Functional tubal therapy for persistent otitis media with effusion in children: Myth or evidence?

Kouwen, H.; Balen, F.A.M. van; Dejonckere, P.H.O.

doi:10.1016/j.ijporl.2005.02.015

Cited by 12 publications

(4 citation statements)

References 58 publications

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“…It has been suggested that the development of OME is the result of improperly functioning barriers (mucociliary system, immune system, and Eustachian tube) conferring resistance to bacteria [ 13 ]. The pathogenesis of OME is related primarily to Eustachian tube dysfunction, including obstruction, abnormal patency, and non-optimally functioning ciliated epithelium [ 3 , 14 ]. These conditions can facilitate the aspiration of nasopharyngeal secretions containing pathogenic bacteria into the middle ear cavity, leading to the development of OME.…”

Section: Discussionmentioning

confidence: 99%

Detection of bacteria in middle ear effusions based on the presence of allergy: Does allergy augment bacterial infection in the middle ear?

Kim

Chang

et al. 2015

Journal of Otolaryngology - Head & Neck Surgery

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Background: Bacterial infection, Eustachian tube dysfunction, allergies, and immunologic factors are major causes of otitis media with effusion (OME). However, the exact pathogenesis of OME is still unclear. This study evaluated whether allergy influences bacterial growth in middle ear effusions. Materials: Fifty-four samples were obtained from OME patients 3-10 years of age who underwent ventilation tube insertion and were divided into two groups based on the presence of allergy as determined using the multiple allergosorbent test (MAST). Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis bacterial DNA in the middle ear effusions was analyzed using polymerase chain reaction. Overall detection rates and those for each species were compared between the two groups. Results: Of the 54 middle ear effusion samples, 38 (70.4 %) contained bacterial DNA and 14 (36.8 %) of these contained DNA from multiple species. S. pneumoniae was detected in 27 samples (50 %), H. influenzae in 17 samples (31.4 %), and M. catarrhalis in 9 samples (16.6 %). There was no significant difference in the bacterial detection rates between the middle ear effusions of the MAST-positive and MAST-negative groups. Conclusion: The rate of bacteria detection in middle ear effusions did not differ between allergic and non-allergic children.

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Section: Discussionmentioning

confidence: 99%

Detection of bacteria in middle ear effusions based on the presence of allergy: Does allergy augment bacterial infection in the middle ear?

Kim

Chang

et al. 2015

Journal of Otolaryngology - Head & Neck Surgery

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“…En effet, cette revue de la littérature intègre des documents de grade C malgré leur faible niveau de preuve scientifique. Les études de cas de Gersdorff et Cambier [18], de Kremer et Lederle [3], de Deggouj et Dejong-Estienne [10], de Jacobs [2], de Deblay [21], de Dejong-Estienne [22], de Tavernier et Chobaut [12], de Cecconello [23], de Lacroix [24], de Cazanave [25], de Barret et Petitdidier [26], l'étude pilote prospective randomisée avec groupe témoin de Kouwen [27], et l'étude contrôlée randomisée de Stangerup [20] tendent à montrer l'efficacité de la rééducation tubaire à court et à long termes. Ces auteurs précisent que les auto-insufflations sont très efficaces à court terme et que l'hygiène et le renforcement des muscles péritu-baires sont indispensables pour le maintien d'une perméabilité tubaire à long terme.…”

Section: Discussionunclassified

La rééducation tubaire. Étude bibliographique des possibilités de rééducation kinésithérapique pour améliorer l’ouverture des trompes d’Eustache à long terme chez les enfants et les adultes

Thiéry¹

2012

Kinésithérapie, la Revue

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“…7 Once the diagnosis of Otitis media is done then the patients is given treatment for at least 3 months including antibiotics, anti-histamines, mucolytics and nasal decongestants. 4,5,8 After the medical treatment if there is need then surgical options should be considered like myringotomy and ventilation tube insertion. Complications of ventilation tube insertion include tympanosclerosis, atelectasis, residual perforations and rarely cholesteatoma formation.…”

Section: Introductionmentioning

confidence: 99%

Complications and management of otitis media in children

Keshangari

Katakam

Pyadala

2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Otitis media is a main cause of hearing difficulty in children. The aim of this study was to determine the efficacy of medical treatment in the management of otitis media. Methods: This cross sectional study was conducted at the department of ENT, MNR Medical College and Hospital, during the period of February 2015 to March 2017. A total of 62 patients were included in this study and standard medical treatment of otitis media was given. All the data were recorded and analyzed. Results: Among 62 patients, 42 (67.7%) completely recovered from the disease while 20 patients (32.25%) did not improve. Conclusions: Conservative treatment is effective in the management of otitis media.

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Functional tubal therapy for persistent otitis media with effusion in children: Myth or evidence?

Cited by 12 publications

References 58 publications

Detection of bacteria in middle ear effusions based on the presence of allergy: Does allergy augment bacterial infection in the middle ear?

Detection of bacteria in middle ear effusions based on the presence of allergy: Does allergy augment bacterial infection in the middle ear?

La rééducation tubaire. Étude bibliographique des possibilités de rééducation kinésithérapique pour améliorer l’ouverture des trompes d’Eustache à long terme chez les enfants et les adultes

Complications and management of otitis media in children

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