The Prevalence of Tympanic Membrane and Related Middle Ear Pathology in Children: A Large Longitudinal Cohort Study Followed From Birth to Age Ten

  title={The Prevalence of Tympanic Membrane and Related Middle Ear Pathology in Children: A Large Longitudinal Cohort Study Followed From Birth to Age Ten},
  author={A. Richard Maw and Amanda Hall and D D Pothier and Steven P. Gregory and Colin D Steer},
  journal={Otology \& Neurotology},
Objective: To record with video-otoscopy the appearance of the tympanic membranes of a cross section of children aged 9 to 10 years. Study Design: Cross-sectional study nested within an established longitudinal study of childhood development, the Avon Longitudinal Study of Parents and Children. Setting: South West England, U.K. Participants: Approximately 6908 of 7261 children with ages ranging from 105 to 140 months born between April 1, 1991, and December 31, 1992, were examined by trained… 

Natural History of Tympanic Membrane Retraction in Children with Cleft Palate.

Most tympanic membrane retractions remained stable or improved over time in this cohort of children who were at a risk of persistent eustachian tube dysfunction, justifying the conservative approach taken to manage these retractions.

Factors associated with the development of paediatric chronic otitis media by age nine: a prospective longitudinal cohort study of 6560 children

The association between chronic otitisMedia and otorrhoea, abnormal tympanograms and grommets supports the role of the Eustachian tube and otitis media (with effusion or acute) in the pathogenesis of chronic Otitis media.

The Natural Course of Tympanic Membrane Retractions in the Posterosuperior Quadrant of Pars Tensa: A Watchful Waiting Policy

  • A. BayoumyC. VeugenL. RijssenM. YungJ. Bok
  • Medicine
    Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
  • 2020
Investigation of the natural course of retraction pockets in the posterosuperior quadrant of the pars tensa in a large cohort of patients found otoscopic findings and audiometric results remained stable in most TMRs without treatment.

Long-term results and prognostic factors of underlay myringoplasty in pars tensa atelectasis in children.

Tensa retraction resulting in a tympanic disruption can be cured by underlay myringoplasty with perichondrium or temporalis fascia with results similar to those of simple tyMPanic perforations without recurrent retraction even in the long-term period.

The Natural History of Asymptomatic Deep Pars Tensa Retraction.

Over 10 years, the most common finding in children was the return of their ears to normal, and Deterioration to form cholesteatoma was not influenced by age.

Surgical Management of Retraction Pockets: Does Mastoidectomy have a Role?

Tympanoplasty and ossiculoplasty should be considered to treat atelectatic middle ear and Ossicular chain interruption and mastoidectomy as a way to increase air volume in the ear seems to be a paradox.

Developmental aspects of the tympanic membrane: Shedding light on function and disease

The biological and clinical uncertainties that remain in TM cell dynamics are outlined, with a view to guiding the indispensable contribution that developmental biology will be able to make to better understanding the TM.

The development of the mammalian outer and middle ear

The necessity for further research into the development of outer and middle ear structures is highlighted, which will be important for the understanding and treatment of conductive hearing loss.

Tympanic membrane retraction: An endoscopic evaluation of staging systems

The objectives of this work were to assess inter‐ and intraobserver variability of different staging systems for tympanic membrane (TM) retraction using otoendoscopy in children at risk of retraction from cleft palate, and to propose optimum characteristics for monitoring TM retraction with endoscopy.

Tympanic Membrane Retraction Pockets

Epidemiologic studies already done on the frequency of tympanic membrane retractions have been rare and almost exclusively exploring pediatric populations, finding the frequency in the presence of otitis media is significantly higher.



Natural Course of Tympanic Membrane Pathology Related to Otitis Media and Ventilation Tubes Between Ages 8 and 18 Years

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 tympic membrane.

Hearing thresholds and tympanic membrane sequelae in children managed medically or surgically for otitis media with effusion.

In children who were candidates for ventilation tube insertion randomly assigned to receive medical or VT treatment for otitis media with effusion, elevated hearing thresholds and tympanic membrane pathologic abnormalities were more common in VT subjects 6 to 10 years after insertion.

Hearing Loss in Young Adults Who Had Ventilation Tube Insertion in Childhood

It is found that ventilation tube insertion in childhood was associated with a mean persistent hearing loss in young adults of about 5 to 10 dB at the group level with a sensorineural component of 3 to 4 dB.

Long-term effects of otitis media with effusion: otomicroscopic findings.

A duration-response effect was found in the association between preschool OME and these sequelae at school age, and the high prevalence of otoscopic abnormalities found in this population calls for further follow-up and evaluation of their functional implications.

Management of retraction pockets of the pars tensa in children by excision and ventilation tube insertion

Clinically, an improvement in hearing was reported in seven children (eight ears) and the average air conduction threshold gain for these patients was 16 dB, while a larger prospective study is currently underway.

Pars tensa retraction pockets in children: treatment by excision and ventilation tube insertion.

It is concluded that excision and grommet insertion is a simple, safe and efficient procedure for the management of tympanic membrane retraction pockets and can be considered in preference to extensive tympanoplasty.

The long term outcome of secretory otitis media in children and the effects of surgical treatment: a ten year study.

The unoperated ear in cases not receiving either adenoidectomy or insertion of a grommet alone produces similar improvement but in combination are more effective than either procedure in isolation.

Management of lateral sinus thrombosis: update and literature review

The management of four cases of lateral sinus thrombosis over a four-year period at the Royal Darwin Hospital is presented in this retrospective review and the role of clot removal at surgery and the use of anticoagulation are discussed.

Treatment of tympanic membrane retraction pockets by excision. A prospective study

Simple excision should be considered in the first instance, rather than reinforcement tympanoplasty using temporalis fascia or cartilage graft, in the treatment of tympanic membrane retraction pockets.