Document Detail

The contralateral ear in chronic otitis media: a series of 500 patients.
MedLine Citation:
PMID:  18347255     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To study the contralateral ear of patients with chronic otitis media (COM). DESIGN: Transversal. SETTING: Tertiary referral center. PATIENTS: A total of 500 consecutive patients who had been diagnosed as having COM with or without cholesteatoma. INTERVENTIONS: Digital otoendoscopy was performed on both ears. MAIN OUTCOME MEASURE: Pathologic alterations in the contralateral ear. RESULTS: In 75.2% of the patients, the contralateral ear was found to have some structural abnormalities; 60.4% of the patients presented with COM without cholesteatoma, and in this group, 69.9% had an abnormal contralateral ear. In those with cholesteatoma, the contralateral ear was found to be abnormal in 83.3%. The most frequent finding in both groups was retraction of the tympanic membrane. CONCLUSIONS: Patients with COM in 1 ear have a high chance of presenting with some degree of disease in the contralateral side. We believe that our findings suggest that COM should be ideally approached not as a static pathological incident affecting 1 ear but rather as an on-going process that may affect both ears.
Sady Selaimen da Costa; Letícia Petersen Schmidt Rosito; Cristina Dornelles; Neil Sperling
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of otolaryngology--head & neck surgery     Volume:  134     ISSN:  0886-4470     ISO Abbreviation:  Arch. Otolaryngol. Head Neck Surg.     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-03-18     Completed Date:  2008-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8603209     Medline TA:  Arch Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  290-3     Citation Subset:  AIM; IM    
Department of Otolaryngology-Head and Neck Surgery, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
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MeSH Terms
Aged, 80 and over
Child, Preschool
Chronic Disease
Ear, Middle / pathology*
Middle Aged
Otitis Media / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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