54 patients (76.1% of 71 patients with DM) in the IT group. There was no patient who developed severe peptic ulcer or aggravation of hepatitis.