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The effect of tonsillectomy and adenoidectomy on the intra-tympanic pressure

Published online by Cambridge University Press:  29 June 2007

Pekka Tuohimaa  and
Tauno Palva
Pekka Tuohimaa*
Affiliation:
Departments of Otolaryngology, Universities of Turku
Tauno Palva
Affiliation:
Departments of Otolaryngology, and Helsinki, Finland
*
Pekka Tuohimaa, M.D. Department of Otorhinolaryngology, University Central Hospital Turku, SF-20520 TURKU 52Finland.
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Abstract

A group of 67 children were studied (mean age 7 years, 2 months) who underwent adenoidectomy and/or tonsillectomy because of either recurrent otitis media or upper respiratory tract infection. The mean pre-operative intratympanic pressure was –67.3 mmH20 (SD 65.1); three months post-operatively it was –21.9 mmH20 (SD 32.4), a highly significant improvement (p<0.001). The size of the adenoids had a nearly significant effect on the pre-operative intratympanic pressure (p<0.05). In children with large vs small adenoids the difference was highly significant (p<0.001). In a group of five children, tonsillectomy along (adenoidectomy performed earlier) did not have any effect on the intratympanic pressure. No change in intratympanic pressure was seen in children with nasal allergy as compared with non-allergic children after adenoidectomy.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 101 , Issue 9 , September 1987 , pp. 892 - 896
Copyright
Copyright © JLO (1984) Limited 1987

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References

Alhady, R. A. and Sharnoubi, M. E. (1984) Tym-panometric findings in patients with adenoid hyper-plasia, chronic sinusitis and tonsillitis. Journal of Laryngology and Otology, 98: 671–676.Google Scholar
Bonding, P., Tos, M. and Poulsen, G. (1982) Unilateral insertion of grommets in bilateral secretory otitis media. Acta Otolaryngolica, Supplement 386: 161–162.CrossRefGoogle Scholar
Elner, Å. (1976) Normal gas exchange in the human middle. Annals of Otology, Rhinology and Laryngology, 85: (Supplement 25): 161–164.CrossRefGoogle ScholarPubMed
Fiellau-Nikolajsen, M. and Lous, J. (1979) Tympanometry in three year old children. ORL, 41: 11–25.Google Scholar
Holt, G. R., Watkins, T. M., Yoder, M. G. and Garcia, A. (1981) The effect of tonsillectomy on impedance audiometry. Otolaryngology, Head Neck Surgery, 89: 20–26.Google Scholar
Maw, A. P. (1983) Chronic otitis media with effusion and adenotonsillectomy. A prospective randomized study. International Journal of Pediatric Otorhinolaryngology, 6: 239–246.Google Scholar
Palva, T., Lehtinen, T. and Virtanen, H. (1983) Immune complexes in the middle ear fluid and adenoid tissue in chronic secretory otitis media. Acta Otolaryngologica, 95: 539–543.CrossRefGoogle ScholarPubMed
Poulsen, G. & Tos, M. (1978) Screening tympanometry in newborn infants and during the first six months of life. Scandinavian Audiology, 7: 159–166.CrossRefGoogle ScholarPubMed
Pulec, J. L., Karnio, T. and Graham, M. D. (1975) Eustachian tube lymphatics. Annals of Otology, Rhinology and Laryngology, 84: 483–492.CrossRefGoogle ScholarPubMed
Rahko, T., Koivikko, A. and Silvoniemi, P. (1979) The occurrence of secretory otitis media in allergic children. Clinical Otolaryngology, 4: 267–270.Google Scholar
Reiner, C. E. and Pulex, J. L. (1969) Experimental production of serous otitis media. Annals of Otology, Rhinology and Laryngology, 78: 880–887.CrossRefGoogle ScholarPubMed
Ruokonen, J., Sandelin, K. and Mäkinen, J. (1979) Adenoids and otitis media with effusion. Annals of Otology, Rhinology and Laryngology, 88: 161–171.Google Scholar
Tos, M. and Poulsen, G. (1979) Tympanometry in two year old children. Seasonal influence of frequency of secretory otitis and tubal function. ORL, 41: 1–10.Google Scholar
Tos, M., Poulsen, G. and Hancke, A. B. (1979) Screening tympanometry during the first year of life. Acta Otolaryngologica, 88: 388–394.Google Scholar