Abstract | OBJECTIVE: To investigate preoperative clinical findings of chronic otitis media (COM) in patients with Down and without (non- Down) syndrome. STUDY DESIGN: Retrospective. SETTING: Referral hospital, otolaryngology department. PATIENTS: Patients with COM who underwent tympanoplasty were included. There were 10 ears of 8 patients (mean age, 14.9 yr) in the Down group and 44 ears of 41 patients (mean age, 14.7 yr) in the non-Down group. MAIN OUTCOME MEASURES: Clinical characteristics, including the frequency of preoperative persistent otorrhea, cause of COM, and mastoid pneumatization (maturation), were compared between the 2 groups using clinical records and temporal bone computed tomography (CT). RESULTS: Preoperative persistent otorrhea was more frequent in the Down group (60%) than in the non-Down group (27.2%; p < 0.05). Perforation due to tympanostomy tube insertion also occurred more frequently in the Down group (100%) than in the non-Down group (53.3%; p < 0.05). Mastoid pneumatization occurred significantly less in the Down group than in the non-Down group (p < 0.01). There was no significant difference in mastoid pneumatization regardless of the presence or absence of a past history of tympanostomy tube insertion in the Down group (p = 0.3, t test) unlike that in the non-Down group (p < 0.05, t test). All ears attained a dry condition with no perforated eardrums. CONCLUSION: Frequent draining ear and extremely immature mastoid pneumatization, regardless of the presence or absence of a past history of tympanostomy tube insertion, were clinically important characteristics of COM in patients with Down syndrome.
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Authors | Akihiro Shinnabe, Hiroki Yamamoto, Mariko Hara, Masayo Hasegawa, Shingo Matsuzawa, Hiromi Kanazawa, Naohiro Yoshida, Yukiko Iino |
Journal | Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
(Otol Neurotol)
Vol. 35
Issue 6
Pg. 972-5
(Jul 2014)
ISSN: 1537-4505 [Electronic] United States |
PMID | 24892364
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Adolescent
- Child
- Cholesteatoma
(complications, pathology, surgery)
- Chronic Disease
- Down Syndrome
(complications)
- Female
- Humans
- Male
- Mastoid
(surgery)
- Middle Ear Ventilation
(methods)
- Otitis Media
(complications, pathology, surgery)
- Predictive Value of Tests
- Preoperative Period
- Retrospective Studies
- Treatment Outcome
- Tympanoplasty
(methods)
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