Tympanometry in Two-Year-Old Children

Tos, Mirko; Poulsen, G.; Borch, Jesper

doi:10.1159/000275407

Cited by 25 publications

(6 citation statements)

References 8 publications

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“…She found no difference between family day-care and home care, although her study was carried out during the winter when the difference between these two groups of the present material was most marked (table IV). Tos et al (1978a) demonstrated that 2-year-old children in public nursery showed significantly poorer results in tympanometric screening during the months November and December and that children in family day-care had a higher prevalence of abnormal tympanograms than children cared for in their own homes. Thus, our Finding of the highest prevalence of secretory otitis and tubal dysfunction in 3-year old day-care centre children was not unexpected.…”

Section: Discussionmentioning

confidence: 99%

“…Recent research has disclosed an extremely high frequency of middle ear effusions among otherwise healthy 2-and 3-year-olds (Fiellau-Nikolajsen et al, 1977;Tos et al, 1978a) throughout the year (Fiellau-Nikolajsen, 1978). How ever, the practical implications of these findings have not yet been elucidated, and prior to systematic tracing or prophylactic efforts, the epidemiological aspects have to be clarified in detail.…”

Section: Introductionmentioning

confidence: 99%

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Tympanometry in 3-Year-Old Children

Fiellau-Nikolajsen¹

1979

ORL

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A total of 938 healthy 3-year-old children, divided into two unselected cohorts within the same geographic area, had tympanometric screening and re-screening. The results were assessed according to the parameters: season and the way the children were cared for. In all tests children in day-care centres had the highest prevalence of secretory otitis and tubal dysfunction due rather to an excess of long courses of illness than of an increased incidence. Regardless of the season, 8–13% of all children in day-care centres exhibited persistent secretory otitis through 6 months as compared with 2–4% of children not attending day-care centres. The lowest morbidity rate and the shortest course was found in children cared for at home whose tympanometric results were also to a marked extent independent of the season. Children in family day-care had results which in summer corresponded to those in children cared for at home and in winter approximately to those in the day-care centres. The theoretical and practical implications of the findings are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Tympanometry in 3-Year-Old Children

Fiellau-Nikolajsen¹

1979

ORL

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“…The economic factor did not appear to be important in studies carried out in Denmark [9] and in Israel, where the incidence of otitis was compared for ethnic groups of widely differing socio-economic levels [10], al though in the Caribbean countries a correla tion between income per capita and otitis has been observed [11].…”

Section: Discussionmentioning

confidence: 99%

Climatic and Racial Factors Related to the Aetiology of Secretory Otitis media

Nieto¹,

Calvo²,

García³

1984

ORL

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This paper studied the incidence of secretory and chronic otitis among a random group of 5,950 children, aged from 4 to 9, coming from four different climatic regions of Spain, and including a group of Gypsy children. Each of the children was given a questionnaire regarding socio-economic and environmental situation and pathological antecedents; the results for sick and normal children were then statistically analysed. The most significant aetiological factors to emerge were: low economic level, prior respiratory infection, climatic conditions, cases of rhinosinusitis and acute otitis, and family history. Among Gypsy children a much greater incidence was observed, due not to racial origin but to the greater incidence of the factors cited above.

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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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Tympanometry in Two-Year-Old Children

Cited by 25 publications

References 8 publications

Tympanometry in 3-Year-Old Children

Tympanometry in 3-Year-Old Children

Climatic and Racial Factors Related to the Aetiology of Secretory Otitis media

Otitis media with effusion: expectant management

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