Cases Of Chronic Otitis Media Research Articles

Experience of the Local Use of Prednisolone on Chronic Otitis Media

The lccal use of prednisolone (Shioncgi) was tried in cases of chronic otitis media, aftertreatment of radical operation of middle ear and after tympanoplasty which discharge failed to stop. Once a day affected ear was filled with 0.1-0.3cc. of the agent. In a large number of cases of chronic otitis media the discharge beccame dry or decreased.In after-treatment of operative cases the use of the agent appeared to have caused either decrease or disappearance of unwanted granulation tissues. No unwanted side-effected were discovered by such a usage.

Cases of Chronic Otitis Media with Remarkable Ossification of the Tympanal Mucous Membrane

Cases of Chronic Otitis Media with Remarkable Ossification of the Tympanal Mucous Membrane

A new meatal flap in tympanoplasty

Concerning excentration of the mastoid cells in tympanoplasty the author has expressed an opinion in the foregoing articles that the mastoid cells should not be excentrated in majority of the cases of chronic otitis media of the mucositis type, because the inflammation findings in the retrotympanic space (retrotympanitis) shows a marked healing tendency, particularly in this antibiotic age.As for the flap in tympanoplasty, the isolated tubal shaped skin flap was taken from the osseous meatus and its terminal end which correspond to the ring of the tympanic membrane was sutured. This reconstructed tube-shaped skin meatal flap was repositioned in the osseous meatus, adjusting the adaptation of its end to the ossicles. This functions as a new tympanic membrane.

STUDIES ON THE HEALING PROCESS OF OPERATED TEMPORAL BONE OF CHRONIC OTITIS MEDIA

The author made a statistical observation in 122 cases of chronic otitis media treated by the radical mastoidectomy. Complete wound healing was seen in 62.3% of the total number cases. Among those with incomplete wound healing, the difficulty was seen in window niche in 37.0%, at the orifice of the eustachian tube in 28.2%, in hypotympanum in 23.9%, in promontorium in 8.7%, in perilabyrinth or sinodural angle in 8.7%, in retrofacial area in 6.5%, in attic 4.3% and in perisinous area in 2.2%. In 49 cases reoperated, the pathology was found to be seen in the cells and mucosa in most of the cases. In 15 cases of which numbers the result of the operation appeared to be satisfactory at first but no complete healing could be established. Microscopic examination of these cases revealed the failure of healing to be the presense of pathological mucosa that interfered with proper epidermization. Morphologically, the pathological mucosa was classified into 9 different types. The most conspicuous change was the infolding of the mucosa and cyst formation. The cyst has also been observed beneath the epidermis where the clinical healing for a period of time had been satisfactory. It is impossible to remove the mucosa completely during the opration, nor is it possible to zation superimposing the impreventable mucous membrane which when examined microscopically will show cyst formation and air cavity, the proximal end of the eustachian tube. The pathological bone does not always interrupt the epidermization. The author could find one tympanic gland out of all cases. This one was a single tubal gland and it's blind end tended to form a cyst.

Status of the stapes in chronic middle-ear suppuration.

Of the patients in whom operative construction of the middle ear (tympanoplasty) was carried out with the objective of eradication of infection and restoration of hearing during 1954, the findings were recorded in detail in 125 cases of chronic otitis media and 22 cases of postradical mastoidectomy. The results of examination of the state of the stapes in these cases are presented here. The state of the stapes is not only closely related to the restoration of hearing, but treatment of this part is also an extremely important problem from the standpoint of elimination of inflammation and restoration of hearing. Mobility of the stapes also determines the necessity or unnecessity for fenestration, and the presence or absence of the stapes is important from the standpoint of method of treatment. The basis for operative procedures in chronic otitis media to eradicate inflammation, prior to determination of whether to carry out secondary

The use of radium in the middle ear for selected cases of chronic otitis media.

The LaryngoscopeVolume 59, Issue 11 p. 1248-1254 Article The use of radium in the middle ear for selected cases of chronic otitis media† William Wesley Wilkerson Jr. M.D., William Wesley Wilkerson Jr. M.D. Nashville, Tenn.Search for more papers by this authorLee Farrar Cayce M.D., Lee Farrar Cayce M.D. Nashville, Tenn.Search for more papers by this authorJoseph McK. Ivie M.D., Joseph McK. Ivie M.D. Nashville, Tenn.Search for more papers by this author William Wesley Wilkerson Jr. M.D., William Wesley Wilkerson Jr. M.D. Nashville, Tenn.Search for more papers by this authorLee Farrar Cayce M.D., Lee Farrar Cayce M.D. Nashville, Tenn.Search for more papers by this authorJoseph McK. Ivie M.D., Joseph McK. Ivie M.D. Nashville, Tenn.Search for more papers by this author First published: November 1949 https://doi.org/10.1288/00005537-194911000-00004Citations: 1 † From the Division of Otolaryngology, Vanderbilt Medical School. AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Citing Literature Volume59, Issue11November 1949Pages 1248-1254 RelatedInformation

RADIATION THERAPY FOR CONDUCTIVE DEAFNESS: Report of Results and Discussion of Roentgen and Radium Irradiation

THE WORK of Crowe and associates at the John Hopkins University has initiated and popularized radium irradiation of the nasopharynx for a certain type of deafness. That radium was successfully used for aerotitis in the recent war is well known from the numerous enthusiastic reports of the air and submarine forces. Bordley1stated that irradiation of the nasopharynx resulted in appreciable useful increase in hearing acuity in 45 per cent of the children selected for treatment of conductive deafness. He further stated that only 25 per cent of selected adults showed such improvement. Full page advertisements of the radium applicator in the special journals urge its use in such allied conditions as recurring attacks of acute otitis media, obstinate cases of chronic otitis media and certain types of cough and asthma. This is a large order. MODE OF ACTION The therapeutic action of the monel metal radium applicator is

BLOOD SEDIMENTATION IN ACUTE OTITIS MEDIA AND ITS COMPLICATIONS

In contrast to the voluminous literature found on the subject of sedimentation rates in other branches of medicine there is a noticeable scarcity of literature on this subject in the field of otolaryngology. Hart,¹from a series of 25 cases of acute otitis media and its complications in which sedimentation studies were made and cultures of the causative organism taken, concluded that in the main the sedimentation rate is proportional to the severity of the infection, regardless of the nature of the complication. He stated the belief that this work offers no help in the differentiation of otitis media from its complications. He did, however, express the opinion that it is of definite prognostic value. Weiss²concluded from a series of cases of chronic otitis media that the sedimentation rate in this condition is normal. However, a high or rising rate is suggestive of impending mastoiditis. He declared himself

The Treatment of Chronic Deafness by the Electrophonoïde Method of Zünd-Burguet

THE successes obtained by Dr. Cathcart in the treatment of 665 cases of deafness by re-education are of peculiar interest to otologists and to patients with this crippling affliction; he obtained definite improvement in three-quarters of his cases of nerve-deafness, two-thirds of the cases of chronic otitis media, and in a half of the cases of otosclerosis. The treatment involves one or two exercises of five minutes' duration daily. He used the electrophone as the source of sound; this is an electro-mechanical oscillator of the vibrating reed type, with controls for variation of pitch and intensity. Nowadays, an audio-frequency oscillator incorporating two or more thermionic valves would be found easier to handle, but the arrangement of the exercises might well follow the plan of Dr. Cathcart, which has already proved so successful.

SARCOMA OF THE MASTOID

In reviewing the literature, one is surprised at the limited number of authentic cases of malignant disease that are reported. This may be due either to the lack of recognition of a malignant condition or to the fact that because of its grave prognosis, attention is not called to it. Foreign contemporaries have been more diligent in giving data on these cases. In an exhaustive study, Zeroni 1 was able to collect reports of 121 cases of malignant conditions of the ear which had been published during the previous ninety-five years. Milligan 2 furnished further data in the records of the London Hospital, in which the average attendance of patients a year is 200,000. During a ten year period, not a case was reported. Leveque 3 said that Dupou estimated that in one of every 10,000 cases of chronic otitis media, malignant disease developed. There can be no doubt

CHRONIC OTITIS MEDIA IN THE TUBERCULOUS: LOCAL ULTRAVIOLET LIGHT TREATMENT

The obstinacy with which chronic otitis media resists treatments is discouraging to the general practitioner, as well as to the specialist. Many therapeutic measures have been suggested for this disease, but the large number of them is proof enough of their inadequacy. On the other hand, the patient, not realizing the obdurate chronicity of the condition, usually blames the physician for incompetency to cure his ear, and starts to make a round of various specialists, without giving any of them time to study the case thoroughly. This difficulty in systematically following up cases of chronic otitis media over a long period must be taken into consideration before one passes judgment as to which of the therapeutic applications is more efficacious. In tuberculosis institutions, cases of chronic otitis media can be followed more or less systematically, as the patients remain for a long period, because of the pulmonary condition. In