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Otitis

Community triage of otology patients using a store-and-forward telemedicine device: A feasibility study

July 18, 2017  |  Nishi Gupta, MD; Neeraj Chawla, MD; Digant Gupta, MD, MPH; Nidhi Dhawan, MD; Vidya R. Janaki, MD

Abstract

Chronic otitis media is a major contributor to acquired hearing loss in developing countries. Developing countries such as India, with huge populations and poor health infrastructures, have always felt the shortage of trained specialists who can provide quality care to meet the...

Is malignant otitis externa on the increase? A retrospective review of cases

February 20, 2017  |  Diana Bhasker, MBBS, MRCS(ENT); Angela Hartley, MBchB; Frank Agada, FRCS, RCS(ORL-HNS)

Abstract

We performed a retrospective review of all patients with malignant otitis externa (MOE) treated in our center between July 2004 and December 2012 to evaluate the current epidemiology in our region and to ascertain causative factors associated with the perceived increase in the...

The role of surgery in necrotizing otitis externa

January 25, 2017  |  Maayan Gruber, MD; Eyal Sela, MD; Ilana Doweck, MD; Ariel Roitman, MD; Nechama Uri, MD; Samer Srouji, MD; Raanan Cohen-Kerem, MD

Abstract

This retrospective case review describes a subset of 5 patients with necrotizing otitis externa (NOE) with a refractory disease course who underwent surgery as part of their management plan between 2008 and 2013. Surgery promoted the cure of 4 of the 5 patients, and a fungal...

Acute bacterial meningitis caused by acute otitis media in adults: A series of 12 patients

January 25, 2017  |  Daniel M. Kaplan, MD; Ofer Gluck, MD; Mordechai Kraus, MD; Youval Slovik, MD; Hindy Juwad, Bsc

Abstract

We conducted a retrospective chart review to characterize the outcomes of 12 patients-9 men and 3 women, aged 21 to 79 years (mean: 49)-who had been treated at our tertiary care center for acute bacterial meningitis caused by acute otitis media (ABMAO). Fever was the most...

Changes in antibiotic resistance in recurrent Pseudomonas aeruginosa infections of chronic suppurative otitis media

October 25, 2016  |  Jae-Jun Song, MD; Byung Don Lee, MD; Koen Hyeong Lee, MD; Jong Dae Lee, MD; Young Joo Park, MD; Moo Kyun Park, MD, PhD

Abstract

This study investigated the changes in antibiotic resistance in recurrent Pseudomonas aeruginosa infections in chronic suppurative otitis media (CSOM). Its aim was to provide a treatment strategy for P aeruginosa infections in CSOM for the prevention of multidrug...

Chronic otitis media with effusion following radiation therapy

October 25, 2016  |  Anya Miller, MD; Francis Hall, MBChB, FRACS; Syed Ahsan, MD, FACS

Abstract

The incidence of chronic otitis media with effusion (COME) after radiotherapy for nasopharyngeal or sinonasal tumors is relatively high. It is often a difficult-to-treat problem in these patients. In this retrospective study, we sought to describe the clinical course of COME in...

Sensorineural hearing loss after otitis media with effusion and subacute mastoiditis after viral infections of the upper respiratory tract: A comparative study of conservative and surgical treatment

September 19, 2016  |  Thomas Wilhelm, MD, PhD; Tim Stelzer, MD; Rudolf Hagen, MD, PhD

Abstract

Involvement of the middle ear after viral infections of the upper airways may lead to serous otitis media with effusion in the absence of bacterial infection. This can be accompanied by a concomitant shading of the mastoid air cells, which could manifest as a reduced opacity on...

Clinical, functional, and surgical findings in chronic bilateral otitis media with effusion in childhood

August 21, 2016  |  Svetlana Diacova, MD; Thomas J. McDonald, MD; Ion Ababii, MD, PhD

Abstract

We conducted a prospective, observational study over a 3-year period to compare the clinical, functional, and surgical findings in children with chronic bilateral otitis media with effusion who underwent one of three different types of treatment. Our study population was made...

Otogenic lateral sinus thrombosis in children: A review of 7 cases

March 16, 2016  |  Jesse T. Ryan, MD; Maria Pena, MD; George H. Zalzal, MD; Diego A. Preciado, MD, PhD

Abstract

Otogenic lateral sinus thrombosis (LST) is a rare but serious intracranial complication of acute or chronic otitis media. Reported mortality rates have ranged from 8 to 25%; the pediatric mortality rate might be as low as 5%. Controversy still exists over the medical and...

Can vinegar be used in treating Pseudomonas ear infections in a patient with a perforated eardrum?

August 27, 2015  |  Muhamed Aslam Khan, MS, MRCSEd; Nazneen Khan, MBBS, DGO, DRCOG

Abstract

Chronic Pseudomonas ear infections are difficult to treat, particularly in immunodeficient patients. Vinegar therapy is a time-tested measure for the treatment of these infections. It is inexpensive, simple, easy to administer, and very effective. However, some...

Malignant otitis externa

April 28, 2015  |  Christina H. Fang, BS; James Sun, BS; Robert W. Jyung, MD

The advent of anti-pseudomonal antibiotics has significantly reduced the mortality of malignant otitis externa.

Is there a relationship between myeloperoxidase activity and conductive hearing loss in chronic otitis media complicated by cholesteatoma?

April 28, 2015  |  Ozlem Celebi Erdivanli, MD; Arif Sanli, MD

Abstract

We conducted a prospective, controlled study of patients with chronic otitis media and cholesteatoma (1) to examine the expression of myeloperoxidase (MPO) using immunohistochemical staining techniques and (2) to investigate the relationship between MPO activity and the degree...

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