Objectives: We evaluated the efficacy of CO2 laser myringotomy combined with adenoidectomy in children with serous otitis media (SOM) unresponsive to medical therapy and compared the recurrences in the follow-up period with the control group who underwent adenoidectomy and ventilation tube (VT) insertion. Patients and Methods: The CO2 laser myringotomy group included 25 children with a mean age...

Otitis media (OM), one of the commonest of childhood diseases, causes much suffering. OM exists in a variety of forms, two of which are acute otitis media (AOM) and otitis media with effusion (OME). The clinical courses of these conditions differ, AOM usually presenting with earache, fever and/or aural discharge, and the OME usually with hearing impairment. The tympanic membrane (TM) mirrors th...

A 44-year-old Chinese man with a history of nasopharyngeal carcinoma that was treated with radiotherapy presented with fluid in the middle ear. We performed a myringotomy and subsequently made a diagnosis of cerebrospinal fluid (CSF) leakage secondary to osteoradionecrosis of the temporal bone. To the best of our knowledge, this is only the second reported case of an otogenic CSF leak resulting...

In 16 infants with intractable diarrhoea, latent otomastoiditis was found in 9 (3 at necropsy and 6 at myringotomy-antrotomy). In 5 of the 6 operated group, surgery was followed by a striking cessation of the diarrhoea and with weight gain. It is concluded that (1) latent otomastoiditis may be a perpetuating factor in intractable diarrhoea; (2) myringotomy-antrotomy should be considered if othe...

In 16 infants with intractable diarrhoea, latent otomastoiditis was found in 9 (3 at necropsy and 6 at myringotomy-antrotomy). In 5 of the 6 operated group, surgery was followed by a striking cessation of the diarrhoea and with weight gain. It is concluded that (1) latent otomastoiditis may be a perpetuating factor in intractable diarrhoea; (2) myringotomy-antrotomy should be considered if othe...

Insertion of a PET is indicated for continuous middle ear aeration in patients with chronic otitis media with effusion (OME). It is estimated that some 27 million cases of otitis media occur each year and that 1,000,000 children undergo PET insertion each year, making this procedure the most frequently performed pediatric surgery requiring anesthesia. Nevertheless, since conventional PET requir...

OBJECTIVE To assess the ability to detect and characterize middle ear effusion in children using A-mode ultrasonography. DESIGN Prospective nonblinded comparison study. SETTING Tertiary children's hospital. PATIENTS Forty children (74 ears) scheduled to undergo bilateral myringotomy with pressure equalization tube placement. INTERVENTIONS Before myringotomy, ultrasound examination of th...

BACKGROUND AND OBJECTIVE: The near universality of otitis media with effusion (OME) in children makes a comparative review of treatment modalities important. This study’s objective was to compare the effectiveness of surgical strategies currently used for managing OME. METHODS: We identified 3 recent systematic reviews and searched 4 major electronic databases. Eligible studies included randomi...