Skip to main content
Log in

Tympanometric changes following acute otitis media in Japanese children

  • Original Paper
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Using tympanometry we investigated potential changes in both middle ears developing during and after unilateral acute otitis media (AOM) in Japanese children. In 144 children with unilateral AOM, tympanometry was performed at presentation and was repeated at the 1st, 2nd, 3rd, and 4th weeks and then every 2 weeks up to 12 weeks after entry into the study. Type B tympanograms were recorded in 81 (56%) of the affected ears and in 37 (26%) of the unaffected ears at presentation. Twelve weeks after AOM, the type B tympanogram was still observed in 21 (15%) of the affected ears and in 16 (11%) of the unaffected ears. Ears with type B changes at presentation showed a significantly slower recovery of middle ear ventilation than did those with either type A or type C1.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Asano K, Okamoto M, Fujieda I, Ogura S (1988) Screening test for day-care nursery children with otitis media with effusion (in Japanese). J Otolaryngol Jpn 91:41–48

    Google Scholar 

  2. Beery QC, Doyle WJ, Cantekin EI, Bluestone CD, Wiet RJ (1980) Eustachian tube function in an American Indian population. Ann Otol Rhinol Laryngol 89 [Suppl 68]:28–33

    Google Scholar 

  3. Brody JA, Overfield T, McAlister R (1965) Draining ears and deafness among Alaska Eskimos. Arch Otolaryngol 81:29–33

    Google Scholar 

  4. Doyle WJ (1977) A functiono-anatomic description of eustachian tube vector relations in four ethnic populations: an otologic study Dissertation, University of Pittsburgh, Pittsburgh

    Google Scholar 

  5. Fiellau-Nikolajsen M (1983) Tympanometry and secretory otitis media. Observations on diagnosis, epidemiology, treatment, and prevention in prospective cohort studies of three-year-old children. Acta Otolaryngol [Suppl] (Stockh) 394:1–73

    Google Scholar 

  6. Finitzo T, Friel-Patti S, Chinn K, Brown O (1992) Tympanometry and otoscopy prior to myringotomy: issues in diagnosis of otitis media. Int J Pediatr Otorhinolaryngol 24:101–110

    Google Scholar 

  7. Gates GA (1993) Acute otitis media and otitis media with effusion. In: Cummings CW (ed) Otolaryngology head and neck surgery, 2nd edn. Mosby, St. Louis, pp 2808–2822

    Google Scholar 

  8. Gregg JB, Steele JP, Clifford S, Werthman HG (1970) A multidisciplinary study of ear disease in South Dakota Indian children. South Dakota J Med 23:11–20

    Google Scholar 

  9. Griffith TE (9179) Epidemiology of otitis media. An interracial study. Laryngoscope 9:22–30

    Google Scholar 

  10. Groothuis JR, Sell SHW, Wright PF, Thompson RN, Altemeier WA (1979) Otitis media in infancy: tympanometric findings. Pediatrics 63:435–442

    Google Scholar 

  11. Halama AR, Voogt GR, Musgrave GM (1986) Prevalence of otitis media in children in a black rural community in Venda (South Africa). Int J Pediatr Otorhinolaryngol 11:73–77

    Google Scholar 

  12. Ishizu Y, Ikoma H, Hasegawa K (1990) Tympanograms of infants and children in Akoh City (in Japanese). Otologia (Fukuoka) 36:1069–1074

    Google Scholar 

  13. Jerger J (1970) Clinical experience with impedance audiometry. Arch Otolaryngol 92:311–324

    Google Scholar 

  14. Kaneko Y, Okitsu T, Sakuma M, Shibahara Y, Yuasa R, Takasaka T, Kawamoto K (1984) Incidence of secretory otitis media after acute inflammation of the middle ear cleft and the upper respiratory tract. In: Lim DJ, Bluestone CD, Klein JD, Nelson JD (eds) Recent advances in otitis media with effusion. Decker, Philadelphia, pp 34–36

    Google Scholar 

  15. Le CT, Freeman DW, Fireman BH (1991) Evaluation of ventilating tubes and myringotomy in the treatment of recurrent or persistent otitis media. Pediatr Infect Dis J 10:2–11

    Google Scholar 

  16. Leth N, Tos M (1977) Middle ear ventilation after acute otitis media. ORL 39:278–284

    Google Scholar 

  17. Marchant CD, Shurin PA, Turcyzk VA, Feinstein JC, Johnson CE, Wasikowski DE, Knapp LJ, Tutihasi MA (1984) A randomized controlled trial of cefaclor compared with trimethoprim-sulfamethoxazole for treatment of acute otitis media. J Pediatr 105:633–638

    Google Scholar 

  18. Miller SA, Omene JA, Bluestone CD, Torkelson DW (1983) A point prevalence of otitis media in a Nigerian village. Int J Pediatr Otorhinolaryngol 5:19–29

    Google Scholar 

  19. Mills RP (1987) Persistent ear effusions in children with recurrent acute otitis media. Clin Otolaryngol 12:97–101

    Google Scholar 

  20. Odio CM, Kusmiesz H, Shelton S, Nelson JD (1985) Comparative treatment trial of augmentin versus cefaclor for acute otitis media with effusion. Pediatrics 75:819–826

    Google Scholar 

  21. Okitsu T, Kaneko Y, Kawamoto K, Yuasa R (1979) Impedance audiometry for school screening (in Japanese). J Otolaryngol Jpn 82:785–792

    Google Scholar 

  22. Qvarnberg Y (1981) Acute otitis media. A prospective clinical study of myringotomy and antimicrobial treatment. Acta Otolaryngol [Suppl] (Stockh) 375:1–157

    Google Scholar 

  23. Sato A, Iio K (1985) Changes of the tympanogram after acute otitis media in children. Results of screening tests and questionnaires (in Japanese). Pract Otol (Kyoto) 78:31–40

    Google Scholar 

  24. Schwartz RH, Schwartz DM, Rodriguez WJ (1981) Otitis media with effusion (OME): natural course in untreated children. Pediatr Res 15:556

    Google Scholar 

  25. Schwartz RH, Rodriguez WJ, Grundfast KM (1984) Duration of middle ear effusion after acute otitis media. Pediatr Infect Dis 3:204–207

    Google Scholar 

  26. Shurin PA, Pelton SI, Donner A, Klein JO (1979) Persistence of middle ear effusion after acute otitis media in children. N Engl J Med 300:1121–1123

    Google Scholar 

  27. Stangerup SE, Tos M (1985) The etiologic role of acute suppurative otitis media in chronic secretory otitis. Am J Otol 6: 126–131

    Google Scholar 

  28. Takahashi S, Sato Y, Imai A, Ootaki H, Nakano Y (1985) Incidence and clinical features of otitis media with effusion in children aged three to five years (in Japanese). Pract Otol (Kyoto) 78:1917–1922

    Google Scholar 

  29. Teele DW, Klein JO, Rosner BA (1980) Epidemiology of otitis media in children. Ann Otol Rhinol Laryngol 9 [Suppl 68]: 5–6

    Google Scholar 

  30. Thomsen J, Meistrup-Larsen KI, Sorensen H, Larsen PK, Mygind N (1980) Penicillin and acute otitis: short and long-term results. Ann Otol Rhinol Laryngol 89 [Suppl 68]:271–274

    Google Scholar 

  31. Toner JG, Mains B (1990) Pneumatic otoscopy and tympanometry in the detection of middle ear effusion. Clin Otolaryngol 15:121–123

    Google Scholar 

  32. Wheeler MTK (1986) Tympanometry in children with treated acute otitis media. Lancet 1:529–532

    Google Scholar 

  33. Wiet RJ (1979) Patterns of ear disease in the Southwestern American Indian. Arch Otolaryngol 105:381–385

    Google Scholar 

  34. Wilmot JF, Cable HR (1988) Persistent effusion following acute otitis media: tympanometry and pneumatic otoscopy in diagnosis. J R Coll Gen Pract 38:149–152

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sakaguchi, M., Taguchi, K., Ishiyama, T. et al. Tympanometric changes following acute otitis media in Japanese children. Eur Arch Otorhinolaryngol 251, 113–116 (1994). https://doi.org/10.1007/BF00179904

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00179904

Key words

Navigation