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Mastoid Pneumatization: Evidence of the Environmental Theory

Mastoid Pneumatization: Evidence of the Environmental Theory Abstract • Forty-one randomized, otherwise healthy children with tympanometry were observed from birth until the age of 6 years. At a total of 13 trials, tympanometry and otoscopy were performed. The tympanometric profile was correlated to the size of the mastoid air cell system, as determined by planimetric measurement of roentgenograms taken at age 6 years. There was a notable correlation between the size of the cell system and the tympanometric profile. Thus, the least affected ears with mostly normal or slightly abnormal tympanometry had considerably larger cell systems than the most affected ears with secretory otitis and tubal dysfunction. The findings support the environmental theory of pneumatization. (Arch Otolaryngol 1984;110:502-507) References 1. Diamant M: Otitis and Pneumatization of the mastoid bone . Lund, Sweden, Hakon Olsons Boktryckeri, 1940, pp 1-149. 2. Ueda T, Eguchi S: Distribution of pneumatization of the temporal bone in chronic otitis media seen during the age of antibiotic therapy . Nippon Jibiinkoka Gakkai Kaiho 1962;64:1539-1542.Crossref 3. Shulter-Ellis F: Population differences in cellularity of the mastoid process . Acta Otolaryngol 1979;87:461-465.Crossref 4. Sade J, Hadas E: Prognostic evaluation of secretory otitis media as a function of mastoidal pneumatization . Arch Otorhinolaryngol 1979; 225:39-44.Crossref 5. Wittmaack K: Über die normale und pathologische Pneumatisation des Schläfenbeins entschliesslich ihrer Beziehungen su der Mittelohrkrankungen . Jena, East Germany, Fischer, 1918, pp 1-64. 6. Tumarkin A: On the nature and significance of hypocellularity of the mastoid . J Laryngol Otol 1959;73:34-44.Crossref 7. Gans H, Wlodyka J: Mastoid pneumatization in chronic otitis media . Arch Otolaryngol 1966;83:343-346.Crossref 8. Palva T, Palva A: Size of the human mastoid system . Acta Otolaryngol 1966;62:237-251.Crossref 9. Diamant M, Rubensohn C, Walander A: Otosalpingitis and mastoid pneumatization . Acta Otolaryngol 1958;48:381-388.Crossref 10. Shea JJ: Autoinflation treatment of serous otitis media in children . J Laryngol Otol 1971;87:461-462. 11. Hussl B, Welzl-Mueller K: Secretory otitis media and mastoid pneumatization . Ann Otol Rhinol Laryngol 1980;89( (suppl 68) ):79-82. 12. Lindeman P, Shea J: Size of the mastoid air cell system in children with middle ear effusion . Laryngoscope 1980;90:1840-1844.Crossref 13. Hug JE, Pfaltz CR: Temporal bone pneumatization: A planimetric study . Arch Otorhinolaryngol 1981;233:145-156.Crossref 14. Tos M, Stangerup SE: Mastoid pneumatization in secretory otitis . Acta Otolaryngol , in press. 15. Runström G: A roentgenological study of acute and chronic otitis media . Acta Radiol Suppl 1933;17:1-88. 16. Poulsen G, Tos M: Screening tympanometry in newborn infants and during the first six months of life . Scand Audiol 1978;7:159-166.Crossref 17. Tos M, Poulsen G, Hancke AB: Screening tympanometry during the first year of life . Acta Otolaryngol 1979;88:388-394.Crossref 18. Thomsen J, Tos M, Hancke AB, et al: Tympanometric screenings in children followed from birth to age four: Results of 11 repetitive evaluations . Acta Otolaryngol Suppl 1982;386:155-157.Crossref 19. Friedmann J: The pathology of otitis media . J Clin Pathol 1956;9:229-236.Crossref 20. Kuijpers W, Van der Beek JMH, Willart ECT: The effect of experimental tubal obstruction on the middle ear . Acta Otolaryngol 1979; 87:345-352.Crossref 21. Van der Beek JHM, V.D. Broek P, Kuijpers W: Effect of tubal occlusion on bone formation in the middle ear of the rat . ORL 1983;45:87-95.Crossref 22. Tos M: Experimental tubal obstruction: Changes of middle ear mucosa elucidated by quantitative histology . Acta Otolaryngol 1981; 92:51-61.Crossref 23. Bak-Pedersen K, Tos M: Middle-ear mucosa in newborn infants . Ann Otol Rhinol Laryngol 1974;83:168-173. 24. Rainer A: Untersuchungen über die Entwicklung und den Ausbau der pyramidenzellen . Arch Otorhinolaryngol 1938;145:3-49.Crossref 25. Rosmann B: Ober das Röntgenbild des gesundes Säuglingsohrs . Fortschr Röntgenforschung 1958;88:162-167.Crossref 26. Rubensohn C: Mastoid pneumatization in children at various ages . Acta Otolaryngol 1965;60:11-14.Crossref 27. Tos M, Poulsen G: Tympanometry in 2year old children: Seasonal influence of frequency of secretory otitis and tubal function . ORL 1979;41:1-10.Crossref 28. Tos M, Poulsen G, Borch J: Etiological factors in secretory otitis . Arch Otolaryngol 1979;105:582-588.Crossref 29. Sørensen CH, Holm-Jensen S, Tos M: Middle ear effusion and risk factors . J Otolaryngol 1982;11:46-51. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Mastoid Pneumatization: Evidence of the Environmental Theory

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Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1984.00800340014003
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Abstract

Abstract • Forty-one randomized, otherwise healthy children with tympanometry were observed from birth until the age of 6 years. At a total of 13 trials, tympanometry and otoscopy were performed. The tympanometric profile was correlated to the size of the mastoid air cell system, as determined by planimetric measurement of roentgenograms taken at age 6 years. There was a notable correlation between the size of the cell system and the tympanometric profile. Thus, the least affected ears with mostly normal or slightly abnormal tympanometry had considerably larger cell systems than the most affected ears with secretory otitis and tubal dysfunction. The findings support the environmental theory of pneumatization. (Arch Otolaryngol 1984;110:502-507) References 1. Diamant M: Otitis and Pneumatization of the mastoid bone . Lund, Sweden, Hakon Olsons Boktryckeri, 1940, pp 1-149. 2. Ueda T, Eguchi S: Distribution of pneumatization of the temporal bone in chronic otitis media seen during the age of antibiotic therapy . Nippon Jibiinkoka Gakkai Kaiho 1962;64:1539-1542.Crossref 3. Shulter-Ellis F: Population differences in cellularity of the mastoid process . Acta Otolaryngol 1979;87:461-465.Crossref 4. Sade J, Hadas E: Prognostic evaluation of secretory otitis media as a function of mastoidal pneumatization . Arch Otorhinolaryngol 1979; 225:39-44.Crossref 5. Wittmaack K: Über die normale und pathologische Pneumatisation des Schläfenbeins entschliesslich ihrer Beziehungen su der Mittelohrkrankungen . Jena, East Germany, Fischer, 1918, pp 1-64. 6. Tumarkin A: On the nature and significance of hypocellularity of the mastoid . J Laryngol Otol 1959;73:34-44.Crossref 7. Gans H, Wlodyka J: Mastoid pneumatization in chronic otitis media . Arch Otolaryngol 1966;83:343-346.Crossref 8. Palva T, Palva A: Size of the human mastoid system . Acta Otolaryngol 1966;62:237-251.Crossref 9. Diamant M, Rubensohn C, Walander A: Otosalpingitis and mastoid pneumatization . Acta Otolaryngol 1958;48:381-388.Crossref 10. Shea JJ: Autoinflation treatment of serous otitis media in children . J Laryngol Otol 1971;87:461-462. 11. Hussl B, Welzl-Mueller K: Secretory otitis media and mastoid pneumatization . Ann Otol Rhinol Laryngol 1980;89( (suppl 68) ):79-82. 12. Lindeman P, Shea J: Size of the mastoid air cell system in children with middle ear effusion . Laryngoscope 1980;90:1840-1844.Crossref 13. Hug JE, Pfaltz CR: Temporal bone pneumatization: A planimetric study . Arch Otorhinolaryngol 1981;233:145-156.Crossref 14. Tos M, Stangerup SE: Mastoid pneumatization in secretory otitis . Acta Otolaryngol , in press. 15. Runström G: A roentgenological study of acute and chronic otitis media . Acta Radiol Suppl 1933;17:1-88. 16. Poulsen G, Tos M: Screening tympanometry in newborn infants and during the first six months of life . Scand Audiol 1978;7:159-166.Crossref 17. Tos M, Poulsen G, Hancke AB: Screening tympanometry during the first year of life . Acta Otolaryngol 1979;88:388-394.Crossref 18. Thomsen J, Tos M, Hancke AB, et al: Tympanometric screenings in children followed from birth to age four: Results of 11 repetitive evaluations . Acta Otolaryngol Suppl 1982;386:155-157.Crossref 19. Friedmann J: The pathology of otitis media . J Clin Pathol 1956;9:229-236.Crossref 20. Kuijpers W, Van der Beek JMH, Willart ECT: The effect of experimental tubal obstruction on the middle ear . Acta Otolaryngol 1979; 87:345-352.Crossref 21. Van der Beek JHM, V.D. Broek P, Kuijpers W: Effect of tubal occlusion on bone formation in the middle ear of the rat . ORL 1983;45:87-95.Crossref 22. Tos M: Experimental tubal obstruction: Changes of middle ear mucosa elucidated by quantitative histology . Acta Otolaryngol 1981; 92:51-61.Crossref 23. Bak-Pedersen K, Tos M: Middle-ear mucosa in newborn infants . Ann Otol Rhinol Laryngol 1974;83:168-173. 24. Rainer A: Untersuchungen über die Entwicklung und den Ausbau der pyramidenzellen . Arch Otorhinolaryngol 1938;145:3-49.Crossref 25. Rosmann B: Ober das Röntgenbild des gesundes Säuglingsohrs . Fortschr Röntgenforschung 1958;88:162-167.Crossref 26. Rubensohn C: Mastoid pneumatization in children at various ages . Acta Otolaryngol 1965;60:11-14.Crossref 27. Tos M, Poulsen G: Tympanometry in 2year old children: Seasonal influence of frequency of secretory otitis and tubal function . ORL 1979;41:1-10.Crossref 28. Tos M, Poulsen G, Borch J: Etiological factors in secretory otitis . Arch Otolaryngol 1979;105:582-588.Crossref 29. Sørensen CH, Holm-Jensen S, Tos M: Middle ear effusion and risk factors . J Otolaryngol 1982;11:46-51.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Aug 1, 1984

References