Silent otitis media: Clinical applications

Paparella, Michael M.; Goycoolea, Marcos V.; Bassiouni, Mokhtar; Koutroupas, Steven

doi:10.1288/00005537-198609000-00008

Cited by 50 publications

(24 citation statements)

References 9 publications

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“…Histological sections of gerbil temporal bones and bullae are easier to prepare for histopathology studies, and the gerbil's middle ear ultrastructure, cell types, and cell-type distribution support its use as an animal model for human OM (Chole and Chiu, 1985). It is also worth noting that the course of the disease and its sequelae are quite similar in gerbils to those described by Friedman (1955aFriedman ( ,b, 1956Friedman ( ,1957 and Paparella et al (1980) for humans.While inherent dangers exist in making anatomical and physiological comparisons across species, we do believe that the distinctive biology of some individual species (e.g., the rat's small, underventilated MEC and horizontal ET) lends itself to a higher disease incidence. Conversely, we feel that the hypertrophied, well-ventilated and -drained MECs of the gerbil and chinchilla are related to their respective nonsusceptibility to OM (see Fig.…”

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confidence: 72%

Otitis media: A problem for the physical anthropologist

Daniel

Schmidt

Fulghum

et al. 1988

Am. J. Phys. Anthropol.

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Otitis media, common in children, can result in middle ear structure alteration and hearing loss, and, hence, in language development deficiency. Physical anthropologists are qualified to do innovative research into the causes of this costly disease, which have not yet been delineated. The prevalence of otitis media appears related to age, sex, ethnicity, and environment. Investigation is warranted in areas such as the measurement of variability in eustachian tube, middle ear cleft, and mastoid process anatomy and physiology; the epidemiology and genetic mechanism of otitis media; and the microbiology and immunology as well as pathological studies of cranial variation as it relates to otitis media.Otitis media (OM), one of the most common diseases of childhood, is the problem most frequently seen by pediatricians in the US. Nearly 10% of all pediatric patients are those with OM, and if pediatricians dealt with children during their first year of life only, the estimate would be as high as 50% (Van Cauwenberge, 1985). Acute OM, the presence of fluid in the middle ear, may be accompanied by signs and symptoms including pain, hearing loss, irritability, fever, and malaise. The infection duration can vary from days to months and may result in alteration of middle ear structures, hearing loss, language development deficiency, and increased susceptibility to recurrence. Without the use of antibiotics, the sequelae of chronic OM often include labyrinthitis, meningitis, mastoiditis, tympanic membrane rupture, and cholesteatoma. The younger the age at which OM first occurs, the greater the risk of recurrences (Paradise, 1980). The condition may persist for weeks or months, even after the clinical signs of acute otitis media have already resolved (Shurin et al., 1979).Hearing loss, following from the presence of fluid and/or negative pressure in the middle ear, is a serious complication of OM, and many infected children spend prolonged periods during their first years of life with impaired or fluctuating conductive hearing losses. Chronic OM may also cause a sensorineural hearing lossoften irreversible (Bess, 1983). Katz (1978) even suggested (but never demonstrated) that the central deprivation caused by the peripheral conductive and/or sensorineural loss produces a form of auditory deprivation that can lead to anatomical and physiological changes in the brainstem and higher cortical areas.Of special concern are children who have OM from birth (Pestalozza, 1984) to age 3 years, a particularly common time of occurrence, as this period is critical for language acquisition (Lenneberg, 1967). Children with histories of OM during the first 3 years of life frequently have disturbances in auditory processing, an inconsistent auditory signal making the stream of speech difficult to segment. This difficulty creates confusion in the child's attempts to abstract word meanings and grammatical regularities (Berko-Gleason, 1983). Furthermore, the child's irritability, malaise, 0 1988 Alan R. Liss, Inc. [Vol. 31, 1988 and dec...

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confidence: 72%

Otitis media: A problem for the physical anthropologist

Daniel

Schmidt

Fulghum

et al. 1988

Am. J. Phys. Anthropol.

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“…This was supported by the studies of Dumich et al 10 , which states that size of tympanic membrane perforation have an adverse effect on bone conduction threshold. These results can be explained on the basis of work of Paparella et al 4 , on the role of round window in the development of SNHL in CSOM.…”

Section: Percentagementioning

confidence: 62%

“…In a study by Kaur et al 3 , the incidence of SNHL was found to be 13.64% when the duration of disease was <5 years and progressively close to 33.33% when the duration of disease was > 26 years. Paparella et al 4 , have also noted increasing duration of the disease in their studies. However in studies by Levine et al 6 , no consistent relationship was found between the amount of relative SNHL and symptoms duration.…”

Section: Percentagementioning

confidence: 82%

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A Study of Sensorineural Hearing Loss (SNHL) in Patients with Chronic Suppurative Otitis Media (CSOM) Coming to Otorhinolaryngology (ENT) Out-Patient Department

Ingale¹

2018

jmscr

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“…Paparella et al [9] studied 111 infant ears; 54 of these showed histological evidence of otitis media. Of these, 20 cases presented with clinical manifestations, while 34 did not and were identified as silent otitis media.…”

mentioning

confidence: 99%

Chronic Silent Otitis media

Paparella

Schachern

Cüreoğlu

2002

ORL

Self Cite

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Otitis media occurs along a continuum. For example, otitis media with effusion characterized by fluid pathology can lead to chronic otitis media plus chronic mastoiditis, characterized by the presence of intractable tissue pathology such as cholesteatoma, cholesterol granuloma or granulation tissue. The literature defines chronic otitis media as having a tympanic membrane perforation and otorrhea. Amongst many other sequelae, which can result from the continuum, an important common one is chronic silent otitis media. This overlooked entity which includes pathology beneath an intact tympanic membrane is commonly seen in our human temporal bone laboratory and in patients. The clinical pathological correlates of this important disease are discussed herein.

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Silent otitis media: Clinical applications

Cited by 50 publications

References 9 publications

Otitis media: A problem for the physical anthropologist

Otitis media: A problem for the physical anthropologist

A Study of Sensorineural Hearing Loss (SNHL) in Patients with Chronic Suppurative Otitis Media (CSOM) Coming to Otorhinolaryngology (ENT) Out-Patient Department

Chronic Silent Otitis media

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