Chronic Otitis Media in Children

Tsilis, Nikolaos S.; Vlastarakos, Petros V.; Chalkiadakis, Vassilios F.; Kotzampasakis, Dimitrios S.; Nikolopoulos, Thomas P.

doi:10.1177/0009922813482041

Cited by 13 publications

(7 citation statements)

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“…11 Alternatives to MT procedures may include watchful waiting, aural toilet, topical antibiotic drops with or without steroids, oral antibiotics, or even parenteral antibiotics in severe cases. 12,13 Although common, MT in children is a surgical procedure with direct and indirect healthcare expenses, as well as morbidity associated with general anesthesia. Thus, although children may be diagnosed with OM and may qualify for MT, many factors may impede provision of care, including healthcare disparities along racial, ethnic, or insurance lines.…”

Section: Introductionmentioning

confidence: 99%

“…A relatively recent published guideline elaborates upon evidence‐based care recommendations for tympanostomy tube placement for OM . Alternatives to MT procedures may include watchful waiting, aural toilet, topical antibiotic drops with or without steroids, oral antibiotics, or even parenteral antibiotics in severe cases . Although common, MT in children is a surgical procedure with direct and indirect healthcare expenses, as well as morbidity associated with general anesthesia.…”

Section: Introductionmentioning

confidence: 99%

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Do demographic disparities exist in the diagnosis and surgical management of otitis media?

2018

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Do demographic disparities exist in the diagnosis and surgical management of otitis media?

2018

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“…Таким образом, современные тенденции в ЛОРхирургии, особенно в детском возрасте, отражают стремление к достижению наилучших результатов лечения с минимальным травматизмом и риском осложнений . Подобный исход обеспечивается применением щадящих техник, уменьшением объема вмешательств, а также одноэтапным проведением санирующих и реконструктивных (по возможности) операций [40,45,46] .…”

Section: результаты и обсуждениеunclassified

Simultaneous rhinootosurgery in adults and children

Rusetsky¹,

Arutyunyan²,

Сотникова³

et al. 2019

Ross. rinol.

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Введение. В структуре воспалительных заболеваний детского возраста первое место как по частоте, так и по значимости занимают заболевания верхних дыхательных путей (ВДП) и органа слуха, среди которых-острый и хронический риносину сит, тонзиллит, гипертрофия глоточной миндалины и аденоидит, различные формы отитов. Лечение указанных патологиче ских состояний нередко связано с необходимостью хирургических вмешательств. Цель исследования-выполнить критический обзор существующих публикаций, посвященных опыту одноэтапных хирурги ческих вмешательств на среднем ухе и ВДП. Материал и методы. Проведен анализ научных публикаций, представленных в информационных базах данных PubMed, Google и Google Scholar, содержащих сведения об эффективности симультанных операций при патологии ВДП и органа слуха в дет ском возрасте. Результаты и обсуждение. Высокая распространенность ЛОРзаболеваний в детском возрасте, их отрицательное влияние на общее развитие и качество жизни ребенка, а также сохраняющаяся острая потребность в оперативном лечении обусловли вают необходимость исследования и внедрения рациональных, более безопасных и эффективных хирургических методик для достижения лучших результатов в короткие сроки и профилактики развития тяжелых осложнений. Показана актуальность симультанной риноотохирургии, проанализированы перспективы ее применения в детской практике. Отмечается важность совершенствования техник хирургических вмешательств в детском возрасте. Ключевые слова: симультанная риноотохирургия, хронический средний отит, патология верхних дыхательных путей.

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“…The goals of management of CSOM are twofold: disease eradication and closures of the tympanic membrane perforation. The treatment of CSOM could be nonsurgical, surgical, or combined modalities [ 10 , 11 ]. Tympanomastoidectomy should be considered in case of failure of medication or complicated CSOM [ 2 , 10 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Causes of Delayed Care Seeking for Chronic Suppurative Otitis Media at a Rwandan Tertiary Hospital

Nshimirimana

Mukara

2018

International Journal of Otolaryngology

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Background Chronic suppurative otitis media causes serious lifelong consequences when treatment is delayed. Early detection and effective treatment result in a good outcome and possible complications are thus avoided. The aim of this study was to determine the factors resulting in delayed care seeking for treatment of CSOM. Method and Patient The study was a cross-sectional survey conducted at a tertiary teaching hospital in Rwanda. A questionnaire was used to collect data of patients diagnosed with CSOM who attended ENT Department during the study period. We defined delayed care seeking as seeking treatment 6 months after onset of symptoms. Data was entered and analysed using SPSS 16.0. Result This study enrolled 109 patients, 97 (88.9%) of whom had delays in care seeking. Majority were young adults ranging between 21 and 30 years (39.2%) while 58.8% were rural residents. Fifty-eight patients (56.9%) of those with delayed presentation used traditional medicine. The main reason for delayed care seeking was low knowledge of CSOM reported by 88 (90.7%) patients. Conclusion This study shows that majority of patients with delayed care seeking are young adult patients. There is low knowledge concerning this disease and this significantly contributes to delayed care seeking.

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Chronic Otitis Media in Children

Abstract: The treatment of choice in most cases of pediatric COM is surgery. Figure 1 proposes a detailed and easy-to-follow evidence-based algorithm with regard to the diagnosis and management of COM in children.

Cited by 13 publications

References 50 publications

Do demographic disparities exist in the diagnosis and surgical management of otitis media?

Do demographic disparities exist in the diagnosis and surgical management of otitis media?

Simultaneous rhinootosurgery in adults and children

Causes of Delayed Care Seeking for Chronic Suppurative Otitis Media at a Rwandan Tertiary Hospital

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