QUESTION Otitis media is a very common condition in pediatrics and can be quite distressing for children and their parents. Is there a role for antihistamines and decongestants in the management of acute otitis media orotitis media with effusion in children? ANSWER Traditionally, antihistamines and decongestants have been used in the treatment of otitis media;however, recent guidelines, which...

The feasibility of virtual otoscopy (VO) imaging was evaluated in five dogs with experimentally induced otitis media, two control dogs, and two canine patients with otitis media. VO images of the tympanic cavity and ossicles were generated with commercially available software using raw computed tomography (CT) data. Eight out of 10 ears inoculated with pathogen exhibited obvious clinical signs ...

Human immunodeficiency virus (HIV) infection continues to be a vexing problem in the pediatric population. Otitis media, a common entity in immunocompetent as well as immunocompromised children, is prevalent in pediatric patients with HIV infection. Recurrent infections and complications secondary to otitis media are also common in this population. The purpose of this review was to evaluate the...

OBJECTIVES To test the effect of adenoidectomy in connection with tympanostomy compared with tympanostomy only in preventing otitis media in children younger than 2 years. DESIGN Prospective trial with randomized and nonrandomized arms. SETTING Primary care study clinics. PARTICIPANTS AND INTERVENTIONS The study participants were selected from 2497 children who had been enrolled in the Fi...

OBJECTIVE To evaluate the therapeutic effects in terms of disease clearance and hearing improvement of canal wall up mastoidectomy in combination with Type I tympanoplasty in otitis media. METHODS A total of 78 patients (81 ears) with otitis media were treated by canal wall up mastoidectomy in combination with Type I tympanoplasty. The postoperative tympanic membrane morphology, average of pu...

The aim of the present study was to determine the sensitivity pattern of clinical isolates of otitis media. During the last few decades, the occurrence of otitis media seems to have been rising probably because of prevalence of multidrug-resistant Pseudomonas aeruginosa and β-lactamase producing Staphylococcus aureus in the pathogenesis of otitis media. Pseudomonas aeruginosa and Staphylococcus...

OBJECTIVE To describe a relatively unknown clinical entity - inflammatory cast of the tympanic membrane after acute otitis media - and its simple out-patient treatment. STUDY DESIGN Retrospective review of case series. SETTING Subspecialty practice at a tertiary hospital. PATIENTS Seven patients diagnosed previously with acute otitis media with perforation or otitis externa, and with pers...

objectives: the aim of this study was to compare the otitis media with effusion (ome) groups that improved when treated with adenoidectomy and ventilation tube (vt), to the group of the recurred after surgery and detect the possible role of allergy in ome. material and methods: this study was performed on two groups. the patient group consisted of 38 patients with recurrent ome with allergy an...

this study evaluated the histopathologic changes in the round window niche. , and membrane in cases of chronic suppurative otitis media. the pathologic process was found in all subjects. fibrocystic or fibrous tissue was most commonly seen, while active granulation was less developed. the round window membrane was thicker and inflamed throughout its layers. inflammatory invasion of the inner ea...

introduction: chronic suppurative otitis media (csom) is considered one of the most common causes of acquired hearing impairment in developing countries. csom is a multifactorial persistent inflammatory disease of the middle ear. a distinct pathophysiologic mechanism linking allergic rhinitis (ar) and csom remains to evolve. the purpose of this study was to investigate the association between a...