The inner and middle ear are connected mainly through round and oval windows, and inflammation in the middle ear cavity can spread into the inner ear, which might induce a disturbance. In cases with intractable otitis media, attention should also be paid to symptoms related to the inner ear. In this paper, middle ear inflammation and related inner ear disturbances are reviewed with a focus on r...

Widespread use of antimicrobial drugs in the management of otitis media has significantly reduced the incidence of labyrinthitis nowadays. Cases of tympanogenic labyrinthitis following acute otitis media have rarely been reported in recent literature on otolaryngology. We report an unusual case of tympanogenic labyrinthitis that presented with sudden sensorineural hearing loss (SNHL) following ...

An international group of multidisciplinary experts on middle-ear and paediatric infections met to explore where consensus exists on the management of acute otitis media. After informal discussions among several specialists of paediatric infectious disease, the group was expanded to include a larger spectrum of professionals with complementary expertise in middle-ear disease. Acute otitis media...

OBJECTIVE To evaluate the efficacy of adenoidectomy compared with long term chemoprophylaxis and placebo in the prevention of recurrent acute otitis media in children aged between 10 months and 2 years. DESIGN Randomised, double blind, controlled trial. SETTING Oulu University Hospital, a tertiary centre in Finland. PARTICIPANTS 180 children aged 10 months to 2 years with recurrent acute ...

For questions concerning ON-LINE CEs, call (866) 261-3558. Childhood ear infections consist of acute otitis media (AOM), otitis media with effusion (OME), and otitis externa (OE). AOM and OME have been defined in a clinical practice guideline developed by the American Academy of Pediatrics (AAP) and American Academy of Family Physicians. In order to have a diagnosis of AOM, the patient must hav...

The most common middle ear diseases are otitis media with effusion (OME), acute otitis media (AOM) and chronic suppurative otitis media (CSOM)). Diagnosing middle ear disease is based mainly on inspection of the tympanic membrane (TM) and indirect measurements of the status of the middle ear. (Tables 1, 2; Figure 1) To improve diagnostic accuracy in general practice the important factors are as...

OBJECTIVES To demonstrate improvements in validated quality-of-life measures for otitis media and gastroesophageal reflux disease (GERD) and an objective score for pediatric reflux obtained by fiberoptic laryngoscopy after treatment with antireflux precautions and therapy in children diagnosed as having either recurrent acute otitis media or otitis media with effusion and GERD. DESIGN Prospec...

In the absence of any acute otological symptoms including pain and temperature, a middle ear effusion in association with hearing loss has been designated by various names, i.e. catarrhal otitis, exudation otitis, serous otitis, nonsuppurative otitis, glue ear, and currently the most fashionable terms, otitis media with effusion and secretory otitis media. A middle ear effusion without inflamma...

1. Preston D, Therasse D, Zeckel ML. Cefaclor and cefuroxime axetil in the treatment of otitis media—an alternative view [letter]. J Infect Dis 1998;178:1547–8 2. Dagan R, Abramson O, Leibovitz E, et al. Bacteriologic response to oral cephalosporins: are established susceptibility breakpoints appropriate in the case of acute otitis media? J Infect Dis 1997;176:1253–9. 3. Dagan R, Leibovitz E, G...

OBJECTIVE To determine the prevalence of otitis media with effusion in children younger than 1 year and its association with the season of the year, artificial feeding, environmental and perinatal factors. METHODS Retrospective study of 184 randomly included medical records from a total of 982 healthy infants evaluated for hearing screening tests. Diagnosis of otitis media with effusion was b...