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Author: National Collaborating Centre for Women's and Children's Health (Grande Bretagne)
Publisher:
ISBN: 9781904752455
Category : Otitis media
Languages : en
Pages : 74
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Book Description
Otitis media with effusion (OME) is a condition characterised by a collection of fluid within the middle ear without signs of acute inflammation. It is most common in young children, with a bimodal peak at 2 and 5 years of age. Eighty percent of children will have had a least one episode of OME by the age of 10 years. At age 7-8 years, about 8% of children will have middle ear effusions; this incidence increases in winter. The mean duration of effusions is 6-10 weeks but some cases are more persistent. OME is known to be a fluctuating condition with symptoms that vary with time and with age. The main symptom of OME is impaired hearing because the middle ear effusion causes a conductive hearing loss by reflection of the sound energy at the air-fluid interface. The diagnosis is based on suspicion of hearing loss, clinical history, clinical examination of the ears and appropriate audiometry and tympanometry. While most cases of OME will resolve spontaneously, some children will need intervention because of the effects of hearing loss. This intervention may take the form of educational and social action or the provision of a hearing aid to minimise the impact of the hearing loss. No non-surgical intervention has yet been shown conclusively to be of benefit. Surgical management usually takes the form of myringotomy and insertion of a ventilation tube (grommet), with or without adenoidectomy. Children with cleft palate are particularly susceptible to OME because of the impaired function of the Eustachian tube that results from the palatal anomaly, which in turn leads to a failure of middle ear ventilation. Similarly, children with Down's syndrome have a high incidence of OME, partly because of their impaired immunity and mucosal abnormality, with resulting susceptibility to ear infection. These groups of children need particular surveillance for OME so that proper action can be taken. This guideline attempts to bring together the evidence related to surgical management of OME in children younger than 12 years, and to advise on best and safest practice; treatment decisions need to balance potential benefits against potential risks, reflecting the fact that the degree of benefit usually depends upon the severity and persistence of the condition.
Author: National Collaborating Centre for Women's and Children's Health (Grande Bretagne)
Publisher:
ISBN: 9781904752455
Category : Otitis media
Languages : en
Pages : 74
Get Book
Book Description
Otitis media with effusion (OME) is a condition characterised by a collection of fluid within the middle ear without signs of acute inflammation. It is most common in young children, with a bimodal peak at 2 and 5 years of age. Eighty percent of children will have had a least one episode of OME by the age of 10 years. At age 7-8 years, about 8% of children will have middle ear effusions; this incidence increases in winter. The mean duration of effusions is 6-10 weeks but some cases are more persistent. OME is known to be a fluctuating condition with symptoms that vary with time and with age. The main symptom of OME is impaired hearing because the middle ear effusion causes a conductive hearing loss by reflection of the sound energy at the air-fluid interface. The diagnosis is based on suspicion of hearing loss, clinical history, clinical examination of the ears and appropriate audiometry and tympanometry. While most cases of OME will resolve spontaneously, some children will need intervention because of the effects of hearing loss. This intervention may take the form of educational and social action or the provision of a hearing aid to minimise the impact of the hearing loss. No non-surgical intervention has yet been shown conclusively to be of benefit. Surgical management usually takes the form of myringotomy and insertion of a ventilation tube (grommet), with or without adenoidectomy. Children with cleft palate are particularly susceptible to OME because of the impaired function of the Eustachian tube that results from the palatal anomaly, which in turn leads to a failure of middle ear ventilation. Similarly, children with Down's syndrome have a high incidence of OME, partly because of their impaired immunity and mucosal abnormality, with resulting susceptibility to ear infection. These groups of children need particular surveillance for OME so that proper action can be taken. This guideline attempts to bring together the evidence related to surgical management of OME in children younger than 12 years, and to advise on best and safest practice; treatment decisions need to balance potential benefits against potential risks, reflecting the fact that the degree of benefit usually depends upon the severity and persistence of the condition.
Author: National Institute for Health and Clinical Excellence (Great Britain)
Publisher:
ISBN: 9781846295959
Category :
Languages : en
Pages : 7
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Book Description
Author: Charles D. Bluestone
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 426
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Book Description
The 3rd Edition of this authoritative reference brings together all of today's best knowledge about middle ear infections. Clear and concise discussions of etiology and pathogenesis are paired with cutting-edge techiques for diagnosis and both medical and surgical management. Updates include new approaches for medical treatment and prevention in the face of today's antibiotic-resistant bacterial pathogens ... discussions of new vaccines ... evaluations of alternative medical treatments ... and much more.
Author: Otitis Media Guideline Panel
Publisher:
ISBN:
Category : Children
Languages : en
Pages : 132
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Book Description
Author: David Chalmers
Publisher: Cambridge University Press
ISBN: 9780521412247
Category : Medical
Languages : en
Pages : 192
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Book Description
Otitis media with effusion (OME) is one of the most common diseases of childhood, yet its long-term effects are only just beginning to be appreciated. Following a comprehensive review of the literature, David Chalmers and his co-authors detail a longitudinal, multidisciplinary study of over 1000 New Zealand children enrolled at three years and followed to age eleven. The changing prevalence of OME in the sample is described; evidence on a wide range of risk factors is examined; the problems of chronic perforation of the tympanic membrane, cholesteatoma, and ontological complications of surgical therapy are evaluated; and the developmental consequences of OME are traced over time. Early onset of bilateral OME is shown to have long-lasting consequences for language development, speech articulation, reading ability, and classroom behavior. The authors conclude from these results that there is an urgent need for the detection and management of early onset OME.
Author:
Publisher:
ISBN:
Category : Comparative effectiveness review
Languages : en
Pages : 0
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Book Description
Author: Richard M. Rosenfeld
Publisher: PMPH-USA
ISBN: 9781550092547
Category : CD-ROMs
Languages : en
Pages : 552
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Book Description
Evidence-Based Otitis Media offers one-stop shopping for the best current evidence to guide management decisions at the individual, organizational, and societal levels. This text details the importance of evidence-based data in interpreting the ever-enlarging body of literature on otitis media. The editors have assembled an impressive group of experts on all aspects of otitis media and addressed comprehensively many issues related to methodology, clinical management, and consequences of this disease. The eight chapters comprising the methodology section provide the necessary background and detail to allow physicians and other health professionals to understand and appreciate the value of evidence-based medicine. Updates include: the incorporation of new original research, systemic reviews, and evidence reports to existing chapters. New chapter topics include: evidence-based medicine, professional evidence reports, molecular and translational research, complementary and alternative medicine, bacteriologic efficacy of antimicrobials, vaccine prevention, international management perspectives, meta-analysis of speech and language sequelae, suppurative complications, host susceptibility to sequelae, and judicious use of systemic and topical antimicrobials. FEATURES: *Maturation of evidence-based medicine as a foundation for clinical care is reflected throughout the text. *Extensive evidence tables summarize study characteristics and quantitative outcomes for clinically relevant endpoints *Internationally distinguished contributors selected based on both their clinical expertise and their ability to write for an evidence-based text
Author: Abdulsalam Al-Qahtani
Publisher: Springer Nature
ISBN: 303054088X
Category : Medical
Languages : en
Pages : 759
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Book Description
This textbook provides a comprehensive overview of the state of the art in otolaryngology, discussing all the newly advances in the subspecialties of head and neck, plastics, otology, laryngology, rhinology and pediatrics, and also addressing topics like allergy, sleep medicine, trauma, and the fundamentals of systemic diseases that frequently manifest in the head and neck region. The book is divided into 9 sections, presenting the recent literature concerning all the subspecialties in otolaryngology and providing the information necessary for readers to gain an understanding of the field of otolaryngology. Each chapter includes definitions, key points and take-home messages, to aid learning. Throughout the book, tips and key features are highlighted with boxes, tables and figures, which the reader can refer back to for quick revision. Above all, the book enables medical students, residents and junior specialists in the field of ENT to develop their learning and surgical skills.
Author: Jean F.E. Marquet
Publisher: Springer Science & Business Media
ISBN: 9400950020
Category : Medical
Languages : en
Pages : 423
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Book Description
Dear colleagues, Promotion of the development of ENT is one of the most important tasks of IFOS (International Federation of Otorhinolaryngology). Apart from organizing the World Congresses it supports different international and regional meetings, organizes symposiums on well determined subjects, etc. Since the last World Congress in 1981, in addition to the Danube Symposium in 1982 and the Congress of ENT Societies in Asia Oceania in 1983, an international symposium was organized in Antwerp by the Belgian ENT Society on evaluation problems of middle ear surgery. This is a very controversial question on which there is no concensus. During a four-day meeting many anatomical and pathological aspects, operative methods, possibilities of the evaluation of the results with computers, were widely discussed. You will find all the lectures presented in this book. I am convinced that these papers will prove to be a good basis for further discussion and hope that finally we shall achieve an international agreement on the evaluation of our results in middle ear surgery. My thanks go to Professor Marquet for organizing the meeting and for publishing the papers. Professor Dr. L. Surjan President of IFOS 10 WELCOME Dear colleagues and especially dear Professor Marquet, In my function as pro-rector of the University of Antwerp I am very proud of welcoming you to the opening of the International Conference on "The Postoperative Evaluation in Middle Ear Surgery". It gives me the opportunity to stress the importance of this congress and to honour Prof. Marquet.
Author: Cuneyt M. Alper
Publisher: PMPH-USA
ISBN: 9781550092011
Category : CD-ROMs
Languages : en
Pages : 584
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Book Description
'Advanced Therapy of Otitis Media provides answers to clinical care questions from the most common problems to rare complications and sequelae of otitis media. The book targets clinicians who take care of patients with a variety of otolaryngological presentations every day. Each chapter in the book focuses on an approach to a specific clinical topic; diagnostic technique; therapeutic method; complication related question; or controversy. The chapters describe the subject, incidence, importance, etiology/pathogenesis, and management options.
