• Title/Summary/Keyword: Otitis media

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A Study on Relation Ship Between the Mode of Feeding and the Occurrence of Otitis Media (수유양상과 중이염 발생과의 관계)

  • Baek, Ye-Young;Kim, Il-Ok
    • Korean Parent-Child Health Journal
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    • v.6 no.1
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    • pp.70-81
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    • 2003
  • The otitis media has the highest rate of occurrence in 6-36 month after birth, and relatively high rate of occurrence to six years old. It is one of major cause for hearing loss problem because of its high rate of recurrence. The researcher observed at bed that feeding posture and feeding habit at night have some relationship with occurrence of otitis media. I found that medical research in this area was very weak, and it caused her to concentrate her research on the topic. This paper was undertook a retrospective case-control study to find out the relationship between the mode of feeding and the occurrence of otitis media among the otitis media patients and the healthy persons. As the controling groups, the researcher chose fifty eight mothers whose children received the treatment of otitis media(6-36 months after birth) from the pediatrics clinic of two general hospitals in Seoul, as the patient group, and forty five mothers who consulted with their child to well baby clinic at the general hospital and kindergarten in Seoul as the control group. The results of the survey can be summarized as followed : 1. "Otitis media patient group may have more lying posture mothers while feeding than the healthy control group". The first hypothesis is supported by the fact that the children who have lying posture feeding habit mothers are more easily exposed to otitis media than those who have sitting posture feeding habit mothers as the analysis show : $X^2=8.142$, p = .017 2. "Otitis media patient group may have higher rate of sleeping habit with milk bottle on the month at night than the healthy control group does". The second hypothesis was supported by the fact that the patients group has higher rate of expected sleeping habit than the healthy group dose as the analysis show : $X^2=4.35$, p = .037 3. "Otitis media can be found more in the artificial feeding group than in the healthy children group". The hypothesis is rejected by the analysis, $X^2=1.550$, p = .416. Though the hypothesis is not supported by this research, we need to encourage mothers to feed mother's breast milk on the ground that healthy group has mother's milk feeding tendency, and the best food for infants is their mother's milk, and psychological-sociological effects of breast feeding os quite good for children. It will improve the health of infants. It can be summarized as follows : Otitis media is more concerned with posture of feeding and night feeding habits than feeding modes. On the basis of this survey, feeding education problem for mothers of infants need to be developed. In the education, sitting-embracing posture of feeding, mother's breast feeding, and prohibition of children's lying posture feeding at night need to be emphasized.

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Ultrastructure of the tympanic mucosa in experimentally produced serous otitis media (고양이에서 유발된 장액성중이염시 중이점막의 미세구조에 관한 연구)

  • Park, Soon-Il;Yoon, Kang-Mook;Shim, Sang-Yul
    • Applied Microscopy
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    • v.12 no.1
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    • pp.1-10
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    • 1982
  • Serous otitis media is closely related with auditory tube function, but its etiology and pathogenesis are not clearly defined yet. So we tried to prove the theory of hydrops ex vacuo via the experimental study with cats by means of obstructing the pharyngeal orfice of the auditory tube and observe the serial changes in tympanic mucosa through light and electron microscopy. The results are as follows; 1. We confirmed the production of serous otitis media with auditory tube obstruction and have a new understanding of auditory tube function in middle ear aeration. 2. The effusion in serous otitis media was produced from the next day of experiment and increased till the fourteenth day, but decreased after the spontaneous perforation of ear drum. 3. Through the light microscopy, we observed the increasement of the sercretory cells including goblet cells, epithelial hyperplasia, capillary proliferation and invasion of inflammatory cells. 4. Through the elctron microscopy, we observed the protrusion of secretory cells, blobs in cilia, loss of cilia, increasement of vesicles, vacuoles and dense bodies in ciliated cells and Invasion of inflammatory cells. With above results, we concluded that aeration through auditory tube is the most important factor in serous otitis media and presumed the effusion was secreted by secretory cells.

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Nasopharyngeal Cancer with Temporomandibular Disorder and Neurologic Symptom: A Case Report

  • Hong, Jung-Hun;Kwon, Jeong-Seung;Ahn, Hyung-Joon;Kim, Seong-Taek;Choi, Jong-Hoon
    • Journal of Oral Medicine and Pain
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    • v.39 no.1
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    • pp.26-28
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    • 2014
  • Nasopharyngeal cancer is malignant tumor of nasopharyngeal area that is characterized of lymphadenopathy, pain, otitis media, hearing loss and cranial nerve palsy and may present symptoms similar to temporomandibular disorder such as facial pain and trismus. In this case, the patient with symptoms similar to temporomandibular disorder after surgery for otitis media presented with facial paresthesia and masticatory muscle weakness. Examinaion of trigemimal nerve was shown sensory and motor abnormaility. The patient was referred to a neurologist. Nasopharyngeal cancer was suspected on computed tomography and magnetic resonance imaging and was confirmed by biopsy. If the patient presenting with paresthesia and muscle weakness the cranial nerve examination should be performed regardless of typical temporomandibular disorder symptom. The neurologic symptom can be caused by neoplasm such as brain tumor and nasopharyngeal cancer. Nasopharyngeal cancer on rosenmuller fossa can develop otitis media. Therefore, the patient with otitis media history should be consulted to otorhinolaryngologist to examin the nasopharyngeal area.

Management of Acute Otitis Media and Acute Sinusitis: Clinical Guidelines (급성 중이염 및 급성 부비동염의 치료: 가이드라인을 중심으로)

  • Jo, Dae Sun
    • Pediatric Infection and Vaccine
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    • v.15 no.2
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    • pp.100-107
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    • 2008
  • Acute otitis media and acute sinusitis are some of the most common antibiotic-prescribed diseases in childhood. Usually, with an accurate diagnosis, a 10-14 day course of antibiotics is recommended to cover common causative agents, including pneumococci. Establishment of management guidelines for these infectious diseases based on further study of the epidemiologic profile, antibiotic resistance, and clinical circumstances in Korea is needed.

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Radiographic and CT Diagnosis Of Otitis Media In a Dog (개에서 컴퓨터 단층촬영상을 통한 중이염의 진단)

  • 이기창;서은정;권정국;송경진;윤정희;최민철
    • Journal of Veterinary Clinics
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    • v.21 no.2
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    • pp.184-186
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    • 2004
  • A castrated male, 6 year-old Shih-Tzu, weighing 4.6 kg with a discharge from the external ear canal and a mal-odor was referred to Verterinary Medical Teaching Hospital, Seoul National University. Radiographic findings were narrowing and focal loss of an air density in the left ear canal and bilateral thickening of the osseous bullae. For more detail examination, computed tomography was used. In computed tomographic findings, bilateral thickening of the bulla wall and increased opacity of the bulla space were observed. Thus this dog was diagnosed as bilateral otitis media. Then surgical correction, total ear canal ablation, was performed successfully and the patient showed a good prognosis thereafter. It is considered that computed tomography might serve as an useful imaging tool for otitis media and that it supplies information not obtained with a conventional radiography.

A Case Report of Bell's palsy with Chronic suppurative otitis media treated with Korean Medicine (만성 중이염을 동반한 안면신경마비 한방 치험 1례)

  • Lee, Ho-Chan;Park, Soo-Yeon
    • Herbal Formula Science
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    • v.25 no.1
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    • pp.115-122
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    • 2017
  • Objective : The purpose of this study is to report the effect of Korean medicine on Bell's palsy with Chronic suppurative otitis media. Methods : We used herbal medication, acupuncture, pharmacopuncture and cupping therapy for treatment. To evaluate the results of the treatment, we observed the patient's condition. Results : The patient's objective and subjective symptoms showed noticeable improvement after treatment. Conclusions : We suggest that Bell's palsy with chronic suppurative otitis media can be treated by Korean medicine effectively.

Clinical Study on Otitis media with effusion by Acupuncture (삼출성중이염에 대한 침치료의 임상적 연구)

  • Lee, Hae-Bok;Oh, Su-Jin;Kim, Sook-Gyeong
    • Journal of Acupuncture Research
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    • v.18 no.5
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    • pp.92-98
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    • 2001
  • Objective : This study is designed to evaluate the changes of clinical symptoms after the therapy of acupuncture in the 18 patients with Otitis media with effusion who were treated at our hospital from June 1th, 2000 to June 30th, 2001. Methods : The patients received acupuncture on the points of TE5, G41, TE6, SI5, G38, K2 and venesection on the part of posterior ear. Results : The results of treatment with acupucture showed that 4 of 18 patients achieved excellent recovery and 12 achieved good recovery. Total 16 of 18 patients, except 2, improved clinical symptoms after the therapy as a result. Conclusion : Acupuncture successfully improved conditions of the patients with Otitis media with effusion.

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Case of Otitis Media Treated with Sonbanghwalmyongum (仙方活命飮의 中耳炎 治驗例)

  • Jo, Soo-hyun;Chun, Seung-Chul;Lim, Jin-Ho;Lee, Sang-gon;Jee, Seon-young
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.16 no.1
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    • pp.198-205
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    • 2003
  • Otitis media has severe purulent otorrhea and hearing loss. While this patient has been treated with the Western medicine for several years, he could not expect more improvement. We experienced a good result with Sonbanghwalmyongum at this case and this report is to evaluate the effect of Sonbanghwalmyongum in otitis media. Oriental medical treatment can be an alternative choice for Western medical treatment of long term antibiotics and we expect more constructive studies and clinical reports.

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Expression of Toll-like Receptors 2 and 4 and Immunoglobulins in Children wih Recurrent Otitis Media with Effusion

  • Cha, Chang-Il;Lee, Young-Chan;Park, Dong-Choon;Kim, Young-Il;Lee, Jin-Woo;Yeo, Seung-Geun
    • IMMUNE NETWORK
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    • v.8 no.2
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    • pp.59-65
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    • 2008
  • Background: Toll-like receptors (TLRs) detect microbial infection and can directly induce innate host defense responses, which are thought to play critical roles in protecting the tubotympanum from infection. However, little is known about the relationship between TLRs, which are related to innate immunity, and immunoglobulins, which are related to adaptive immunity, in recurrent otitis media with effusion (OME). We therefore investigated the expression of TLR2 and TLR4 and immunoglobulin in children with OME. Methods: The study population consisted of 72 children with OME, 31 with more than 4 episodes in 12 months or more than 3 episodes in 6 months (otitis-prone group), and 41 with fewer than 3 episodes in 12 months (non-otitis prone group). The expression in middle ear effusion of TLR2 and TLR4 mRNA, as determined by Real time- -polymerase chain reaction (RT-PCR), and the concentrations of IgG, IgA, and IgM, as determined by Enzyme-linked immunosorbent assay(ELISA), were compared between the two groups. Results: Expression of TLR2 and TLR4 mRNA was lower in the otitis prone than in the non-otitis prone group, but the difference was not statistically significant (p>0.05). Between group differences in the concentrations of IgG, IgA and IgM in effusion fluid were not significant (p>0.05), and there were no correlations between immunoglobulin concentration and the expression of TLR2 and TLR4. Conclusion: Although there was a trend toward lower expression of TLR2 and TLR4 in the otitis-prone group, the differences, and those in immunoglobulin concentration, did not differ significantly between the otitis-prone and non-prone groups.