Organic change of effusion in the mastoid in otitis media with effusion and its relation to attic retraction
To try to solve the pathogenesis of severe attic retraction viewed from mastoid condition, we examined the residual soft tissue density (RSTD) in the mastoid by computed tomography (CT) in 85 patients (107 ears) with otitis media with effusion (OME) 3 months after tympanostomy tube insertion or late...
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Veröffentlicht in: | International journal of pediatric otorhinolaryngology 2000-06, Vol.53 (1), p.17-24 |
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description | To try to solve the pathogenesis of severe attic retraction viewed from mastoid condition, we examined the residual soft tissue density (RSTD) in the mastoid by computed tomography (CT) in 85 patients (107 ears) with otitis media with effusion (OME) 3 months after tympanostomy tube insertion or later. The incidence of RSTD in the mastoid was significantly higher in OME of adults (52.6%) than in children (24.1%). Ears with severe attic retraction had RSTD significantly more frequently (80%) than those with no or mild attic retraction, and many of the mastoids with severe attic retraction were occupied totally by RSTD. The area of the mastoid (mastoid pneumatization) was significantly smaller, and CT density of the mastoid (sclerotic tendency) was significantly higher in ears with RSTD than in those without. RSTD after tympanostomy tube insertion in the mastoid indicating organic change of effusion was considered one of the important factors relating to the pathogenesis of severe attic retraction. |
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The incidence of RSTD in the mastoid was significantly higher in OME of adults (52.6%) than in children (24.1%). Ears with severe attic retraction had RSTD significantly more frequently (80%) than those with no or mild attic retraction, and many of the mastoids with severe attic retraction were occupied totally by RSTD. The area of the mastoid (mastoid pneumatization) was significantly smaller, and CT density of the mastoid (sclerotic tendency) was significantly higher in ears with RSTD than in those without. RSTD after tympanostomy tube insertion in the mastoid indicating organic change of effusion was considered one of the important factors relating to the pathogenesis of severe attic retraction.</description><identifier>ISSN: 0165-5876</identifier><identifier>EISSN: 1872-8464</identifier><identifier>DOI: 10.1016/S0165-5876(00)00300-1</identifier><identifier>PMID: 10862920</identifier><identifier>CODEN: IPOTDJ</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ireland Ltd</publisher><subject>Adolescent ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Attic retraction ; Biological and medical sciences ; Child ; Child, Preschool ; Cholesteatoma ; Cholesteatoma, Middle Ear - diagnosis ; Cholesteatoma, Middle Ear - epidemiology ; Cholesteatoma, Middle Ear - etiology ; Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology ; Ear, Middle - pathology ; Female ; Gas exchange function ; Humans ; Incidence ; Magnetic Resonance Imaging ; Male ; Mastoid - diagnostic imaging ; Mastoid - pathology ; Mastoid aeration ; Medical sciences ; Middle Aged ; Middle Ear Ventilation - adverse effects ; Middle Ear Ventilation - methods ; Non tumoral diseases ; Otitis media with effusion ; Otitis Media with Effusion - complications ; Otitis Media with Effusion - diagnosis ; Otitis Media with Effusion - surgery ; Otorhinolaryngology. 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The incidence of RSTD in the mastoid was significantly higher in OME of adults (52.6%) than in children (24.1%). Ears with severe attic retraction had RSTD significantly more frequently (80%) than those with no or mild attic retraction, and many of the mastoids with severe attic retraction were occupied totally by RSTD. The area of the mastoid (mastoid pneumatization) was significantly smaller, and CT density of the mastoid (sclerotic tendency) was significantly higher in ears with RSTD than in those without. RSTD after tympanostomy tube insertion in the mastoid indicating organic change of effusion was considered one of the important factors relating to the pathogenesis of severe attic retraction.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Attic retraction</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cholesteatoma</subject><subject>Cholesteatoma, Middle Ear - diagnosis</subject><subject>Cholesteatoma, Middle Ear - epidemiology</subject><subject>Cholesteatoma, Middle Ear - etiology</subject><subject>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</subject><subject>Ear, Middle - pathology</subject><subject>Female</subject><subject>Gas exchange function</subject><subject>Humans</subject><subject>Incidence</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Mastoid - diagnostic imaging</subject><subject>Mastoid - pathology</subject><subject>Mastoid aeration</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Middle Ear Ventilation - adverse effects</subject><subject>Middle Ear Ventilation - methods</subject><subject>Non tumoral diseases</subject><subject>Otitis media with effusion</subject><subject>Otitis Media with Effusion - complications</subject><subject>Otitis Media with Effusion - diagnosis</subject><subject>Otitis Media with Effusion - surgery</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Probability</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Tomography, X-Ray Computed</subject><issn>0165-5876</issn><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEuLFDEQgIMo7rj6E5QcRPTQWkl3OumTyOILFvagnkNNUtmJ9HTWJKP4703vDK43L1VU8dWDj7GnAl4LEOObLy2oThk9vgR4BdADdOIe2wijZWeGcbjPNn-RM_aolO8AQoNSD9mZADPKScKGzVf5GpfouNvhck08BU4hHEpMC48Lrzvieyw1Rb-WqcYaC9-Tj8h_xbq7g3FpRC0804x1bdTEsda2OVPN6NbeY_Yg4FzoySmfs28f3n-9-NRdXn38fPHusnNDr2sXhJy2ZvRaD0ENUm6FdmZAolG5SQbjUXvhRTBaaQ0IYXBeeQMG_YjKy_6cvTjuvcnpx4FKtftYHM0zLpQOxWohYdLKNFAdQZdTKZmCvclxj_m3FWBXzfZWs10dWgB7q9mKNvfsdOCwbTL-mTp6bcDzE4DF4RwyLi6WO643phdTw94eMWo2fkbKtrhIi2t-M7lqfYr_-eQP0xqaSg</recordid><startdate>20000609</startdate><enddate>20000609</enddate><creator>Hasebe, Seishi</creator><creator>Takahashi, Haruo</creator><creator>Honjo, Iwao</creator><creator>Sudo, Masaharu</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</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>20000609</creationdate><title>Organic change of effusion in the mastoid in otitis media with effusion and its relation to attic retraction</title><author>Hasebe, Seishi ; Takahashi, Haruo ; Honjo, Iwao ; Sudo, Masaharu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-f129b86d774f5422b17c84aee65c92f8da7d1d1f875770a0f4cd5d808ad6a5d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Attic retraction</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cholesteatoma</topic><topic>Cholesteatoma, Middle Ear - diagnosis</topic><topic>Cholesteatoma, Middle Ear - epidemiology</topic><topic>Cholesteatoma, Middle Ear - etiology</topic><topic>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</topic><topic>Ear, Middle - pathology</topic><topic>Female</topic><topic>Gas exchange function</topic><topic>Humans</topic><topic>Incidence</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Mastoid - diagnostic imaging</topic><topic>Mastoid - pathology</topic><topic>Mastoid aeration</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Middle Ear Ventilation - adverse effects</topic><topic>Middle Ear Ventilation - methods</topic><topic>Non tumoral diseases</topic><topic>Otitis media with effusion</topic><topic>Otitis Media with Effusion - complications</topic><topic>Otitis Media with Effusion - diagnosis</topic><topic>Otitis Media with Effusion - surgery</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Probability</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hasebe, Seishi</creatorcontrib><creatorcontrib>Takahashi, Haruo</creatorcontrib><creatorcontrib>Honjo, Iwao</creatorcontrib><creatorcontrib>Sudo, Masaharu</creatorcontrib><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>International journal of pediatric otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hasebe, Seishi</au><au>Takahashi, Haruo</au><au>Honjo, Iwao</au><au>Sudo, Masaharu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Organic change of effusion in the mastoid in otitis media with effusion and its relation to attic retraction</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>2000-06-09</date><risdate>2000</risdate><volume>53</volume><issue>1</issue><spage>17</spage><epage>24</epage><pages>17-24</pages><issn>0165-5876</issn><eissn>1872-8464</eissn><coden>IPOTDJ</coden><abstract>To try to solve the pathogenesis of severe attic retraction viewed from mastoid condition, we examined the residual soft tissue density (RSTD) in the mastoid by computed tomography (CT) in 85 patients (107 ears) with otitis media with effusion (OME) 3 months after tympanostomy tube insertion or later. The incidence of RSTD in the mastoid was significantly higher in OME of adults (52.6%) than in children (24.1%). Ears with severe attic retraction had RSTD significantly more frequently (80%) than those with no or mild attic retraction, and many of the mastoids with severe attic retraction were occupied totally by RSTD. The area of the mastoid (mastoid pneumatization) was significantly smaller, and CT density of the mastoid (sclerotic tendency) was significantly higher in ears with RSTD than in those without. RSTD after tympanostomy tube insertion in the mastoid indicating organic change of effusion was considered one of the important factors relating to the pathogenesis of severe attic retraction.</abstract><cop>Amsterdam</cop><pub>Elsevier Ireland Ltd</pub><pmid>10862920</pmid><doi>10.1016/S0165-5876(00)00300-1</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Age Distribution Aged Aged, 80 and over Attic retraction Biological and medical sciences Child Child, Preschool Cholesteatoma Cholesteatoma, Middle Ear - diagnosis Cholesteatoma, Middle Ear - epidemiology Cholesteatoma, Middle Ear - etiology Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology Ear, Middle - pathology Female Gas exchange function Humans Incidence Magnetic Resonance Imaging Male Mastoid - diagnostic imaging Mastoid - pathology Mastoid aeration Medical sciences Middle Aged Middle Ear Ventilation - adverse effects Middle Ear Ventilation - methods Non tumoral diseases Otitis media with effusion Otitis Media with Effusion - complications Otitis Media with Effusion - diagnosis Otitis Media with Effusion - surgery Otorhinolaryngology. Stomatology Probability Risk Factors Severity of Illness Index Tomography, X-Ray Computed |
title | Organic change of effusion in the mastoid in otitis media with effusion and its relation to attic retraction |
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