Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-13T13:36:39.520Z Has data issue: false hasContentIssue false

Prevalence of eardrum pathology in a cohort born in 1955

Published online by Cambridge University Press:  29 June 2007

S.-E. Stangerup*
Affiliation:
Department of Otolaryngology, Hillerød Central Hospital, Denmark.
S. Schwer
Affiliation:
Department of Otolaryngology, Hillerød Central Hospital, Denmark.
K. Pedersen
Affiliation:
Department of Otolaryngology, Hillerød Central Hospital, Denmark.
S. Brofeldt
Affiliation:
Department of Otolaryngology, Hillerød Central Hospital, Denmark.
M. Niebuhr
Affiliation:
Department of Otolaryngology, Hillerød Central Hospital, Denmark.
*
Address for correspondence: Dr Sven-Eric Stangerup, ENT Department, Gentofte University Hospital, Niels Andersens vej 65 DK-2900 Hellerup, Denmark.

Abstract

The aim of this study was to compare the prevalence of the different types of eardrum pathology in a cohort of adults not previously treated by grommet insertion with corresponding findings obtained in a cohort previously treated with grommet insertion.

A cohort born in 1955 were invited to a screening examination including otomicroscopy. In the untreated cohort, retraction of Shrapnell's membrane was found in four per cent of the ears compared to 20 per cent in the cohort treated with grommets. Tensa pathology, including atrophy and myringosclerosis, was found in six per cent of the ears in the untreated cohort and in 17 per cent in the treated cohort. Normal eardrums were found in 91 per cent of the ears. Despite the increased awareness of secretory otitis, as well as the increased rate of surgical treatment, the prevalence of eardrum pathology seems to be increasing. The reasons for this are discussed.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Supported by The Danish National Health Science Research Council.

References

Armstrong, B. W. (1954) A new treatment for chronic secretory otitis media. Archives of Otolaryngology 59: 653654.CrossRefGoogle ScholarPubMed
Black, N. A. (1962) Fashion, science and technical change: the history of the treatment of glue ear. Lancet 2: 216218.Google Scholar
Bonding, P., Tos, M. (1985) Grommets versus paracentesis in secretory otitis media: a prospective, controlled study. American Journal of Otolaryngology 6: 455460.Google ScholarPubMed
Cohen, D., Tamir, D. (1989) The prevalence of middle ear pathologies in Jerusalem school children. American Journal of Otolaryngology 10(6): 456459.Google ScholarPubMed
Everberg, G., Paulsen, J., Rasmussen, F. (1968) Den serøse otitis' klinik og behandling. Ugeskrift for Laeger 130(46): 19681973.Google Scholar
Falbe-Hansen, J. (1954) Hardness of hearing in school children. Acta Otolaryngologica 44: 157160.CrossRefGoogle Scholar
Fiellau-Nikolajsen, M. (1980) Tympanometry in three-year-old children. Prevalence and spontaneous course of middle ear effusion. Annals of Otology, Rhinology and Laryngology 89(suppl. 68): 223227.CrossRefGoogle Scholar
Fishman, L. Z., Lennette, E. H., Dannenberg, T. B. (1960) Indolent, or so-called serous otitis media. Archives of Otolaryngology 72: 2530.CrossRefGoogle ScholarPubMed
Lildholt, T. (1983) Ventilation tubes in secretory otitis media. A randomized controlled study of the course, the complications and the sequelae of ventilation tubes. Acta Otolaryngologica 398: 128.CrossRefGoogle Scholar
Maw, A. R. (1991) Development of tympanosclerosis in children with otitis media with effusion and ventilation tubes. Journal of Laryngology and Otology 105: 614617.CrossRefGoogle ScholarPubMed
Møller, P., Dingsør, G.Breck, P.Thomassen, R. (1989) Tympanic membrane changes and retraction pockets after secretory otitis media. In Cholesteatoma and Mastoid Surgery. (Tos, M., Thomsen, M. J., Peitersen, E. eds.), Kugler, Amsterdam, pp 351355.Google Scholar
Rudin, R., Welin, L., Svardsudd, K., Tibblin, G. (1985) Middle ear disease in samples from the general population. Acta Otolaryngologica (Stockholm) 99: 5359.CrossRefGoogle ScholarPubMed
Sederberg-Olsen, J. F., Sederberg-Olsen, A. E., Jensen, A. M. (1989) Late results of treatment with ventilation tubes for secretory otitis media in ENT practice. Acta Otolaryngologica (Stockholm) 108: 448–155.CrossRefGoogle ScholarPubMed
Stangerup, S.-E., Tos, M. (1985) EtioJogical role of acute suppurative otitis media in chronic secretory otitis. American Journal of Otolaryngology 6: 126131.Google ScholarPubMed
Stangerup, S.-E., Tos, M. (1986) Epidemiology of acute suppurative otitis media. American Journal of Otolaryngology 7: 4754.CrossRefGoogle ScholarPubMed
Stevens, D. M. (1985) Long-term effects of serous otitis. Clinical Otolaryngology 10: 3141.Google Scholar
Sørensen, C. H., Holm-Jensen, S., Tos, M. (1982) Middle ear effusion and risk factors. Journal of Laryngology and Otology 96: 4651.Google Scholar
Tos, M. (1981) Upon the relationship between secretory otitis in childhood and chronic otitis and its sequelae in adults. Journal of Laryngology and Otology 95: 10111022.CrossRefGoogle ScholarPubMed
Tos, M. (1984) Epidemiology and natural history of secretory otitis. American Journal of Otolaryngology 5: 459462.Google ScholarPubMed
Tos, M., Poulsen, G. (1980) Attic retractions following secretory otitis Acta Otolaryngologica 89: 217222.CrossRefGoogle ScholarPubMed
Tos, M., Stangerup, S.-E., Holm-Jensen, S., Sorensen, C. H. (1984) Spontaneous course of secretory otitis and changes of the eardrum Archives of Otolaryngology 110: 281289.CrossRefGoogle ScholarPubMed
Tos, M., Stangerup, S.-E., Larsen, P. (1987) Dynamics of eardrum changes following secretory otitis. Archives of Otolaryngology, Head and Neck Surgery 113: 380385.CrossRefGoogle ScholarPubMed