PMID: 2498820Apr 1, 1989Paper

Lack of efficacy of middle-ear inflation: treatment of otitis media with effusion in children

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
K H Chan, C D Bluestone

Abstract

A randomized controlled trial was conducted to evaluate the efficacy of autoinflation of the middle ear in the treatment of otitis media with effusion. Forty-one children with middle ear effusion not responsive to antimicrobial therapy enrolled in the study. Of these subjects, 75 percent had effusion duration over 3 months. A system consisting of a disposable anesthesia mask attached to a flowmeter was used to teach children to perform autoinflation based on a modified Valsalva technique. Subjects were stratified according to their ability to achieve tubal opening as assessed by tympanometry and tubosonometry. Subjects were randomly assigned to either treatment or observation group and were followed weekly for 2 weeks; subjects in the treatment group attempted inflation three times each day for 2 weeks. Of the 19 subjects who were in the autoinflation group, only one (5.3 percent) was effusion-free at the two-week endpoint and of the 21 subjects in the control, only two (9.5 percent) were without middle-ear effusion. Autoinflation was ineffective for treatment of children with otitis media with effusion in our study.

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Citations

Jun 20, 1997·International Journal of Pediatric Otorhinolaryngology·A B Silva, A J Hotaling
May 13, 1998·International Journal of Pediatric Otorhinolaryngology·R M Rosenfeld
Oct 26, 1999·Auris, Nasus, Larynx·C M AlperW J Doyle
Apr 30, 1999·BMJ : British Medical Journal·D D ReidpathC Del Mar
Jan 21, 2009·Periodontology 2000·Gösta Granström
Mar 29, 2019·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Wojciech FeleszkoJosé Luis Mayorga Butrón
Jul 1, 1997·Acta Oto-laryngologica·Y KanekoT Okitsu
Dec 16, 1998·The Pediatric Infectious Disease Journal·C D Bluestone
Jun 4, 2013·The Cochrane Database of Systematic Reviews·Rafael PereraIan Williamson
Sep 8, 2006·Drugs·Ellen M Mandel, Margaretha L Casselbrant
Dec 16, 1998·The Pediatric Infectious Disease Journal·J O Klein
May 1, 1992·Indian Journal of Pediatrics·S Mehta, Y N Mehra
Jun 1, 1993·Clinical Otolaryngology and Allied Sciences·J D BlanshardR Bawden
Jul 2, 1999·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·C M AlperJ T Seroky
Jul 7, 1999·Otolaryngologic Clinics of North America·T T Jung, J B Hanson

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