Tympanic membrane perforation: size, site and hearing evaluation.

Abstract:

OBJECTIVE:To assess different clinical scales of TM perforation size; to evaluate the effect of the size and the site of a perforation on the hearing level and frequencies. METHODS:Prospective study. Observers had subjectively estimated the size in millimeter and in percentage of a particular perforation; objectively computerized measures of TM perforations area were analyzed. Agreement between different measures was studied. Cases with postoperative intact TM and an air-bone gap (ABG) of 10 dB or less were studied. RESULTS:Global mean preoperative ABG was 21.8 ± 17 dB. Preoperative ABG was different between small-large and small-total perforations (p=0.001). Difference of the preoperative ABG was statistically significant between perforations filling up the four quadrants and perforation limited to one quadrant in the postero-inferior, antero-superior and antero-inferior site. No statistically difference between perforation sites was identified for each affected frequency. Difference is statistically significant (p=0.001) between the 250 Hz and the other frequencies for the medium, large and total perforations. After myringoplasty bone conduction improvement was statistically significant for the frequencies 500 (p=0.04), 1000 (p=0.04) and 2000 Hz (p=0.011). Agreement was large enough when TM perforation size was expressed in percentage and absent when expressed in millimeter. CONCLUSION:TM perforation can be clinically estimated quite precisely as a percentage of the TM area. Conductive hearing loss is frequency dependent; with the greatest loss occurring at the lowest sound frequencies. Hearing loss does not depend on the perforation's location.

authors

Saliba I,Abela A,Arcand P

doi

10.1016/j.ijporl.2011.01.012

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

527-31

issue

4

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(11)00017-6

journal_volume

75

pub_type

杂志文章
  • Otogenic cerebral venous infarction: a rare complication of acute otitis media.

    abstract::A case of cerebral venous infarction (CVI) as a complication of acute otitis media (AOM) was presented in a 16-month-old male patient. The patient admitted with AOM in the right ear, ipsilateral facial paralysis and contralateral hemiplegia. Computerized tomography of the brain showed low density areas involving both ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s0165-5876(03)00181-2

    authors: Ozer E,Sivasli E,Bayazit YA,Sirikci A,Gök A,Mumbuç S,Kanlikama M

    更新日期:2003-09-01 00:00:00

  • Development of speech, feeding, eating, and facial expression in Möbius sequence.

    abstract:OBJECTIVE:Möbius sequence is a rare congenital disorder with the primary diagnostic criteria of congenital facial and abducens nerve palsy. Involvement from other cranial nerves is common. Orofacial anomalies and limb malformations may be associated with the disorder. Mental retardation and autism have been reported in...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s0165-5876(01)00532-8

    authors: Sjögreen L,Andersson-Norinder J,Jacobsson C

    更新日期:2001-09-28 00:00:00

  • Clinically silent subdural hemorrhage causes bilateral vocal fold paralysis in newborn infant.

    abstract::Bilateral congenital vocal fold paralysis (BVFP) may result from multiple etiologies or remain idiopathic when no real cause can be identified. If obstructive dyspnea is significant and requires urgent stabilization of the airway, then intubation is performed first and an MRI of the brain is conducted to rule out an A...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2012.07.014

    authors: Alshammari J,Monnier Y,Monnier P

    更新日期:2012-10-01 00:00:00

  • Hearing loss and middle ear involvement in patients with juvenile idiopathic arthritis.

    abstract:OBJECTIVE:Evaluation of the hearing status and middle ear function of patients with juvenile idiopathic arthritis. METHODS:The study group was comprised of 38 ears of 19 patients (6 males, 13 females) aged between 5 and 23 years. The control group was comprised of 30 ears of 15 healthy subjects (5 males, 10 females) a...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2007.03.017

    authors: Ikiz AO,Unsal E,Kirkim G,Erdag TK,Guneri EA

    更新日期:2007-07-01 00:00:00

  • Pediatric case of squamous cell carcinoma arising from a keratocystic odontogenic tumor.

    abstract::Keratocystic odontogenic tumors (KCOT) are exceptional in children and adolescents as they usually occur in the third decade. The present study reports the case of a 15 years old girl who was diagnosed with a KCOT that underwent malignant transformation. KCOT diagnostic was based on clinical, radiological, histopathol...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2018.06.042

    authors: Nokovitch L,Bodard AG,Corradini N,Crozes C,Guyennon A,Deneuve S

    更新日期:2018-09-01 00:00:00

  • Child behavior and quality of life before and after tonsillotomy versus tonsillectomy.

    abstract:OBJECTIVES:Compare two techniques for pediatric tonsil surgery with respect to postoperative pain and morbidity and changes in sleep behavior, health related quality of life (HRQL) and benefits due to surgery. METHODS:67 children (4.5-5.5 years) with tonsillar hypertrophy and obstructive sleep-disordered breathing wit...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ijporl.2009.05.015

    authors: Ericsson E,Lundeborg I,Hultcrantz E

    更新日期:2009-09-01 00:00:00

  • The surgical management of cricopharyngeal achalasia in children.

    abstract:OBJECTIVE:The objective of this study was to evaluate the clinical presentation of children with cricopharyngeal achalasia and to document the diagnostic process followed and evaluate the immediate and long-term results of those children treated with a cricopharyngeal myotomy. METHODS:Five children who underwent crico...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s0165-5876(00)00365-7

    authors: Brooks A,Millar AJ,Rode H

    更新日期:2000-11-30 00:00:00

  • Endoscopy-assisted, transoral submucosal coblation for pediatric retropharyngeal lymphatic malformations.

    abstract:OBJECTIVE:Retropharyngeal lymphatic malformations (LMs) are uncommon congenital anomalies. Open surgery, sclerotherapy and various pharmaceutical agents have been described to manage these lesions. However, when such lesions involve the retropharyngeal space with evidence of airway compromise, none of the above aforeme...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2020.110074

    authors: Liu Q,Wang S,Zhang J,Zhang X,Li Y,Zhao J,Ge W,Liu Y,Wang G,Sun N,Tai J,Siu AK,Ni X

    更新日期:2020-07-01 00:00:00

  • Hearing devices for children with unilateral hearing loss: Patient- and parent-reported perspectives.

    abstract:OBJECTIVE:Management of children with unilateral hearing loss is not standardized. The primary goal of this study was to elicit patient- and parent-reported perspectives regarding usage of hearing devices in pediatric UHL and to suggest a basic algorithmic approach to management. METHODS:Our tertiary care center recru...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2016.08.029

    authors: Purcell PL,Jones-Goodrich R,Wisneski M,Edwards TC,Sie KC

    更新日期:2016-11-01 00:00:00

  • Measurements of normal upper airway assessed by 3-dimensional computed tomography in Chinese children and adolescents.

    abstract:OBJECTIVE:To establish normative data of upper airway dimensions in Chinese children and adolescents by age and sex. METHODS:CT-scans of 281 Chinese children and adolescents (140 girls, 141 boys) aged from 6 to 18 years (yr) were selected among the patients who visited in Department of Oral and Maxillofacial Surgery f...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2011.06.022

    authors: Li H,Lu X,Shi J,Shi H

    更新日期:2011-10-01 00:00:00

  • Failed extubation in the neonatal intensive care unit.

    abstract:OBJECTIVE:To determine the causes of failed extubation in the Neonatal Intensive Care Unit (NICU) and the need for airway intervention. STUDY DESIGN:Retrospective chart review. SETTING:Tertiary care children's hospital. PATIENTS:We identified all premature infants (gestational age <37 weeks) admitted to the NICU of ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2007.07.018

    authors: Pereira KD,Smith SL,Henry M

    更新日期:2007-11-01 00:00:00

  • Qualitative research methods in otorhinolaryngology.

    abstract:OBJECTIVE:Qualitative research methods explore the character and meaning of human phenomena. The methodology is unfamiliar to most clinicians, not only because of the different techniques and the type of studied issues, but also because of important differences regarding terminology and criteria for evaluating qualitat...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s0165-5876(99)00248-7

    authors: Bunne M

    更新日期:1999-11-15 00:00:00

  • Acquired subglottic cysts: management and long term outcome.

    abstract:OBJECTIVES:To assess the diagnostic strategy, treatment and outcome of acquired subglottic cysts. MATERIALS AND METHODS:Retrospective, monocentric, tertiary referential center study of 172 preterm neonates assessed by endoscopic examination over a 10 years period. Identification of patients presenting with subglottic ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2012.01.023

    authors: Halimi C,Nevoux J,Denoyelle F,Garabedian EN,Leboulanger N

    更新日期:2012-04-01 00:00:00

  • A cost-effectiveness analysis of the high risk register and auditory brainstem response.

    abstract:OBJECTIVE:To evaluate an infant hearing screening program utilizing the high risk register (HRR) and auditory brainstem response (ABR). DESIGN:A cost-effectiveness analysis of the screening program employing a retrospective cohort identified by chart review. The analysis was performed on a hypothetical cohort of 100,0...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s0165-5876(96)01423-1

    authors: Friedland DR,Fahs MC,Catalano PJ

    更新日期:1996-12-20 00:00:00

  • Palliation in pediatric otorhinolaryngology.

    abstract::Palliation in pediatric otorhinolaryngology is a rarely discussed but important aspect of care. This review encapsulates current thinking on pediatric palliative care (PC) and demonstrates, through one case, the impact of integrating PC into clinical care. We encourage early consideration of pediatric palliative care ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijporl.2018.07.016

    authors: Shah UK,Miller EG,Levy C

    更新日期:2018-10-01 00:00:00

  • Jet ventilation for laser laryngeal surgery in children. Modification of the Saunders jet ventilation technique.

    abstract::In our clinical series, 40-50% O2 and 50-60% N2O (regulated by a blender and delivered by manual jet ventilation (MJV] and residual halothane from induction provided satisfactory supralaryngeal anesthesia. Fentanyl, N2O, atracurium, and lidocaine administered i.v. effectively blunted laryngeal stimulation, allowed con...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/0165-5876(87)90051-6

    authors: Borland LM,Reilly JS

    更新日期:1987-11-01 00:00:00

  • Detection of herpesvirus type 8 (HHV8) in children's tonsils and adenoids by immunohistochemistry and in situ hybridization.

    abstract:OBJECTIVE:Human herpesvirus 8 (HHV8) has been associated with multicentric Castleman's disease, Kaposi's sarcoma and effusion non-Hodgkin's lymphoma. Epidemiological studies have shown seropositivity in variable proportions of populations. It seems to be sexually transmitted among adults and through oral contact among ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2005.04.030

    authors: Chagas CA,Endo LH,Sakano E,Pinto GA,Brousset P,Vassallo J

    更新日期:2006-01-01 00:00:00

  • Surgery for velopharyngeal insufficiency: The outcomes of the University Hospitals Leuven.

    abstract:OBJECTIVES:We reviewed the outcomes of patients who underwent a velopharyngoplasty and subsequent speech therapy for velopharyngeal insufficiency (VPI) to determine possible prognostic variables. METHODS:During the period 2002-2010, 91 patients with VPI underwent a velopharyngoplasty (either the Honig velopharyngoplas...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2015.10.007

    authors: Samoy K,Hens G,Verdonck A,Schoenaers J,Dormaar T,Breuls M,Vander Poorten V

    更新日期:2015-12-01 00:00:00

  • Middle ear fluid histamine and leukotriene B4 in acute otitis media: effect of antihistamine or corticosteroid treatment.

    abstract:OBJECTIVE:Two potent mediators of acute inflammation, histamine and leukotriene B4 (LTB4), have been shown to play important roles in the pathogenesis and clinical course of acute otitis media (AOM) in children. The purpose of this study was to evaluate the ability of adjuvant drugs, antihistamine and corticosteroid, i...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0165-5876(02)00372-5

    authors: McCormick DP,Saeed K,Uchida T,Baldwin CD,Deskin R,Lett-Brown MA,Heikkinen T,Chonmaitree T

    更新日期:2003-03-01 00:00:00

  • Changes of spatial and temporal characteristics of dynamic postural control in children with typical neurodevelopment with age: Results of a multicenter pediatric study.

    abstract:BACKGROUND:The aim of this multicenter study is to investigate the effect of chronological age and gender in postural control. METHODS:To approach an ecological model, we used a multicenter posturography assessment. We analyzed postural control with surface, mean velocity of center of pressure [CoP] and temporal analy...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ijporl.2018.08.005

    authors: Goulème N,Debue M,Spruyt K,Vanderveken C,De Siati RD,Ortega-Solis J,Petrossi J,Wiener-Vacher S,Bucci MP,Ionescu E,Thai-Van H,Deggouj N

    更新日期:2018-10-01 00:00:00

  • Objective assessment of endoscopy assisted adenoidectomy.

    abstract:OBJECTIVES:To objectively assess the effectiveness of endoscopy assisted adenoidectomy utilizing adenoid tissue volume measurement and to set some parameters for which patients are more legible to this procedure. METHODS:Forty three patients for whom adenoidectomy was conventionally done using adenoid curettes. Surgeo...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2014.04.031

    authors: Elnashar I,El-Anwar MW,Basha WM,AlShawadfy M

    更新日期:2014-08-01 00:00:00

  • A Novel mutation in the SLC26A4 gene in a Chinese family with Pendred syndrome.

    abstract:OBJECTIVE:To investigate the mutations in the SLC26A4 gene in a Chinese patient with Pendred syndrome. METHODS:The diagnosis of Pendred syndrome was confirmed by the family history, pure tone audiogram, perchlorate discharge test (PDT), and computed tomography (CT) of the temporal bone. DNA extraction, PCR and DNA seq...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2013.06.017

    authors: Huang CJ,Lei TH,Chang WL,Tu TY,Shiao AS,Chiu CY,Jap TS

    更新日期:2013-09-01 00:00:00

  • The universal newborn hearing screening program of Taipei City.

    abstract:OBJECTIVES:To establish a hearing screening program with high coverage, low referral rate, high follow-up rate, and early intervention in Taipei City. METHODS:From September 2009 to December 2010, 85% delivery units in Taipei City, which includes 20 hospitals and 14 obstetrics clinics, were recruited into the screenin...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ijporl.2013.08.004

    authors: Huang HM,Chiang SH,Shiau YS,Yeh WY,Ho HC,Wang L,Chen SC,Lin HC,Chen KC,Chiang H,Yang MC,Yu LH,Lin HL,Chiu AW,Hsiao KJ

    更新日期:2013-10-01 00:00:00

  • Reducing the need for general anesthesia in the repair of choanal atresia with steroid-eluting stents: A case series.

    abstract:INTRODUCTION:Choanal atresia (CA) is a rare pediatric congenital disorder resulting in upper airway obstruction and respiratory distress in the setting of obligate nasal breathing in infants. In 2016, a novel technique was reported in the literature utilizing drug-eluting stents to correct CA. However, 2 out of 3 patie...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2019.01.004

    authors: Meleca JB,Anne S,Hopkins B

    更新日期:2019-03-01 00:00:00

  • Proboscis lateralis: a report of two cases.

    abstract::Proboscis Lateralis (PL) is one of the congenital anomalies of the nose which presents as obvious deformity. This is a report of two cases of the rare anomaly PL. One presented with right PL and the second presented with left PL. In this rare anomaly, the nasal cavity on one side is completely normal while on the affe...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2003.11.021

    authors: Abou-Elhamd KE

    更新日期:2004-04-01 00:00:00

  • IL-6 promotes the expression of vascular endothelial growth factor through the p38 signalling pathway in hypertrophied adenoids in children.

    abstract:OBJECTIVES:To examine the expression of vascular endothelial growth factor (VEGF) in hypertrophied adenoids in children and investigate the possible regulatory mechanism. METHODS:Thirty-eight children with hypertrophied adenoids (moderate, 16; severe, 22) were enrolled to investigate the VEGF expression in the adenoid...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2012.09.040

    authors: Wang H,Bai J,Zhang J,Yang W,Zuo K,Li H

    更新日期:2013-02-01 00:00:00

  • Hard palate perforation due to invasive aspergillosis in a patient with acute lymphoblastic leukemia.

    abstract::Invasive aspergillosis (IA) is a major cause of morbidity and mortality in immunosuppressed patients. Primary oral invasive aspergillosis is a rare condition. We present an acute lymphoblastic leukemia (ALL) patient with hard palate perforation due to invasive aspergillosis. Two months after the appearance of the fung...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2005.03.035

    authors: Karabulut AB,Kabakas F,Berköz O,Karakas Z,Kesim SN

    更新日期:2005-10-01 00:00:00

  • Parental smoking and persistent otitis media with effusion in children.

    abstract::A total of 163 children were entered into a case-control study to determine whether any causal relationship exists between otitis media with effusion (OME) requiring grommet insertion and parental smoking. One hundred children with persistent OME formed the case group and 63 children with normal ears formed the contro...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/0165-5876(92)90062-t

    authors: Rowe-Jones JM,Brockbank MJ

    更新日期:1992-07-01 00:00:00

  • Primary cervical leiomyoma: A rare cause of a posterior neck mass in a pediatric patient.

    abstract::A 13-year-old male presents for evaluation of a right-sided posterolateral neck mass, first noted four years prior to presentation; incisional biopsy two years ago suggested a benign lymph node. Recent growth and increased pain prompted referral to our tertiary care center. MR imaging revealed a densely calcified mass...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2017.11.015

    authors: Oliver JD,Anzalone CL,Balakrishnan K

    更新日期:2018-01-01 00:00:00

  • The history of pediatric otorhinolaryngology in Poland.

    abstract::The past few decades have been a time of rapid and constantly-accelerating development in every field of medicine, including pediatrics and laryngology. The first pediatric laryngology unit set up in Poland was in the Warsaw Kopernik Hospital in 1908, and consisted of seven beds in the surgical ward. The actual develo...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 历史文章,杂志文章

    doi:10.1016/j.ijporl.2008.12.030

    authors: Chmielik M,Kossowska E,Brozek-Madry E,Chmielik LP

    更新日期:2009-04-01 00:00:00