Document Detail

Functional-anatomic correlation of eustachian tube obstruction related to the adenoid in a patient with otitis media with effusion: a case report.
MedLine Citation:
PMID:  7828477     Owner:  NLM     Status:  MEDLINE    
Prospective randomized clinical trials have shown modest but significant reductions in morbidity from otitis media with effusion following adenoidectomy. However, the precise role of the adenoid in the pathogenesis of otitis media with effusion remains unknown. Some authors have hypothesized that the adenoid may compress or obstruct the Eustachian tube lumen, thereby causing middle ear underpressures and subsequent effusion formation. Functional-anatomic correlation for this theory is lacking. Herein, we present a single case of a pediatric patient with otitis media with effusion and manometrically proven active and passive Eustachian tube obstruction which was relieved by adenoidectomy. Photographic anatomic correlation is presented.
C A Buchman; S E Stool
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ear, nose, & throat journal     Volume:  73     ISSN:  0145-5613     ISO Abbreviation:  Ear Nose Throat J     Publication Date:  1994 Nov 
Date Detail:
Created Date:  1995-02-23     Completed Date:  1995-02-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7701817     Medline TA:  Ear Nose Throat J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  835-8     Citation Subset:  IM    
Department of Otolaryngology, University of Pittsburgh School of Medicine, Pennsylvania.
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MeSH Terms
Adenoids / pathology*,  physiopathology,  surgery
Chronic Disease
Constriction, Pathologic / complications,  diagnosis
Eustachian Tube / pathology*,  physiopathology,  surgery
Middle Ear Ventilation
Otitis Media with Effusion / etiology*,  physiopathology,  surgery

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