Presentation
In this article, we present a 43-year-old male patient who presented with recurrent otitis media and mixed hearing loss that is the 12th case of IgG4-RD with middle and inner ear involvement. [archivesofrheumatology.org]
Abstract Performance-intensity functions for Pediatric Speech Intelligibility Test (PSI) word and sentence materials presented in competition were obtained for a set of identical female twins, aged 4 years, 2 months. [ncbi.nlm.nih.gov]
The present report indicated that OM/SIN are often the earliest signs of immunologic compromise. [nature.com]
Clinical presentation All the cases studied presented with ROM. Otalgia was the presenting symptom in 270 cases (90%) and high fever (>38.5°C) was elicited in 150 cases (50%). [ejo.eg.net]
Herein, we present a more unusual cause of CPAP intolerance related to recurrent otitis media. [academic.oup.com]
Entire Body System
- Increased Susceptibility to Infections
Deficiency of properdin is a rare X-linked condition characterized by increased susceptibility to infection with Neisseria meningitidis associated with a high mortality rate. We report properdin deficiency in a large Pakistani family. [ncbi.nlm.nih.gov]
Course
- Severe Clinical Course
Most importantly, it is concluded that recurrent otitis media has to be treated carefully following appropriate identification of the causing organism in order to prevent severe clinical courses of streptococcal infections. [ncbi.nlm.nih.gov]
Workup
One study described a relation between laryngopharyngeal reflux and chronic OM (COM); the authors concluded that reflux workup should be performed as part of COM investigations and that if reflux is confirmed, reflux treatment should be initiated in addition [emedicine.medscape.com]
X-Ray
- Atelectasis
The result is known as atelectasis, i.e. the tissues of the middle ear begin absorbing the air in the middle ear. Atelectasis leads to a displacement of the drum inward, i.e. a drum retraction. [veterans.gc.ca]
Non suppurative complications (long term) - atelectasis of the TM, cholesteatoma. [rch.org.au]
One of them, who had also presented with bilateral otorrhea for several years and had been diagnosed as having tympanic membrane atelectasis, became asymptomatic with omeprazol and soon after the drug was suspended, began to suppurate again. [scielo.br]
Serum
- Lymphopenia
Meanwhile, none of the patients had persistent neutropenia or lymphopenia to suggest other immunodeficiency diseases. [ejo.eg.net]
Treatment
Similarly, there was no statistically significant difference between the treatment groups at the second follow-up visit (about 30 days after start of treatment). [ncbi.nlm.nih.gov]
Prognosis
Long-term prognosis of acute otitis media in infancy: determinants of recurrent acute otitis media and persistent middle ear effusion. Family Practice 2006;23(1):40-45 (3) NICE (June 2008). [gpnotebook.co.uk]
[…] adequate treatment Tympanosclerosis Scarring of the tympanic membrane due to recurrent ear infections or otitis media with effusion May be asymptomatic or lead to conductive hearing loss White calcified plaques in the tympanic membrane seen on otoscopy Prognosis [amboss.com]
Long-term prognosis of acute otitis media in infancy: determinants of recurrent acute otitis media and persistent middle ear effusion. Fam Pract 2006 ; 23 : 40 -5. ↵ Burke P, Bain J, Robinson D, Dunleavey J. [bmj.com]
Etiology
Chronic suppurative otitis media Definition : persistent drainage from the middle ear through a perforated tympanic membrane lasting > 6–12 weeks Epidemiology : most common in children and adolescents > 15 years old Etiology : bacterial infection following [amboss.com]
Although much evidence suggests that allergies contribute to the pathogenesis of OM in older children, extensive evidence refutes the role of allergies in the etiology of middle ear disease. [emedicine.medscape.com]
The purpose of this study was to determine the etiology, the temporal occurrence of AOM during the follow-up period and the proportion of true bacteriologic relapses vs. new infections in children with clinical recurrence of AOM occurring within 3 to [medscape.com]
Antihistamines and decongestants are not recommended for children; oral or nasal decongestants may help adults, but antihistamines are reserved for adults with an allergic etiology. Click here for Patient Education [msdmanuals.com]
A full understanding of the etiologic factors for COM/ROM could be beneficial for the treatment and prevention of the disease. [journals.plos.org]
Epidemiology
Chronic suppurative otitis media Definition : persistent drainage from the middle ear through a perforated tympanic membrane lasting > 6–12 weeks Epidemiology : most common in children and adolescents > 15 years old Etiology : bacterial infection following [amboss.com]
Vaccines Have Changed the Epidemiology of Acute Otitis Media. Medscape Medical News. 2017 Aug 7. [Full Text]. Kaur R, Morris M, Pichichero ME. Epidemiology of Acute Otitis Media in the Postpneumococcal Conjugate Vaccine Era. Pediatrics. 2017 Aug 7. [medscape.com]
Furthermore, terms indicating risks, such as “risk factors”, “probability”, “odds ratio”, “risk assessment”, “causality”, “epidemiologic factors”, “epidemiology”, “epidemiologic studies”, “multivariate analysis”, “logistic models” and their entry terms [journals.plos.org]
Statistical methods in epidemiology. New York: Oxford University Press. Kavanagh, J. F. (Ed). (1986). Otitis media and child development., Parkton, MD: York Press. Kelso, J. A. S. (1995). [pubs.asha.org]
Pathophysiology
INTRODUCTION: The pathophysiology of obstructive sleep apnea (OSA) and recurrent otitis media (ROM) is intimately associated with the presence of adenotonsillar hypertrophy in children. [ncbi.nlm.nih.gov]
[…] the tympanic cavity in the absence of infection lasting for > 3 months Epidemiology : : observed particularly in toddlers after an episode of acute OM Etiology : incompletely understood, but primarily thought to be due to eustachian tube dysfunction Pathophysiology [amboss.com]
The pathophysiology of otitis media follows a few stages." Where do I get my information from: http://armandoh.org/resource Facebook: https://www.facebook.com/ArmandoHasud... [youtube.com]
By Welleschik [CC-BY-SA-3.0], via Wikimedia Commons Figure 3 – A cholesteatoma located in the attic, as seen on otoscopy Pathophysiology Many theories into their exact development exist, the most popular of which suggests during chronic otitis media, [teachmesurgery.com]
Antibiotic therapy The microbiological pathophysiology of AOM suggests that antibiotic therapy should be effective by treating any bacteria underlying the inflammation. [mja.com.au]
Prevention
In conclusion, L. salivarius PS7 is a promising strain for the prevention of rAOM in infants and children. [mdpi.com]
BACKGROUND: Tympanostomy with or without adenoidectomy is effective in preventing recurrences of acute otitis media (RAOM), but little is known about the effect of these operations on the quality of life (QOL). [ncbi.nlm.nih.gov]
The purpose of this study is to find out if young children have more benefit of the combination of adenotomy and tympanostomy than plain tympanostomy in prevention of recurrent otitis media. [clinicaltrials.gov]