DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20173040

Effect of myringotomy as an office procedure on the clinical course of acute otitis media: a retrospective study

Chakramakal Joseph Andrews, Raveendran Krishnan Rahul

Abstract


Background: A retrospective study was conducted to find out the effect of office myringotomy on clinical course of acute otitis media (AOM).

Methods: Patients with signs and symptoms of AOM who underwent office myringotomy were included in the study. The clinical course such as pain, blocked sensation, relief of blocked feeling, hearing improvement, fever, discharge and residual perforation (5 and 14 days) were evaluated after the office myringotomy and compared.  

Results: Total 20 patients (10 females and 10 males of age between 5 to 30) were included in study. Among the total patients 12 were below <18 years age and remaining were above 18 years. The overall morbidity of these patients such as pain, blocked sensation and discharge was reduced after the office myringotomy. Furthermore, the residual perforation was absent during the end of 2nd week of post myringotomy. No discharge was found after the myringotomy.

Conclusions: Simple myringotomy with five day course of antibiotic provides more symptomatic relief. The overall morbidity was less after the procedure. This indicates the requirement of myringotomy as an outpatient procedure in suitable patients.


Keywords


Myringotomy, Acute otitis media, Otitis media with effusion

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References


Tos M. Epidemiology and natural history of secretory otitis. Am J Otol. 1984;5(6):459-62.

Midgley EJ, Dewey C, Pryce K, Maw AR. The frequency of otitis media with effusion in British pre-school children: a guide for treatment. ALSPAC Study Team. Clin Otolaryngol Allied Sci. 2000;25(6):485-91.

Itoh M. Practice guideline for pediatric secretory otitis. Nihon Jibiinkoka Gakkai Kaiho. 2015;118(9):1166-7.

Appleman ClM, van Balen FAM, van de Lisdonk EH, vanWeert HCLM, Eizinga WH. NHG Practice Guideline 'Acute otitis media'. Huisartsen Wetenschap. 1999;42:362-6.

Jacobs MR, Dagan R, Appelbaum PC, Burch DJ. Prevalence of antimicrobial-resistant pathogens in middle ear fluid. Antimicrob Agents Chemother. 1998;42:589-95.

Arrieta A, Singh J. Management of recurrent and persistent acute otitis media: new options with familiar antibiotics. Pediatr Infect Dis J. 2004;23:S115-24.

Block SL, Hedrick J, Harrison CJ, Tyler R, Smith A, Findlay R, Keegan E. Community-wide vaccination with the heptavalent pneumococcal conjugate significantly alters the microbiology of acute otitis media. Pediatr Infect Dis J. 2004;23(9):829-33.

McEllistrem MC, Adams JM, Patel K, Mendelsohn AB, Kaplan SL, Bradley JS, et al. Acute otitis media due to penicillin-nonsusceptible Streptococcus pneumoniae before and after the introduction of the pneumococcal conjugate vaccine. Clin Infect Dis. 2005;40:1738-44.

Coker TR, Chan LS, Newberry SJ, Limbos MA, Suttorp MJ, Shekelle PG, et al. Diagnosis, microbial epidemiology, and antibiotic treatment of acute otitis media in children: a systematic review. JAMA. 2010;304:2161-9.

Schwartz R, Rodriguez W, Khan W, Ross S. The increasing incidence of ampicillin resistant Hemophilus Influenza: a cause of otitis media. JAMA. 1978;239:320-3.

Barzilaia A, Dekel B, Dagan R, Leibovitz E. Middle ear effusion IL-6 concentration in bacterial and non-bacterial acute otitis media. Acta Paediatr. 2000;89(9):1068-71.