By Cuneyt Alper MD, Charles Bluestone MD, Margaretha Casselbrant, Joseph Dohar MD, Ellen Mandel MD
Complicated treatment of Otitis Media presents solutions to scientific care questions from the most typical difficulties to infrequent problems and sequelae of otitis media. The booklet objectives clinicians who look after sufferers with various otolaryngological shows each day. each one bankruptcy within the publication makes a speciality of an method of a selected scientific subject; diagnostic approach; healing procedure; problem comparable query; or controversy. The chapters describe the topic, occurrence, value, etiology/pathogenesis, and administration strategies.
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Brody R, Rosenfeld RM, Goldsmith AJ, Madell JR. Parents cannot detect mild hearing loss in children. First place—Resident Clinical Science Award 1998. Otolaryngol Head Neck Surg 1999;121:681–6. Brookhouser PE. Use of tympanometry in office practice for diagnosis of otitis media. Pediatr Infect Dis J 1998;17:544–51. Heikkinen T, Ruuskanen O. Signs and symptoms predicting acute otitis media. Arch Pediatr Adolesc Med 1995;149:26–9. Jerger J. Clinical experience with impedance audiometry. Arch Otolaryngol 1970;92:311–24 Kaleida PH.
The reliability of tympanometry in the detection of MEE using myringotomy as a reference has been assessed in numerous studies but mainly in children with OME and those who are referred for tympanostomy tube placement (Brookhouser, 1998). It is widely accepted that a type A curve predicts the absence of MEE, and in the few cases in which myringotomy has revealed MEE, the amount has been subtle (Koivunen et al, 1997). The sensitivity and specificity of a type B curve vary between 60 and 90%, being higher in OME than in AOM populations.
Daly K. Definition and epidemiology of otitis media with effusion. In: Roberts JE, Wallace I, Henderson F, editors. Otitis media, language, and learning in young children. Baltimore: Paul H. Brookes; 1997. p. 3–41. Daly KA, Hunter LL, Giebink GS. Chronic otitis media with effusion. Pediatr Rev 1999;20:85–94. Eskola J, Kilpi T, Palmu A, et al. Efficacy of a pneumococcal conjugate vaccine against otitis media. N Engl J Med 2001;344:403–9. Freid VM, Mukuc DM, Rooks RN. Ambulatory health care visits by children: principal diagnosis and place of visit.