Maxillary sinusitis in children with otitis media with effusion

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...

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Bibliographic Details
Published in:Journal of laryngology and otology 1994-10, Vol.108 (10), p.842-844
Main Authors: Mills, R. P., Irani, B. S., Vaughan-Jones, R. J., Padgham, N. D.
Format: Article
Language:English
Subjects:
Child
Child, Preschool
Humans
Main Articles
Maxillary Sinus - diagnostic imaging
Maxillary Sinus - surgery
Maxillary Sinusitis - complications
Maxillary Sinusitis - diagnostic imaging
Maxillary Sinusitis - surgery
Otitis media with effusion
Otitis Media with Effusion - complications
Otitis Media with Effusion - diagnostic imaging
Prospective Studies
Radiography
Sinusitis
Treatment Outcome
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Description
Summary: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.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215100128282