The Experts below are selected from a list of 240 Experts worldwide ranked by ideXlab platform

Moacyr Saffer - One of the best experts on this subject based on the ideXlab platform.

  • Otoscopy and tympanometry in the diagnosis of Secretory Otitis Media
    Jornal de Pediatria, 1998
    Co-Authors: Guilherme L S Franche, Leticia M V Tabajara, Jaime L F Arrarte, Moacyr Saffer
    Abstract:

    OBJECTIVE: To study the sensitivity and specificity of otoscopy and tympanometry in the diagnosis of Secretory Otitis Media. METHODS: A prospective study was performed in 98 children (196 ears) with indication of myringotomy with placement of tympanostomy tube because of the diagnosis of Secretory Otitis Media. All these patients had conductive hearing loss and/or delay of speech and/or low school performance. To evaluate the diagnostic power of the tests, both otoscopy and tympanometry were performed. Myringotomy was established as the gold-standard. The statistical analysis was done using the chi-square test, being significant a p

  • otoscopy and tympanometry in the diagnosis of Secretory Otitis Media
    Jornal De Pediatria, 1998
    Co-Authors: Guilherme L S Franche, Leticia M V Tabajara, Jaime L F Arrarte, Moacyr Saffer
    Abstract:

    OBJECTIVE: To study the sensitivity and specificity of otoscopy and tympanometry in the diagnosis of Secretory Otitis Media. METHODS: A prospective study was performed in 98 children (196 ears) with indication of myringotomy with placement of tympanostomy tube because of the diagnosis of Secretory Otitis Media. All these patients had conductive hearing loss and/or delay of speech and/or low school performance. To evaluate the diagnostic power of the tests, both otoscopy and tympanometry were performed. Myringotomy was established as the gold-standard. The statistical analysis was done using the chi-square test, being significant a p<0.05.RESULTS: The mean age of the patients was 6.02 years (sd: 2.93 years). The otoscopy presented sensitivity of 87.5% and specificity of 61.1% and the tympanometry presented sensitivity of 93.75% and specificity of 72.2%. CONCLUSIONS: There was no statistically significant difference in sensitivity between otoscopy and tympanometry for the diagnosis of Secretory Otitis Media, however, tympanometry was significantly more specific than otoscopy (p< 0.01).

  • chronic Secretory Otitis Media negative bacteriology
    Acta Oto-laryngologica, 1996
    Co-Authors: Moacyr Saffer, Jose Faibes Lubianca Neto, Otavio Bejzman Piltcher, Victor F Petrillo
    Abstract:

    Saffer M, Neto JFL, Piltcher OB, Petrillo VF. Chronic Secretory Otitis Media: negative bacteriology. Acta Otolaryngol (Stockh) 1996; 116: 836-839.There is disagreement on the role of bacteria in the genesis and maintenance of chronic Secretory Otitis Media (CSOM). Extensive studies from other countries report up to 40% of middle ear cultures with bacterial growth. For the present study, material was collected from 94 ears of children with both clinical and tympanometric diagnoses of CSOM. the samples were sent for bacteriological analysis, in there it was stained according to Gram's method and put into growing Media: MacConkey (for gram-negative bacteria) and blood agar (for gram-positive bacteria) for 24 h, at 37°C. If germs were identified by Gram's method, antibiograms would be carried out as well, with the Mueller Hington medium. No cultures were made for anaerobes. Only one ear had grown bacteria (Staphylococcus epidermidis), which was deemed contamination. No other ear studied bore bacteria. the pos...

Bülent Topuz - One of the best experts on this subject based on the ideXlab platform.

  • Importance of mastoid pneumatization on Secretory Otitis Media.
    International journal of pediatric otorhinolaryngology, 1997
    Co-Authors: Ismet Bayramoǧlu, Fazıl Necdet Ardiç, Cüneyt Orhan Kara, Mehmet Ziya Özüer, Orhan Katircioǧlu, Bülent Topuz
    Abstract:

    Secretory Otitis Media is the most common middle ear disease of childhood. It heals spontaneously, by medical therapy or by minor surgical procedures in most of the cases. Sequelae such as retraction pockets and adhesive Otitis that lead to cholesteatoma rarely occur, but initially it is hard to diagnose which patient will acquire a sequela. It is well known that mastoid pneumatization is poor in the patients who had complications like retraction pocket, adhesive Otitis and cholesterol granuloma. The aim of this study was to determine if any relationship exists between mastoid pneumatization and Secretory Otitis Media. Lateral mastoid X-rays of 47 children with Secretory Otitis Media were evaluated. After 2 months of follow-up with medical therapy, 30 of the 47 patients needed ventilation tube insertion. The remaining 17 patients showed total recovery with medicines only. Control X-rays of the operated patients were taken 6 months after the operation. Mastoid pneumatizations of patients healed with medicine were compared with the operated patients. There were statistically significant differences between the mastoid pneumatizations of surgically and medically treated groups. In addition we observed a statistically significant difference between the mastoid areas of the preoperative and the postoperative X-rays. We concluded that mastoid pneumatization might be considered as a prognostic indicator in Secretory Otitis Media. The estimated prognosis is poor when the mastoid pneumatization is poor.

Leonidas S. Manolidis - One of the best experts on this subject based on the ideXlab platform.

Sven-eric Stangerup - One of the best experts on this subject based on the ideXlab platform.

  • Autoinflation as a Treatment of Secretory Otitis Media: A Randomized Controlled Study
    Archives of otolaryngology--head & neck surgery, 1992
    Co-Authors: Sven-eric Stangerup, Jørgen Sederberg-olsen, V. Balle
    Abstract:

    This study was undertaken to evaluate the effect of a new method of autoinflation as an alternative treatment of Secretory Otitis Media. Up to 80% of all children experience one or more episodes of eustachian tube dysfunction and Secretory Otitis Media before school age. Common treatment of this condition is insertion of a ventilation tube in the tympanic membrane. Because of the very high incidence of Secretory Otitis Media in childhood, insertion of ventilation tubes is the most frequently performed operation under general anesthesia in children. In addition to possible anesthetic complications, insertion of ventilation tubes may be associated with purulent suppuration, pathologic findings in the eardrum, and hearing impairment. One hundred children were consecutively randomized to undergo either autoinflation, using a new device, or placed in a control group. The children were between 3 and 10 years of age and were entered into the study after having had Secretory Otitis Media for at least 3 months, as verified by tympanometric findings. Tympanometry was repeated at 2 weeks and at 1, 2, and 3 months after the children were entered into the study. After 2 weeks of autoinflation, the tympanometric conditions were improved in 64% of ears, unchanged in 34%, and deteriorated in the remaining 2%. In the control group, tympanometric findings were improved in 15% of ears, unchanged in 71%, and deteriorated in the remaining 14%.

  • Treatment with the Otovent device in tubal dysfunction and Secretory Otitis Media in children
    Ugeskrift for laeger, 1991
    Co-Authors: Sven-eric Stangerup, J Sederberg-olsen, V H Balle
    Abstract:

    In the present study, the effect of Otovent was evaluated in the treatment of Secretory Otitis Media. One hundred children aged three to ten years, suffering from tubal dysfunction and Secretory Otitis Media were randomized to either two weeks autoinflation, using Otovent, or randomized to a control group. Tympanometry was performed on admission and either observation or Otovent treatment for two weeks. After two weeks of autoinflation, tympanometry was improved in 65%, unchanged in 33% and deteriorated in 2% of the ears. In the control group, the middle ear pressure was improved in 15%, unchanged in 71% and deteriorated in 14% of the ears. We conclude that Otovent could be the first choice as the treatment of tubal dysfunction and Secretory Otitis Media.

Elżbieta Hassmann-poznańska - One of the best experts on this subject based on the ideXlab platform.

  • Incidence of coexisting sensorineural hearing loss and Secretory Otitis Media
    Otolaryngologia polska = The Polish otolaryngology, 2002
    Co-Authors: Bożena Skotnicka, Małgorzata Maria Topolska, Elżbieta Hassmann-poznańska
    Abstract:

    There are currently no standard guidelines for assessing hearing in children who are evaluated for tympanostomy tubes. We describe the results of audiologic testing on 587 children, age 2 months to 17 years admitted to Pediatric Otolaryngology Department Bialystok for treatment of Secretory Otitis Media. Ten children (1.7%) were found to have previously unrecognized sensorineural hearing loss. In four cases total unilateral deafness, in six others moderate to severe sensorineural bilateral hearing loss was diagnosed. Three other children referred to our clinic as sensorineural hearing loss were found to have Secretory Otitis Media as the only or coexisting cause of deafness. Results of our study show the importance of age--appropriate hearing assessment as part of diagnostic procedure for Secretory Otitis Media.