Glue ear surgery

Glue ear surgery.

Black and Hutchings present an intriguing account of the rise and fall of glue ear surgery in two English regions. 1 They speculate that the acceleration of the decline from 1992 may have been due to the Effective Health Care bulletin on glue ear, helped by five " contextual features ". One of these was the concurrent structural change to the NHS arising from the introduction of healthcare comm...

Reduction in the use of surgery for glue ear: did national guidelines have an impact?

BACKGROUND It is widely accepted that the passive dissemination of national clinical guidance has little or no impact on practice. OBJECTIVE To assess the impact in England of an Effective Health Care bulletin on childhood surgery for glue ear issued in 1992 and to understand the reasons for any change (or lack of change) in practice that ensued. METHOD Time series analysis of the rate of u...

Using tympanometry to detect glue ear in general practice.

Autoinflation: an effective nondrug intervention for glue ear.

Reflux of gastric juice and glue ear in children.

Otitis media with effusion (glue ear) is the most frequent cause of deafness in children. We investigated the role of gastric juice reflux in this disease. We measured pepsin concentrations in middle ear effusions from children using ELISA and enzyme activity assays. 45 (83%) of 54 effusions contained pepsin/pepsinogen at concentrations of up to 1000-fold greater than those in serum. Our data s...