Retraction Pockets and Perforations

Hearing ◽  
2015 ◽  
pp. 79-84
Author(s):  
Peter Monksfield
Keyword(s):  
Retraction Pockets

Wideband Absorbance in Ears with Retraction Pockets and Cholesteatomas: A Preliminary Study

2021 ◽  
Author(s):  
Sreedevi Aithal ◽  
Venkatesh Aithal ◽  
Joseph Kei ◽  
Shane Anderson
Keyword(s):  
Prospective Study ◽  
Roc Curve ◽  
Operating Characteristic ◽  
Peak Pressure ◽  
Clinical Sample ◽  
Ambient Pressure ◽  
Control Group ◽  
Retraction Pockets ◽  
Preliminary Study ◽  
The Difference

Abstract Objectives The objective of this study was to describe wideband absorbance (WBA) findings in patients with cholesteatomas and retraction pockets (RPs). Design In this prospective study, tympanometry, audiometry, and wideband tympanometry (WBT) were performed on 27 ears with an RP (eight with epitympanic RP and 19 ears with mesotympanic RP), 39 ears with a cholesteatoma (23 ears with epitympanic and 16 ears with mesotympanic cholesteatomas [MCs]), and 49 healthy ears serving as controls. Results Mean WBA at ambient pressure (WBAamb) of both experimental groups was reduced significantly between 0.8 and 5 kHz relative to the control group. The difference between mean WBAamb and mean WBA at tympanometric peak pressure (WBATPP) was greater for the RP (0.12–0.16 between 0.5 and 1.5 kHz) than for the cholesteatoma group (0.03–0.11 between 0.6 and 3 kHz). Mean WBAamb of both epitympanic RP (ERP) and epitympanic cholesteatoma (EC) subgroups was significantly lower than that of the control group. Mean WBATPP of the ERP subgroup attained normal levels as per the control group, while mean WBATPP of EC subgroup was significantly lower than that of the control group at 0.8 to 1.5 kHz and 4 to 5 kHz. In contrast, both mesotympanic RP and MC subgroups demonstrated similar mean WBAamb and WBATPP values. No significant differences in WBAamb and WBATPP results between the RP and cholesteatomas groups were observed. Receiver operating characteristic (ROC) analyses indicated that the area under the ROC curve for distinguishing between the RP and cholesteatomas groups ranged from 0.44 to 0.60, indicating low accuracy in separating the two groups. Conclusion While it is not possible to distinguish between the RP and cholesteatomas groups based on the WBAamb and WBATPP results, it is potentially feasible to differentiate between the EC and ERP conditions. Further study using a large clinical sample is recommended to determine the sensitivity and specificity of the WBA test to identify the EC and ERP conditions.

Deep Retraction Pockets, Endometriosis, and Quality of Life

2016 ◽  
Vol 23 (7) ◽  
pp. S67
Author(s):  
PP Yeung ◽  
I Logan ◽  
JA Gavard
Keyword(s):  
Quality Of Life ◽  
Retraction Pockets

Minimally Invasive Repair of Posterior-Superior Retraction Pockets in Children with Lysis of Middle Ear Adhesions

2014 ◽  
Vol 151 (1_suppl) ◽  
pp. P91-P92
Author(s):  
Laura Neff ◽  
Dennis S. Poe ◽  
Wei-Chieh Chao
Keyword(s):  
Minimally Invasive ◽  
Middle Ear ◽  
Retraction Pockets

Impact of pharyngofixation in cleft palate repair surgery on the development of chronic adhesive otitis media

2017 ◽  
Vol 131 (7) ◽  
pp. 645-649
Author(s):  
L Otruba ◽  
P Schalek ◽  
Z Hornáčková
Keyword(s):  
Cleft Palate ◽  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Significant Percentage ◽  
Sinus Tympani ◽  
Retraction Pockets ◽  
Cleft Palate Repair ◽  
Palate Repair ◽  
Adhesive Otitis Media

AbstractBackground:A significant percentage of children with cleft palate suffer from otitis media with effusion and its consequences, such as deafness, chronic adhesive otitis and cholesteatoma. This study aimed to determine whether these effects can be minimised by selecting pharyngofixation as the surgical technique for cleft palate correction.Methods:A retrospective study was performed of 155 patients (308 ears) who underwent surgery from age 5 months to 8 years and were followed up for 36–84 months.Results:In all, 125 ears (41 per cent) had epitympanic retraction, 45 ears (14 per cent) had sinus tympani retraction and 5 patients (3 per cent) had cholesteatoma. Use of the pharyngofixation technique did not significantly correlate with (1) the severity of otological findings or (2) the incidence of retraction pockets in the epitympanum and sinus tympani (p = 0.53).Conclusion:Pharyngofixation did not significantly alter the severity of long-term otological findings.

scholarly journals Cholesteatoma and Retraction pockets in Cochlear Implantation and their Management

2016 ◽  
Vol 130 (S3) ◽  
pp. S37-S37
Author(s):  
Hannah North ◽  
Simon Freeman ◽  
Deborah Mawman ◽  
Lise Henderson ◽  
Martin O'Driscoll ◽  
...  
Keyword(s):  
Cochlear Implantation ◽  
Retraction Pockets

Management of retraction pockets of the pars tensa

1991 ◽  
Vol 105 (7) ◽  
pp. 525-528 ◽  
Author(s):  
Robert P. Mills
Keyword(s):  
Surgical Treatment ◽  
Tympanic Membrane ◽  
Composite Graft ◽  
Study Group ◽  
Pars Tensa ◽  
Retraction Pockets

AbstractA study of 73 patients with retraction pockets of the pars tensa (93 affected ears) has been carried out. Of these 32 per cent had otalgia and 31 per cent reported episodes of aural discharge. Adequate audiometric data was available on 75 ears. Mean air-bone gaps were calculated using 500 Hz, 1000 Hz, 2000 Hz and 4000 Hz. Thirty per cent of ears had air-bone gaps of less than 10 dB and in 93 per cent the air-bone gap was less than 30 dB. Air-bone gaps of more than 40 dB were found in seven per cent. Of this group, seven patients were selected for surgical treatment. In all cases the retraction pockets were elevated and everted. In six cases, the thinned tympanic membrane was reinforced with a composite graft of cartilage and perichondrium. This technique has also been used in three patients not included in this study group. An ossiculoplasty was performed in four cases. In the early months, the retraction pockets remained completely everted. However, by 12 months some degree of retraction had recurred in four of the six patients who have been followed for more than 12 months.

The value of Politzerization in the treatment of atelectatic ears

1988 ◽  
Vol 102 (9) ◽  
pp. 779-782 ◽  
Author(s):  
M. Luntz ◽  
J. Sadé
Keyword(s):  
Otitis Media ◽  
Quantitative Study ◽  
Continuous Observation ◽  
Secretory Otitis Media ◽  
Surgical Microscope ◽  
Therapeutic Value ◽  
Retraction Pockets

AbstractThe value of Politzerization as a method of treatment in atelectatic ears and secretory otitis media is controversial. In some places it has been used routinely for decades, in others it has been almost forgotten. A quantitative study of its therapeutic value has been difficult to find.The present study is an attempt to evaluate the therapeutic value of such an ‘air douche’ in atelectatic ears. Thirteen middle ears with atelectasis were Politzerized daily with air or N2for up to five consecutive days. Once Politzerized, the atelectasis and retraction pockets disappeared in all the ears examined. However, continuous observation of the Politzerized ears with the surgical microscope revealed that all the ear drums returned swiftly to their retracted position. The time it took for a drum to return to its original place varied from 15 minutes up to a maximum of 335 minutes. Our observations show that even an increased number of Politzerizations did not alter the speed of reappearance of the atelectasis. It would therefore seem that the therapeutic value of Politzerization in atelectatic ears is doubtful.

Atelectasis. Retraction Pockets and Cholesteatoma

1981 ◽  
Vol 92 (1-6) ◽  
pp. 501-512 ◽  
Author(s):  
J. Sadæ ◽  
S. Avraham ◽  
M. Brown
Keyword(s):  
Retraction Pockets
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