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Tympanic membrane atelectasis in childhood otitis media with effusion

Published online by Cambridge University Press:  29 June 2007

H. L. Tay  and
R. P. Mills
H. L. Tay*
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee
R. P. Mills
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee
*
Mr H. L. Tay, F.R.C.S., Department of Otolaryngology, Ninewells Hospital, Dundee DD1 9SY Fax: 01382 632816
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Abstract

A prospective study on the dynamics of tympanic membrane atelectasis during the treatment for glue ear was performed in a sample of 115 ears of 83 children aged between one and 11 years. The progression in the degree of pars tensa atelectasis was analysed in relation to six potentially relevant factors. Multivariate analysis showed that the factor with the most predictive value on the progression of the pars tensa retraction was the grade of atelectasis at initial detection (p<0.0001). The use of grommets did not have any significant influence on the outcome grade of atelectasis. There was an association between previous grommet insertion and localized retractions in the inferior segment of the pars tensa (P<0.0001). However, localized retractions in the postero-superior quadrant were not associated with previous grommet insertion (P<0.02). Although the hearing thresholds of atelectatic ears were significantly worse than normal ears especially at 4 kHz (p<0.006), the difference was less than 5 dB.

Keywords

AtelectasisTympanic membraneOtitis media with effusion
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 6 , June 1995 , pp. 495 - 498
Copyright
Copyright © JLO (1984) Limited 1995

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