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
Hauptverfasser: Hasebe, Seishi, Takahashi, Haruo, Honjo, Iwao, Sudo, Masaharu
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container_title International journal of pediatric otorhinolaryngology
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creator Hasebe, Seishi
Takahashi, Haruo
Honjo, Iwao
Sudo, Masaharu
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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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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