OME is similar to other chronic inflammatory diseases with the additional fact that ventilation of the middle ear is an extremely important and necessary part of therapy. Antimicrobial therapy alone may not cure middle ear inflammatory disease as long as Eustachian tube dysfunction persists. If Eustachian tube dysfunction and middle ear fluid persists, all forms of immunologic reactivity may oc...

PURPOSE OF REVIEW Otitis media is the most common bacterial infection among children, accounting for as many as 30 million office visits annually. Proper treatment has become critical as offending pathogens become increasingly resistant to antibiotics and the cost of managing the disorder has exceeded 3 billion dollars per year. However, data suggest that many practitioners still struggle with ...

In this paper we present RTP/I, an application-layer protocol for the transmission of interactive media with real-time characteristics, i.e. media involving user interaction. By identifying and supporting the common aspects of interactive media RTP/I allows the development of generic services for distributed, collaborative work involving the transmission of interactive media. Derived from the e...

OBJECTIVE To determine the costs and effectiveness of treatment with ventilation tubes as compared with watchful waiting in children with persistent otitis media with effusion. DESIGN Randomized controlled trial. SETTING Institutional practice. PATIENTS A total of 187 young children (19 months old) with persistent bilateral otitis media with effusion. INTERVENTIONS Treatment with ventil...

OBJECTIVE The objective of the authors' study was to investigate the predictive value of the neutrophil-lymphocyte rate (NLR) and platelet-lymphocyte rate (PLR) in otitis media with effusion and the correlation of the effusion type with these ratios. STUDY DESIGN Retrospective case-control study. METHODS One hundred twenty-six pediatric patients diagnosed otitis media with chronic effusion ...