Natural course of tympanic membrane pathology related to otitis media and ventilation tubes between ages 8 and 18 years.
Otol Neurotol
; 26(5): 1016-21, 2005 Sep.
Article
en En
| MEDLINE
| ID: mdl-16151352
ABSTRACT
OBJECTIVE:
To present the course of tympanic membrane pathology in childhood and young adulthood after otitis media (OM) in early life. STUDYDESIGN:
Prospective follow-up study.SETTING:
Community study of a birth cohort. PATIENTS Three hundred fifty-eight subjects with a positive and negative history of OM (OM+ or OM-) or ventilation tube insertion (VT+ or VT-) derived from a birth cohort that had been followed-up from preschool to adult age.METHODS:
Standardized otomicroscopic examination performed at ages 8 and 18 years. MAIN OUTCOMEMEASURES:
Tympanic membrane abnormalities (i.e., tympanosclerosis, atrophy, atelectasis and retraction pockets of the pars tensa, and retraction of the pars flaccida).RESULTS:
At the age of 8 years, tympanic membrane pathology was highly prevalent in the both OM+ subcohorts (OM+VT+, 92% and OM+VT-, 46%), whereas in the OM- ears (11%), tympanic membrane abnormalities were rare. In the subsequent 10-year period, many tympanic membrane abnormalities disappeared spontaneously, although the prevalence of tympanosclerosis remained substantial in the OM+VT+ cohort.CONCLUSION:
The natural course of most tympanic membrane pathology associated with OM in early life is favorable over time, suggesting an intrinsic repair capacity of the tympanic membrane. Tympanosclerosis, the most prevalent sequelae of OM and treatment with VT, however, shows little tendency of resolution.
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Banco de datos:
MEDLINE
Asunto principal:
Otitis Media
/
Membrana Timpánica
/
Ventilación del Oído Medio
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Otol Neurotol
Asunto de la revista:
NEUROLOGIA
/
OTORRINOLARINGOLOGIA
Año:
2005
Tipo del documento:
Article
País de afiliación:
Países Bajos