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Otitis Media-Reply

Otitis Media-Reply Abstract Diagnostic instruments and methodologies have been sought for some time by investigators attempting to characterize the middle ear condition in the presence of an intact tympanic membrane. The presence of an acute serous effusion with air bubbles or an air-fluid meniscus makes the task relatively simple, but this condition is very uncommon in childhood chronic otitis media with effusion. To our knowledge, Paradise et al1 were the first investigators to report a diagnostic paradigm for classifying tympanograms into a clinically useful scheme that would result in improved detection of middle ear effusion, the hallmark of chronic otitis media with effusion. They correlated their configurations with the presence of actual effusion at myringotomy. Cantekin et al2 combined the tympanometric paradigm by Paradise et al with otoscopy to further refine the algorithm for effusion detection. The article by Brostoff and Cantekin's3 further refined the original algorithm, a fluid-detection paradigm, References 1. Paradise JL, Smith CG, Bluestone CD. Tympanometric detection of middle ear effusion in infants and young children . Pediatrics . 1976;58:198-210. 2. Cantekin El, Bluestone CD, Fria TJ, Stool SR, Beery QC, Sabo DL. Identification of otitis media with effusion in children . Ann Otol Rhinol Laryngol . 1980;89( (suppl 68) ):190-195. 3. Brostoff LM, Cantekin EI. Observer invariant diagnosis of middle ear effusions . In: Lim DJ, Bluestone CD, Klein JO, Nelson JD, eds. Recent Advances in Otitis Media: Fourth International Symposium on Otitis Media With Effusion . Burlington, Ontario: BC Decker Inc; 1988:240-244. 4. Le CT, Daly KA, Margolis RH, Lindgren BR, Giebink GS. A clinical profile of otitis media . Arch Otolaryngol Head Neck Surg . 1992;118:1225-1228.Crossref 5. Le CT, Lindgren BR, Daly KA, Giebink GS. Treatment evaluation in otitis media research . Arch Otolaryngol Head Neck Surg . 1994;120:507-509.Crossref 6. Le CT, Hunter LL, Margolis RH, Daly KA, Lindgren BR, Giebink GS. A clinical profile of otitis media without an intact tympanic membrane . Arch Otolaryngol Head Neck Surg . 1994;120:513-516.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1995.01890060100024
Publisher site
See Article on Publisher Site

Abstract

Abstract Diagnostic instruments and methodologies have been sought for some time by investigators attempting to characterize the middle ear condition in the presence of an intact tympanic membrane. The presence of an acute serous effusion with air bubbles or an air-fluid meniscus makes the task relatively simple, but this condition is very uncommon in childhood chronic otitis media with effusion. To our knowledge, Paradise et al1 were the first investigators to report a diagnostic paradigm for classifying tympanograms into a clinically useful scheme that would result in improved detection of middle ear effusion, the hallmark of chronic otitis media with effusion. They correlated their configurations with the presence of actual effusion at myringotomy. Cantekin et al2 combined the tympanometric paradigm by Paradise et al with otoscopy to further refine the algorithm for effusion detection. The article by Brostoff and Cantekin's3 further refined the original algorithm, a fluid-detection paradigm, References 1. Paradise JL, Smith CG, Bluestone CD. Tympanometric detection of middle ear effusion in infants and young children . Pediatrics . 1976;58:198-210. 2. Cantekin El, Bluestone CD, Fria TJ, Stool SR, Beery QC, Sabo DL. Identification of otitis media with effusion in children . Ann Otol Rhinol Laryngol . 1980;89( (suppl 68) ):190-195. 3. Brostoff LM, Cantekin EI. Observer invariant diagnosis of middle ear effusions . In: Lim DJ, Bluestone CD, Klein JO, Nelson JD, eds. Recent Advances in Otitis Media: Fourth International Symposium on Otitis Media With Effusion . Burlington, Ontario: BC Decker Inc; 1988:240-244. 4. Le CT, Daly KA, Margolis RH, Lindgren BR, Giebink GS. A clinical profile of otitis media . Arch Otolaryngol Head Neck Surg . 1992;118:1225-1228.Crossref 5. Le CT, Lindgren BR, Daly KA, Giebink GS. Treatment evaluation in otitis media research . Arch Otolaryngol Head Neck Surg . 1994;120:507-509.Crossref 6. Le CT, Hunter LL, Margolis RH, Daly KA, Lindgren BR, Giebink GS. A clinical profile of otitis media without an intact tympanic membrane . Arch Otolaryngol Head Neck Surg . 1994;120:513-516.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Jun 1, 1995

References