Screening Tympanometry During the First Year of Life

Tos, Mirko; Poulsen, G.; Hancke, A. B.

doi:10.3109/00016487909137183

Cited by 62 publications

(20 citation statements)

References 11 publications

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“…In children aged from 6 months to 1 year the prevalence of SOM was 60-70%, during summer it decreased to 40-50%. In 3-to 6-year-old children the prevalence of SOM was about 20% [2], In another investigation 151 newborn children showed no signs of SOM; 6 months later 1 % of the children had SOM, and after 1 year 13% [3].…”

Section: Introductionmentioning

confidence: 99%

A Prospective Epidemiological Investigation of Secretory Otitis media and Tubal Dysfunction in Children Attending Day-Care Centers

Birch¹,

Iversen²,

Elbrønd³

et al. 1984

ORL

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The present investigation included 373 children aged 9 months to 7 years, cared for in nine kindergartens and one nursery home. Serial tympanometries were carried out at 2-week intervals. A Madsen Electronics ZS 330 tympanoscope was used for the measurements. To identify A, C₁, C₂ and B tympanograms, middle ear pressure, compliance and stapedial reflex were measured. After correction for age and other factors which could influence the prevalence of B and C₂ tympanograms (number of siblings and parental smoking, which was included in an investigation of the indoor environment of the same children), no significant difference was found in the prevalence of these types of tympanograms, even though the number of children attending the different day-care centers ranged from 19 to 72. No significant difference was found in the prevalence of the A, C₁, C₂ and B tympanograms between right and left ears, but there was a significant difference in the prevalence of the A tympanograms in boys and girls, but not in C₁, C₂ and B tympanograms. The maximum prevalence of B tympanograms was found in 1 -year-old children, decreasing to the age of 7 years.

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Section: Introductionmentioning

confidence: 99%

A Prospective Epidemiological Investigation of Secretory Otitis media and Tubal Dysfunction in Children Attending Day-Care Centers

Birch¹,

Iversen²,

Elbrønd³

et al. 1984

ORL

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“…In a prospective epidemiological study Fiellau-Nikolajsen and Lous [9] found no differ ence in the incidence according to sex in 3-year-old children, but stated that the girls are more likely to recover without long-lasting SOM. In children below 12 months Tos et al [10] have found that boys more often have SOM, but in 2-year-old children there were no differences [11]. Gardner et al [12] re ported that girls have a significantly larger number of rhinovirus infections, whereas the adenovirus infections are evenly distributed.…”

Section: Discussionmentioning

confidence: 99%

A Prospective Epidemiological Study of Secretory Otitis media in Young Children Related to the Indoor Environment

Birch

Elbrønd²

1987

ORL

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To assess the influence of housing upon the middle ear status in young children in the form of secretory otitis media (SOM), 210 children not looked after in kindergarten or municipal day-care were investigated. Tympanometry was performed 6 times at 2-week intervals, and the parents filled in a questionnaire concerning housing conditions. In addition to the number of times the children had suffered from SOM, we evaluated long-lasting cases, and the frequency of common colds. Age affected all 3 parameters and sex 1, the boys having a larger number of long-lasting episodes. As to housing factors, the type of housing was of importance, children living in flats being most apt to get SOM, and children on farms least, but this difference disappeared after a regression analysis. Both major and minor airing resulted in fewer cases of SOM than did average airing. Children with a history of allergy (but not of allergic rhinitis) caught colds more often than others.

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“…Esses resultados concordam com os de vários outros trabalhos [17][18][19][20][21][22][23][24][25][26][27][28][29][30] . As pesquisas de Fiellau-Nikolajsen mostraram que a remissão espontânea da OMCS é menos provável quando não ocorrer dentro dos primeiros três meses de instalação da doença; passado este período, poderia ser necessária alguma intervenção.…”

Section: J Pediatr (Rio J) 2000; 76(6)unclassified

Otitis media with effusion: expectant management

Saffer¹,

Silva²,

Peduzzi³

et al. 2000

J Pediatr (Rio J)

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Objective: Despite the fact that chronic otitis media with effusion (OME) is an entity with a high prevalence among children, the real effectiveness of most treatments in use nowadays has not been completely established. Based on its natural course, we defend an expectant management as the initial treatment.Methods: We undertook a review of the available data taking into consideration the natural history, epidemiology and therapeutic options for OME. We looked for a guideline concerning the best treatment for OME in children.Results: The treatment of OME still remains controversial, in spite of many therapeutic options. In children, the best management still seems to be the observation, probably for a period of three to six months. However, interventionist treatment should be done earlier on those patients considered as high risk or in which a problem happened with their development, due to hearing loss secondary to OME.Conclusions: The understanding of the several factors involved in the pathogenesis of OME, as well as of the features in its evolutive course, encourage the idea of a conservative expectant approach at first or up to the moment in which an interventionist approach (clinical or surgical) is justified.J. pediatr. (Rio J.). 2000; 76(6): 407-412: otitis media with effusion, loss of hearing, treatment. ResumoObjetivos: Apesar de a otite média crônica secretora (OMCS) ser uma entidade prevalente em crianças, a real validade dos tratamentos em uso não está bem estabelecida. Baseados no curso natural da OMCS, avalizamos uma conduta expectante no seu tratamento inicial.Métodos: Foi realizada uma revisão da literatura, abrangendo o diagnóstico, a história natural, a epidemiologia e as opções terapêu-ticas da OMCS, em busca de um consenso sobre o tratamento mais adeqüado da OMCS em crianças.Resultados: O tratamento da OMCS ainda permanece controverso apesar de existir uma série de opções terapêuticas. Em crianças a melhor conduta inicial parece ser a observação do quadro por um período de três a seis meses. Todavia condutas intervencionistas devem ser antecipadas naqueles considerados pacientes de alto risco com alterações tímpano-ossiculares ou nos quais se estabeleceu um comprometimento no seu desenvolvimento, motivado pela hipoacusia decorrente da OMCS.Conclusões: A compreensão dos diversos fatores envolvidos na gênese da OMCS, bem como de particularidades sobre o seu curso evolutivo, fortalecem a idéia de uma conduta expectante, conservadora em um primeiro momento, ou até que se estabeleça uma justificativa convincente para uma intervenção clínica ou cirúrgica.

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Screening Tympanometry During the First Year of Life

Cited by 62 publications

References 11 publications

A Prospective Epidemiological Investigation of Secretory Otitis media and Tubal Dysfunction in Children Attending Day-Care Centers

A Prospective Epidemiological Investigation of Secretory Otitis media and Tubal Dysfunction in Children Attending Day-Care Centers

A Prospective Epidemiological Study of Secretory Otitis media in Young Children Related to the Indoor Environment

Otitis media with effusion: expectant management

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