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Maxillary sinusitis in children with otitis media with effusion

Published online by Cambridge University Press:  29 June 2007

R. P. Mills*
Affiliation:
Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee
B. S. Irani
Affiliation:
Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee
R. J. Vaughan-Jones
Affiliation:
Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee
N. D. Padgham
Affiliation:
Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee
*
Mr R. P. Mills, Department of Otolaryngology, Ninewells Hospital, Dundee DD1 9SY

Abstract

Sinus radiographs have been carried out on 240 new cases of childhood otitis media with effusion (OME). When the films were suggestive of infection, maxillary sinus washouts were carried out as part of the surgical treatment. Abnormal X-rays were obtained in 28 per cent of the study group, but only 16 cases (seven per cent) of sinus infection were confirmed on antral lavage. In those with positive washouts, there was an apparent relationship between the findings in the maxillary sinuses and middle ears of the same side in some of the cases. There was also evidence of improvement of the middle ear disease when the sinus infection was successfully treated. It does not appear that sinus infection is an important cause of OME, though it may be relevant in a small number of cases.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1994

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References

Finkelstein, Y., Talmi, Y. P., Rubel, Y., Bar-Ziv, J., Zohar, Y. (1989) Otitis media with effusion as a presenting symptom of chronic sinusitis. Journal of Laryngology and Otology 103: 827832.CrossRefGoogle ScholarPubMed
Grote, J. J., Kjuipers, W. (1980) Middle ear effusion and sinusitis. Journal of Laryngology and Otology 94: 177183.CrossRefGoogle ScholarPubMed
Healey, G. B., Teele, D. W. (1977) The microbiology of chronic middle ear effusions in children. Laryngoscope 87: 14721478.CrossRefGoogle Scholar
Hoople, G. D., Blaisedell, I. H. (1943) The problem of acute catarrhal otitis media. Laryngoscope 52: 315329.Google Scholar
Howshaw, T. C., Nickman, N. J. (1974) Sinusitis and otitis in children. Archives of Otolaryngology 100: 194195.CrossRefGoogle Scholar
Jaffe, B. E., De Blanc, C. B. (1971) Sinusitis in children with cleft lip and palate. Archives of Otolaryngology 93: 479482.CrossRefGoogle ScholarPubMed
Mills, R. P., Uttley, A. H. C., Mcintyre, M. F. (1985) A bacteriological study of the middle ear and upper respiratory tract in children with chronic secretory otitis media. Clinical Otolaryngologx 10: 335341.CrossRefGoogle ScholarPubMed
Nickman, N. J. (1978) Sinusitis, otitis and adenotonsillitis in children: a retrospective study. Laryngoscope 88: 177–121.CrossRefGoogle ScholarPubMed
Sundberg, L., Eden, T., Emstrom, S., Cederberg, A. (1981) Bacteriology in secretory otitis media. Ada Otolaryngologica (Stockholm) 384 (Suppl.): 1825.CrossRefGoogle ScholarPubMed