OBJECTIVE Myringotomy with insertion of pressure equalization tubes has proven to be extremely effective in treating persistent serous otitis media (SOM). This study compares the advantages and disadvantages of this procedure when performed in the operating room or with a laser in an office setting. PATIENTS AND METHODS Patients selected either traditional myringotomy and tube (M & T; n = 29)...

A massive bleeding from the right ear, the nose and from the mouth occurred in a 46-year-old female after ambulatory myringotomy was performed in order to treat symptoms mimicking a persisting middle ear effusion with conductive hearing loss. The patient was directly admitted to our intensive care unit. The bleeding continued until the blood pressure was lowered to normal and the patient was po...

INTRODUCTION The ethiopathogenesis of tympanosclerosis has not been completely under- stood yet. Recent studies have shown that free oxygen radicals are important in the formation of tympanosclerosis. Melatonin and Vitamin C are known to be a powerful antioxidant, interacts directly with Reactive Oxygen Species and controls free radical-mediated tissue damage. OBJECTIVE To demonstrate the pos...

P eustachian tube (pET) is a rare but disabling condition in which the cartilaginous portion of the ET is open at rest. Normally, the tube valve remains closed, opening transiently during swallow and yawn. Patients with pET describe autophony, aural fullness, and hearing one’s own physiological sounds such as swallowing and respiration. Imbalance can also occur along with these other symptoms. ...

BACKGROUND Postirradiation otitis media with effusion (OME) is the most common radiotherapy-associated otologic complication associated with nasopharyngeal carcinoma (NPC). This study's aim was to evaluate the efficacy of laser myringotomy followed by intratympanic steroid injection (LMIS) for treating OME in postirradiated NPC patients. METHODS From August 2002 to January 2006, 27 newly diag...

OBJECTIVES/HYPOTHESIS Ventilation of the chronically inflamed middle ear is a key outcome in functional middle ear surgery. Grommets eliminate middle ear effusion, but there is also evidence that they downregulate inflammation. The reason for this is not understood, but there is little to suggest alteration in eustachian tube ventilatory capacity. Previous work has shown that the Junbo mouse mo...

INTRODUCTION Acute otitis media (AOM) is a common reason for primary care visits in children. Yet, there is considerable debate on the most effective treatment. METHODS AND OUTCOMES We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of treatments (analgesics, antibiotics, and myringotomy) in children with AOM? We searched: Medline, Emba...

BACKGROUND AND OBJECTIVES To evaluate the relationship between age and anesthesia method used for tympanostomy tube insertion (TTI) and to provide evidence to guide the selection of an appropriate anesthesia method in children. SUBJECTS AND METHODS We performed a retrospective review of children under 15 years of age who underwent tympanostomy tube insertion (n=159) or myringotomy alone (n=17...

Objectives. Detection of extraesophageal reflux (EER) in children with chronic otitis media with effusion (OME) using three different diagnostic methods. Methods. Children between 1 and 7 years with OME who underwent adenoidectomy and myringotomy with insertion of a ventilation tube were included in this prospective study. EER was detected using three methods: oropharyngeal pH was monitored for...

INTRODUCTION To study the long-term complications of tympanostomy tube insertion in young children 10 years after surgery. MATERIALS AND METHODS In September 2011, the medical records of all patients who had undergone myringotomy with tympanostomy tube insertion between February 2000 and March 2001 at the two general hospitals of Isfahan University of Medical Sciences were studied. Of the 98 ...