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Adult onset otitis media with effusion: an etiologic study

Year 2002, Volume: 9 Issue: 4, 267 - 270, 30.08.2002

Abstract

Objectives: We investigated the etiologic causes and the value of nasal endoscopy in adult onset otitis media with effusion OME .Patients and Methods: The study included 50 patients with adult-onset OME 28 males, 22 females; mean age 46 years; range 18 to 41 years . Pneumatic oto- scopy, otomicroscopy, pure-tone audiometry and tym- panometry were performed in ali patients. The nasal cavity and the nasopharynx were examined by nasal endoscopy. Skin prick tests were performed and serum specific IgE levels were determined in ali patients.Computed tomography seans of the nasal cavity, paranasal sinuses, nasopharynx, and the skull base were obtained when indicated.Results: Adult-onset OME was bilateral in 24 patients.Allergy was deteeted in three patients. Four patients had marked septal deviation. Mucopurulent diseharge in the middle meatus was observed in 20 patients and polypoid tissue in the lateral nasal wall in two patients. Mucoid and purulent diseharge and edema were observed at the ori- fice of the eustachian tube in 13 patients and 10 patients, respeetively. Biopsies obtained from nasopharyngeal masses revealed squamous celi carcinoma in one patient and lymphoid hyperplasia in four patients.Conclusion: We concluded that nasal endoscopy was a reliable method in the investigation of etiologic factors in adult-onset OME.

References

  • Yung MW, Arasaratnam R. Adult-onset otitis media with effusion: results following ventilation tube inser- tion. J Laryngol Otol 2001;115:874-8.
  • Finkelstein Y, Ophir D, Talmi YP, Shabtai A, Strauss M, Zohar Y. Adult-onset otitis media with effusion. Arch Otolaryngol Head Neck Surg 1994;120:517-27.
  • Shimotakahara SG, Ruby RR, Lampe HB. Otitis media with effusion in the adult. J Otolaryngol 1989;18:85-9.
  • Schuknecht HF, Zaytoun GM, Moon CN Jr. Adult- onset fluid in the tympanomastoid compartment. Diagnosis and management. Arch Otolaryngol Head Neck Surg 1982;108:759-65.
  • Finkelstein Y, Talmi YP, Rubel Y, Bar-Ziv J, Zohar Y. Otitis media with effusion as a presenting symptom of chronic sinusitis. J Laryngol Otol 1989;103:827-32.
  • Fujita A, Honjo I, Kurata K, Gan I, Takahashi H. Refractory otitis media with effusion from viewpoints of eustachian tube dysfunction and nasal sinusitis. Am J Otolaryngol 1993;14:187-90.
  • Takahashi H, Honjo I, Fujita A. Endoscopic findings at the pharyngeal orifice of the eustachian tube in otitis media with effusion. Eur Arch Otorhinolaryngol 1996; 253:42-4.
  • Iino Y, Sugita K, Toriyama M, Kudo K. Erythromycin therapy for otitis media with effusion in sinobronchial syndrome. Arch Otolaryngol Head Neck Surg 1993; 119:648-51.
  • Dempster JH, Swan IR. The management of otitis media with effusion in adults. Clin Otolaryngol 1988; 13:197-9.
  • Chao WY, Wang CF, Chang SJ. Ventilation tube in adults with middle-ear effusion. J Otolaryngol 1999; 28:278-81.
  • Robinson PM. Secretory otitis media in the adult. Clin Otolaryngol 1987;12:297-302.
  • Özünlü A, Gerek M, Satar B, Aktafl D, Dündar A. Ye- tiflkinlerde seröz otitis media etyopatognezi. KBB Bafl Boyun Cerrahisi Dergisi 1996;4:103-9.
  • Baflak S, Metin KK, Erpek G, Nar H. Eriflkin yafl gru- bunda görülen sekretuar otitis media’da nazal kavite ve nazofarenks patolojileri. KBB Bafl Boyun Cerrahisi Dergisi 1999;7:1-5.
  • Mills R, Vaughan-Jones R. A prospective study of oti- tis media with effusion in adults and children. Clin Otolaryngol 1992;17:271-4.
  • Finkelstein Y, Talmi YP, Zohar Y. On the cause of sinusitis in patients with cleft palate. Arch Otolaryngol Head Neck Surg 1990;116:490-1.
  • Özmen H, Özflahinoğlu C, Kıroğlu F, Akçalı Ç, Seçinti E, Günefler S. Çocuklarda sekretuar otitis media etiy- olojisinde alerjinin rolü. Türk ORL Arflivi 1989;27:68-9.
  • Bernstein JM. The role of IgE-mediated hypersensitivity in the development of otitis media with effusion: a re v i e w. Otolaryngol Head Neck Surg. 1993;109(3 Pt 2): 6 11 - 2 0 .
  • Cüreoğlu S, Osma Ü, Oktay MF, Meriç F, Topçu İ. Ef- füzyonlu otitis medialı olguların orta kulak mukoid sı- vılarında immünglobulin düzeyleri. Kulak Burun Bo- gaz Ihtis Derg 2000;7:35-8.
  • Takahashi H, Fujita A, Honjo I. Site of eustachian tube dysfunction in patients with otitis media with effu- sion. Am J Otolaryngol 1987;8:361-3.

Erişkin dönem başlangıçlı efüzyonlu otitis media: Etyolojik çalışma

Year 2002, Volume: 9 Issue: 4, 267 - 270, 30.08.2002

Abstract

Amaç: Eriflkin dönemde bafllayan efüzyonlu otitis mediada EOM etyolojik nedenler ve nazal endoskopinindeğeri arafltırıldı.Hastalar ve Yöntemler: Çalıflmaya, eriflkin dönemdeEOM görülen 50 hasta alındı. Hastalara rutin KBB muayenesi dıflında, pnömotik otoskopi ve otomikroskobi yapıldı. Saf-ses odyometri ve timpanogram testleri uygulandı. Nazal kavite ve nazofarenks 4 mm rijid 0° ve30° endoskop kullanılarak incelendi. Hastaların tümüne deri testi uygulandı ve kanlarında spesifik IgE düzeylerine bakıldı. Endikasyonu olduğunda burun veparanazal sinüsler, nazofarenks ve kafa tabanı bilgisayarlı tomografi ile incelendi.Bulgular: Hastaların 14’ünün sağ kulağında, 12’sininsol kulağında ve 24’ünün iki kulağında EOM saptandı.Üç hastada alerji, dört hastada belirgin septal deviasyon vardı. Yirmi hastada orta meada mukopürülanakıntı, iki hastada ise lateral nazal duvarda polipoiddoku belirlendi. On üç hastada östaki ağzında mukoidve pürülan akıntı, 10 hastada ödem, befl hastada isenazofarenkste kitle saptandı. Biyopsi sonuçları birhastada yassı epitel hücreli karsinom, diğerlerinde iselenfoid hiperplazi fleklinde idi.Sonuç: Nazal endoskopinin, eriflkin EOM’de sık görülen nedenleri ortaya koymada oldukça etkili bir yöntem olduğu sonucuna varıldı

References

  • Yung MW, Arasaratnam R. Adult-onset otitis media with effusion: results following ventilation tube inser- tion. J Laryngol Otol 2001;115:874-8.
  • Finkelstein Y, Ophir D, Talmi YP, Shabtai A, Strauss M, Zohar Y. Adult-onset otitis media with effusion. Arch Otolaryngol Head Neck Surg 1994;120:517-27.
  • Shimotakahara SG, Ruby RR, Lampe HB. Otitis media with effusion in the adult. J Otolaryngol 1989;18:85-9.
  • Schuknecht HF, Zaytoun GM, Moon CN Jr. Adult- onset fluid in the tympanomastoid compartment. Diagnosis and management. Arch Otolaryngol Head Neck Surg 1982;108:759-65.
  • Finkelstein Y, Talmi YP, Rubel Y, Bar-Ziv J, Zohar Y. Otitis media with effusion as a presenting symptom of chronic sinusitis. J Laryngol Otol 1989;103:827-32.
  • Fujita A, Honjo I, Kurata K, Gan I, Takahashi H. Refractory otitis media with effusion from viewpoints of eustachian tube dysfunction and nasal sinusitis. Am J Otolaryngol 1993;14:187-90.
  • Takahashi H, Honjo I, Fujita A. Endoscopic findings at the pharyngeal orifice of the eustachian tube in otitis media with effusion. Eur Arch Otorhinolaryngol 1996; 253:42-4.
  • Iino Y, Sugita K, Toriyama M, Kudo K. Erythromycin therapy for otitis media with effusion in sinobronchial syndrome. Arch Otolaryngol Head Neck Surg 1993; 119:648-51.
  • Dempster JH, Swan IR. The management of otitis media with effusion in adults. Clin Otolaryngol 1988; 13:197-9.
  • Chao WY, Wang CF, Chang SJ. Ventilation tube in adults with middle-ear effusion. J Otolaryngol 1999; 28:278-81.
  • Robinson PM. Secretory otitis media in the adult. Clin Otolaryngol 1987;12:297-302.
  • Özünlü A, Gerek M, Satar B, Aktafl D, Dündar A. Ye- tiflkinlerde seröz otitis media etyopatognezi. KBB Bafl Boyun Cerrahisi Dergisi 1996;4:103-9.
  • Baflak S, Metin KK, Erpek G, Nar H. Eriflkin yafl gru- bunda görülen sekretuar otitis media’da nazal kavite ve nazofarenks patolojileri. KBB Bafl Boyun Cerrahisi Dergisi 1999;7:1-5.
  • Mills R, Vaughan-Jones R. A prospective study of oti- tis media with effusion in adults and children. Clin Otolaryngol 1992;17:271-4.
  • Finkelstein Y, Talmi YP, Zohar Y. On the cause of sinusitis in patients with cleft palate. Arch Otolaryngol Head Neck Surg 1990;116:490-1.
  • Özmen H, Özflahinoğlu C, Kıroğlu F, Akçalı Ç, Seçinti E, Günefler S. Çocuklarda sekretuar otitis media etiy- olojisinde alerjinin rolü. Türk ORL Arflivi 1989;27:68-9.
  • Bernstein JM. The role of IgE-mediated hypersensitivity in the development of otitis media with effusion: a re v i e w. Otolaryngol Head Neck Surg. 1993;109(3 Pt 2): 6 11 - 2 0 .
  • Cüreoğlu S, Osma Ü, Oktay MF, Meriç F, Topçu İ. Ef- füzyonlu otitis medialı olguların orta kulak mukoid sı- vılarında immünglobulin düzeyleri. Kulak Burun Bo- gaz Ihtis Derg 2000;7:35-8.
  • Takahashi H, Fujita A, Honjo I. Site of eustachian tube dysfunction in patients with otitis media with effu- sion. Am J Otolaryngol 1987;8:361-3.
There are 19 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Cengiz Özcan This is me

Kemal Görür This is me

Murat Ünal This is me

Publication Date August 30, 2002
Published in Issue Year 2002 Volume: 9 Issue: 4

Cite

APA Özcan, C., Görür, K., & Ünal, M. (2002). Erişkin dönem başlangıçlı efüzyonlu otitis media: Etyolojik çalışma. The Turkish Journal of Ear Nose and Throat, 9(4), 267-270.
AMA Özcan C, Görür K, Ünal M. Erişkin dönem başlangıçlı efüzyonlu otitis media: Etyolojik çalışma. Tr-ENT. August 2002;9(4):267-270.
Chicago Özcan, Cengiz, Kemal Görür, and Murat Ünal. “Erişkin dönem başlangıçlı efüzyonlu Otitis Media: Etyolojik çalışma”. The Turkish Journal of Ear Nose and Throat 9, no. 4 (August 2002): 267-70.
EndNote Özcan C, Görür K, Ünal M (August 1, 2002) Erişkin dönem başlangıçlı efüzyonlu otitis media: Etyolojik çalışma. The Turkish Journal of Ear Nose and Throat 9 4 267–270.
IEEE C. Özcan, K. Görür, and M. Ünal, “Erişkin dönem başlangıçlı efüzyonlu otitis media: Etyolojik çalışma”, Tr-ENT, vol. 9, no. 4, pp. 267–270, 2002.
ISNAD Özcan, Cengiz et al. “Erişkin dönem başlangıçlı efüzyonlu Otitis Media: Etyolojik çalışma”. The Turkish Journal of Ear Nose and Throat 9/4 (August 2002), 267-270.
JAMA Özcan C, Görür K, Ünal M. Erişkin dönem başlangıçlı efüzyonlu otitis media: Etyolojik çalışma. Tr-ENT. 2002;9:267–270.
MLA Özcan, Cengiz et al. “Erişkin dönem başlangıçlı efüzyonlu Otitis Media: Etyolojik çalışma”. The Turkish Journal of Ear Nose and Throat, vol. 9, no. 4, 2002, pp. 267-70.
Vancouver Özcan C, Görür K, Ünal M. Erişkin dönem başlangıçlı efüzyonlu otitis media: Etyolojik çalışma. Tr-ENT. 2002;9(4):267-70.