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Related Experiment Videos

Untreated persistent middle ear effusion.

A Leiberman, N Bartal

    The Journal of Laryngology and Otology
    |August 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Delaying ventilation tube insertion for persistent middle ear effusion (MEE) in children for 2.5 years resulted in MEE in 69% of ears, with minor complications. Most children did not experience severe issues from the delayed myringotomy surgery.

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    Area of Science:

    • Otolaryngology
    • Pediatric Medicine
    • Audiology

    Background:

    • Persistent middle ear effusion (MEE) affects numerous children, often necessitating surgical intervention.
    • Myringotomy with ventilating tube (VT) insertion is a common procedure for managing MEE.
    • Factors influencing the timing of elective pediatric ear surgery require investigation.

    Purpose of the Study:

    • To evaluate the outcomes of delayed myringotomy and ventilating tube (VT) insertion in children with persistent middle ear effusion (MEE).
    • To assess the prevalence of persistent MEE and the incidence of atelectasis after a significant surgical delay.
    • To determine the complication rate associated with postponing VT insertion.

    Main Methods:

    • A cohort of 79 children with persistent MEE, scheduled for myringotomy and VT insertion, was followed.

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  • Elective surgery was delayed for 2.5 years due to various factors within a closed population.
  • Otomicroscopic examinations and hearing tests were conducted post-delay to assess MEE and related conditions.

    • Main Results:

    • Middle ear effusion (MEE) persisted in 69% of the ears examined after the delay.
    • Atelectasis was observed in 26% of the ears, with severe atelectasis occurring in very few cases.
    • Complications arising from the delayed myringotomy and ventilating tube (VT) insertion were found to be minor.

    Conclusions:

    • Delaying myringotomy and ventilating tube (VT) insertion for persistent middle ear effusion (MEE) in children leads to a high rate of persistent MEE.
    • While atelectasis can occur, severe cases are infrequent, and overall complications from the delay are minor.
    • The findings suggest that while delayed surgery is tolerated, it does not resolve the effusion in a significant majority of cases.