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Otitis media with effusion as a presenting symptom of chronic sinusitis

Published online by Cambridge University Press:  29 June 2007

Y. Finkelstein*
Affiliation:
Departments of Otolaryngology, Hasharon Hospital, Golda Medical Center, Petah-Tiqva, Israel
Y. P. Talmi
Affiliation:
Departments of Otolaryngology, Hasharon Hospital, Golda Medical Center, Petah-Tiqva, Israel
Y. Rubel
Affiliation:
Departments of Otolaryngology, Hasharon Hospital, Golda Medical Center, Petah-Tiqva, Israel
J. Bar-Ziv
Affiliation:
Departments Radiology, Hasharon Hospital, Golda Medical Center, Petah-Tiqva, Israel
Y. Zohar
Affiliation:
Departments of Otolaryngology, Hasharon Hospital, Golda Medical Center, Petah-Tiqva, Israel
*
Dr Y. Finkelstein, Department of Otolaryngology, Hasharon Hospital, Golda Medical Center, Petah-Tiqva 49372, P.O.B. 121, Israel

Abstract

Otitis media with effusion was the presenting symptom in 23 per cent of patients suffering from chronic sinusitis. The inter-relationship between chronic sinusitis and otitis media with effusion was studied in 29 patients. Endoscopic evaluation of intranasal structures including sinus ostia and Eustachian tube orifices was carried out. We further suggest that otitis with media with effusion is not a separate entity but a presentation of sinus disease, predominantly of the ethmoid system. Patients with otitis media with effusion should be evaluated for sinusitis and vice versa. The value of careful nasendoscopy is demonstrated.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1989

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References

Dharam, P. (1981) Sinus infection and adenotonsillitis in pediatric patients. Laryngoscope, 91: 9971000.Google Scholar
Draf, W. and Schulz, P. (1980) Insertion of ventilation tubes into the middle ear: results and complications. A seven-year review. Annals of Otology, Rhinology and Laryngology, 89 (supplement 68): 303307.CrossRefGoogle ScholarPubMed
Finkelstein, Y., Talmi, Y., Zohar, Y., Rubel, Y. and Laurian, N. (1987) Can uvulopalatopharyngoplasty be harmful to Eustachian tube function? Acta Otolaryngologica, 104: 511520.CrossRefGoogle ScholarPubMed
Grote, J. J. and Kuypers, W. (1980) Middle ear effusion and sinusitis. Journal of Laryngology and Otology, 94: 177183.CrossRefGoogle ScholarPubMed
Healy, G. B. (1981) Acute sinusitis in children. New England Journal of Medicine, 304: 779780.CrossRefGoogle Scholar
Hoshaw, T. C. and Nickman, N. J. (1974) Sinusitis and otitis in children. Archives of Otolaryngology, 100: 194195.CrossRefGoogle ScholarPubMed
Jaffe, B. F. and De Blanc, C. B. (1971) Sinusitis in children with cleft lip and palate. Archives of Otolaryngology, 93: 479482.CrossRefGoogle ScholarPubMed
Jaumann, M. P., Steiner, W. and Berg, M. (1980) Endoscopy of the pharyngeal Eustachian tube. Annals of Otology, Rhinology and Laryngology, 89 (suppl. 68): 5455.CrossRefGoogle ScholarPubMed
Lavorato, A. S. (1977) Fiberoptic visualization of motion of the Eustachian tube. Transactions of the American Academy of Ophthalmology and Otology, 84: 534541.Google ScholarPubMed
Messerklinger, W. (1978) Endoscopy of the Nose. Urban and Schwartzenberg, Munchen, Baltimore.Google Scholar
Messerklinger, W. (1982) Uber den Recessus frontalis und seine Klinik. Laryngologie, Rhinologie, Otologie, 61: 217223.CrossRefGoogle Scholar
Otten, F. W. and Grote, J. J. (1985) Otitis media and chronic maxillary sinusitis. Proceedings of the International Symposium on acute and secretory otitis media,November 17–22Jerusalem, 133 (abstract).Google Scholar
Selkin, S. G. (1986) Routine use of office endoscopy in otolaryngology. Otolaryngology—Head and Neck Surgery, 95: 425428.CrossRefGoogle ScholarPubMed
Shprintzen, R. J., Schwartz, R. H., Daniller, A. and Hoch, L. (1985) Morphologic significance of bifid uvula. Pediatrics, 75: 553561.CrossRefGoogle ScholarPubMed
Slavin, R. G., Cannon, R. E., Friedmann, W. H., Palitang, E. and Sundaram, M. (1980) Sinusitis and bronchial asthma. Journal of Allergy and Clinical Immunology, 66: 250257.CrossRefGoogle Scholar
Stammberger, H. (1986) Endoscopic endonasal surgery—concepts in treatment of recurring rhinosinusitis. Part I. Anatomic and pathophysiologic consideration. Part II. Surgical technique. Otolaryngology—Head and Neck Surgery, 94: 147156.CrossRefGoogle Scholar
Stool, S. E. (1975) Diseases of the tonsils and adenoids in relation to rhinitis and sinusitis. Annals of Otology, Rhinology and Laryngology, 84 (supplement 19): 7375.CrossRefGoogle ScholarPubMed
Wilson, T. G. (1955) Surgical anatomy of ENT in the newborn. Journal of Laryngology and Otology, 69: 229233.CrossRefGoogle Scholar
Yamashita, K. (1983) Pneumatic endoscopy of the Eustachian tube. Endoscopy, 15: 257259.CrossRefGoogle ScholarPubMed
Yamashita, K. (1985) Eustachian tube function: physiology and role in otitis media: Endoscopic testing methods. Annals of Otology, Rhinology and Laryngology, 94 (supplement 120): 2627.CrossRefGoogle Scholar
Yanagisawa, E., Walker, R. K. and Alberti, P. W. (1986) Telescopic videorhinoscopy: A useful addition to the clinical practice of rhinology. Laryngoscope, 96, 12311235.CrossRefGoogle Scholar