Pars tensa and pars flaccida retractions in persistent otitis media with effusion
In children with otitis media with effusion (OME), to investigate the incidence of, and any association, between retractions of the pars tensa and pars flaccida; to assess the effect of pars tensa and pars flaccida retractions on the hearing; to investigate risk factors for retractions; and to docum...
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| Veröffentlicht in: | Otology & neurotology 2001-05, Vol.22 (3), p.291-298 |
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| description | In children with otitis media with effusion (OME), to investigate the incidence of, and any association, between retractions of the pars tensa and pars flaccida; to assess the effect of pars tensa and pars flaccida retractions on the hearing; to investigate risk factors for retractions; and to document the natural history of such retractions over a 12-week 'watchful aiting" period.
Prospective, observational study.
Sixteen departments of otolaryngology in hospitals in the U.K.
A cohort of 1,267 children aged 3.25 to 6.75 years with confirmed OME. None had previously received surgical intervention.
Follow-up over a "watchful waiting" period of 12 weeks.
Otoscopy and pure-tone audiometry.
Retraction of the pars tensa to the incus or promontory occurred in 8% of the better-hearing ears and 10% of the poorer-hearing ears. Pars flaccida retraction to the malleus or farther occurred in 4.5% of the better-hearing ears and 5.5% of the poorer-hearing ears. Retractions were not associated with a longer history of hearing problems. Pars tensa or pars flaccida retraction in association with OME did not materially affect the hearing. Pars tensa retractions, followed up over a 12-week period, resolved in 69% of the better-hearing ears and 65% of the poorer-hearing ears. In 14% and 10% of ears, respectively, the OME had also resolved.
There is minimal evidence to support the concept that pars tensa or pars flaccida retractions are a strong or relevant marker for the severity or evolution of OME in children. Prospective studies over a longer period of follow-up are required to confirm this. |
| doi_str_mv | 10.1097/00129492-200105000-00004 |
| format | Article |
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Prospective, observational study.
Sixteen departments of otolaryngology in hospitals in the U.K.
A cohort of 1,267 children aged 3.25 to 6.75 years with confirmed OME. None had previously received surgical intervention.
Follow-up over a "watchful waiting" period of 12 weeks.
Otoscopy and pure-tone audiometry.
Retraction of the pars tensa to the incus or promontory occurred in 8% of the better-hearing ears and 10% of the poorer-hearing ears. Pars flaccida retraction to the malleus or farther occurred in 4.5% of the better-hearing ears and 5.5% of the poorer-hearing ears. Retractions were not associated with a longer history of hearing problems. Pars tensa or pars flaccida retraction in association with OME did not materially affect the hearing. Pars tensa retractions, followed up over a 12-week period, resolved in 69% of the better-hearing ears and 65% of the poorer-hearing ears. In 14% and 10% of ears, respectively, the OME had also resolved.
There is minimal evidence to support the concept that pars tensa or pars flaccida retractions are a strong or relevant marker for the severity or evolution of OME in children. Prospective studies over a longer period of follow-up are required to confirm this.</description><identifier>ISSN: 1531-7129</identifier><identifier>EISSN: 1537-4505</identifier><identifier>DOI: 10.1097/00129492-200105000-00004</identifier><identifier>PMID: 11347629</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Acoustic Impedance Tests ; Audiometry, Pure-Tone - methods ; Biological and medical sciences ; Child ; Child, Preschool ; Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology ; Female ; Follow-Up Studies ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Non tumoral diseases ; Observation ; Otitis Media with Effusion - diagnosis ; Otitis Media with Effusion - physiopathology ; Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...) ; Otorhinolaryngology. Stomatology ; Prospective Studies ; Risk Factors ; Severity of Illness Index ; Surveys and Questionnaires ; Time Factors ; Tympanic Membrane - physiopathology</subject><ispartof>Otology & neurotology, 2001-05, Vol.22 (3), p.291-298</ispartof><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c340t-f2fc73bf8874a13930ad72ce0fdd9a5ac64cfc0d8e83047dcb545729b84a99e53</citedby><cites>FETCH-LOGICAL-c340t-f2fc73bf8874a13930ad72ce0fdd9a5ac64cfc0d8e83047dcb545729b84a99e53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1014083$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11347629$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><title>Pars tensa and pars flaccida retractions in persistent otitis media with effusion</title><title>Otology & neurotology</title><addtitle>Otol Neurotol</addtitle><description>In children with otitis media with effusion (OME), to investigate the incidence of, and any association, between retractions of the pars tensa and pars flaccida; to assess the effect of pars tensa and pars flaccida retractions on the hearing; to investigate risk factors for retractions; and to document the natural history of such retractions over a 12-week 'watchful aiting" period.
Prospective, observational study.
Sixteen departments of otolaryngology in hospitals in the U.K.
A cohort of 1,267 children aged 3.25 to 6.75 years with confirmed OME. None had previously received surgical intervention.
Follow-up over a "watchful waiting" period of 12 weeks.
Otoscopy and pure-tone audiometry.
Retraction of the pars tensa to the incus or promontory occurred in 8% of the better-hearing ears and 10% of the poorer-hearing ears. Pars flaccida retraction to the malleus or farther occurred in 4.5% of the better-hearing ears and 5.5% of the poorer-hearing ears. Retractions were not associated with a longer history of hearing problems. Pars tensa or pars flaccida retraction in association with OME did not materially affect the hearing. Pars tensa retractions, followed up over a 12-week period, resolved in 69% of the better-hearing ears and 65% of the poorer-hearing ears. In 14% and 10% of ears, respectively, the OME had also resolved.
There is minimal evidence to support the concept that pars tensa or pars flaccida retractions are a strong or relevant marker for the severity or evolution of OME in children. Prospective studies over a longer period of follow-up are required to confirm this.</description><subject>Acoustic Impedance Tests</subject><subject>Audiometry, Pure-Tone - methods</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Non tumoral diseases</subject><subject>Observation</subject><subject>Otitis Media with Effusion - diagnosis</subject><subject>Otitis Media with Effusion - physiopathology</subject><subject>Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...)</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>Tympanic Membrane - physiopathology</subject><issn>1531-7129</issn><issn>1537-4505</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkFtLJTEMgIusqKv-BemD7Nus6c22jyJeFgQV9HnI6bRYmTNzbHpY_PdWPav7EJLAl4R8jHEBvwV4ewIgpNdedrJVYACgawF6i-0Jo2ynDZgfH7XobEN32U-i58ZaZewO2xVCaXsq_R67v8NCvMaJkOM08NV7m0YMIQ_IS6wFQ83zRDxPfBULZWpw5XPNNRNfxiEj_5vrE48pramRB2w74UjxcJP32ePlxcP5dXdze_Xn_OymC0pD7ZJMwapFcs5qFMorwMHKECENg0eD4VSHFGBw0SnQdggLo42VfuE0eh-N2me_PveuyvyyjlT7ZaYQxxGnOK-pt-Ckc0420H2CocxEJaZ-VfISy2svoH_X2f_T2X_p7D90ttGjzY31or36Pbjx14DjDYAUcEwFp5DpvwNCg1PqDW0afZs</recordid><startdate>20010501</startdate><enddate>20010501</enddate><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20010501</creationdate><title>Pars tensa and pars flaccida retractions in persistent otitis media with effusion</title></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c340t-f2fc73bf8874a13930ad72ce0fdd9a5ac64cfc0d8e83047dcb545729b84a99e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Acoustic Impedance Tests</topic><topic>Audiometry, Pure-Tone - methods</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Non tumoral diseases</topic><topic>Observation</topic><topic>Otitis Media with Effusion - diagnosis</topic><topic>Otitis Media with Effusion - physiopathology</topic><topic>Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...)</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>Tympanic Membrane - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Otology & neurotology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pars tensa and pars flaccida retractions in persistent otitis media with effusion</atitle><jtitle>Otology & neurotology</jtitle><addtitle>Otol Neurotol</addtitle><date>2001-05-01</date><risdate>2001</risdate><volume>22</volume><issue>3</issue><spage>291</spage><epage>298</epage><pages>291-298</pages><issn>1531-7129</issn><eissn>1537-4505</eissn><abstract>In children with otitis media with effusion (OME), to investigate the incidence of, and any association, between retractions of the pars tensa and pars flaccida; to assess the effect of pars tensa and pars flaccida retractions on the hearing; to investigate risk factors for retractions; and to document the natural history of such retractions over a 12-week 'watchful aiting" period.
Prospective, observational study.
Sixteen departments of otolaryngology in hospitals in the U.K.
A cohort of 1,267 children aged 3.25 to 6.75 years with confirmed OME. None had previously received surgical intervention.
Follow-up over a "watchful waiting" period of 12 weeks.
Otoscopy and pure-tone audiometry.
Retraction of the pars tensa to the incus or promontory occurred in 8% of the better-hearing ears and 10% of the poorer-hearing ears. Pars flaccida retraction to the malleus or farther occurred in 4.5% of the better-hearing ears and 5.5% of the poorer-hearing ears. Retractions were not associated with a longer history of hearing problems. Pars tensa or pars flaccida retraction in association with OME did not materially affect the hearing. Pars tensa retractions, followed up over a 12-week period, resolved in 69% of the better-hearing ears and 65% of the poorer-hearing ears. In 14% and 10% of ears, respectively, the OME had also resolved.
There is minimal evidence to support the concept that pars tensa or pars flaccida retractions are a strong or relevant marker for the severity or evolution of OME in children. Prospective studies over a longer period of follow-up are required to confirm this.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>11347629</pmid><doi>10.1097/00129492-200105000-00004</doi><tpages>8</tpages></addata></record> |
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| subjects | Acoustic Impedance Tests Audiometry, Pure-Tone - methods Biological and medical sciences Child Child, Preschool Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology Female Follow-Up Studies Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Non tumoral diseases Observation Otitis Media with Effusion - diagnosis Otitis Media with Effusion - physiopathology Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...) Otorhinolaryngology. Stomatology Prospective Studies Risk Factors Severity of Illness Index Surveys and Questionnaires Time Factors Tympanic Membrane - physiopathology |
| title | Pars tensa and pars flaccida retractions in persistent otitis media with effusion |
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