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At least 523 records · Page 29Linked to original sources
PubMed1985

Acute otalgia in Nigerian children.

A study of 112 referred children with acute otalgia labeled 'acute otitis media' by the referring physicians was carried out at the E.N.T. clinic of Lagos University Teaching Hospital in 1981-1982. Only 11% of these were actually due to acute otitis media, reflecting poor technique at otoscopy. Of the acute otalgia cases 56% were due to ear pathology while 44% resulted from referred pain. Otological causes included foreign body in the ear (23%), acute otitis media (11%), otitis externa (10%), secretory otitis media (6%) and myringitis bullosa haemorrhagica (4%). Cases due to referred otalgia were from tonsillitis (21%), foreign body in the pharynx (5%), traditional uvulectomy (5%), and foreign body in the nose (2%). Thus, there is a need for more careful examination of the ear in all cases of acute otalgia.

Acute Disease↗
PubMed1984

[Atypical otalgia].

Explore the source record for details and available documents.

Diagnosis, Differential↗
PubMed1983

Ipsilateral deafness and herpes zoster ophthalmicus.

Three cases of ipsilateral deafness occurred in association with herpes zoster ophthalmicus. Although our review of the literature did not disclose any identical cases, we believe that this complication may not be rare. If vertigo, tinnitus, abnormal auditory sensations, or ear pain occur with herpes zoster of any cranial nerve, an audiogram is indicated immediately to detect possible hearing loss. There is no known satisfactory treatment for sudden deafness due to herpes zoster infection.

Adult↗
PubMed1984

[Pain syndromes of the head, neck and locomotor system--determining current status].

A small series of pain syndrome patients shows that disturbances of the head and neck motor system can lead to various pain syndromes as the vicious circle between pain and muscle tension is initiated by a triggering factor. These pain syndromes include varying combinations of the following symptoms: headache, referred otalgia, arthralgia of the temporomandibular joint, styloid syndrome, tendopathia of the hyoid bone, carotidynia, cervical dysphagia and probably most patients with superior laryngeal nerve neuralgia or glossopharyngeal neuralgia. A detailed differentiation of those syndromes is of little value for diagnostic and therapeutical purposes, because the mixed distribution of the pain irradiation does not indicate the localisation of the primary pathology. The pain syndromes of the head and neck motor system can be caused by temporomandibular joint pathology as well as by anatomical or functional alterations of the cervical spine. Acute exacerbations are triggered off by various influences such as inflammation, trauma, scarring after surgery or radiotherapy. Thus diagnostic and therapeutic measures must take into consideration both the motor system itself and any possible triggering factors. The problem frequently needs interdisciplinary co-operation. An attempt to handle the problem within the boundaries of a single discipline such as ENT, may lead to unnecessary and misleading steps. Guidelines for the management of such pain syndromes are outlined.

Adult↗
PubMed1983

[Otalgia].

Based on the sensibel innervation of the external and middle ear, the causes and therapy of otalgia are discussed. As a result, the classical definition of otalgia: "pain in the auricular area without concomitant ear pathology" should be maintained.

Cranial Nerve Diseases↗
PubMed1983

[Sense and nonsense in the use of eardrops].

Current knowledge concerning the use of eardrops is discussed under clinical and pharmacological aspects. The pharmacokinetics of eardrops is also reviewed. Because of the cost explosion the prices of various eardrops are compared.

Administration, Topical↗
PubMed1982

An exploratory study of the effects of disco music on the auditory and vestibular systems.

The records were examined of 575 university students given audiometry and queried on their attendance at discos and on certain symptoms (vertigo, tinnitus, headache, nausea, otalgia) often associated with the Tullio effect. Of these, 365 Ss had attended discos (local discos were at 123-126 dBC), 128 had binaural greater than or equal to 25 db HTLs at 4 and/or 6 kc/s, and 82 had Tullio symptoms, while 44 had both audiometric loss and Tullio symptoms. This exploratory retrospective survey seemed to show that disco-going adversely affected both auditory and vestibular mechanisms in some Ss. Suggestions were given for the direction future research might well take.

Adolescent↗
PubMed1995

Role of imaging in temporal bone and cerebellopontine-angle lesions. A surgeon's perspective.

In recent years, with the advances in imaging technology, the gold standard for diagnosis of lesions of the temporal bone and cerebellopontine angle has shifted from histologic identification of the lesion from surgical specimens or autopsy material to noninvasive identification, localization, and characterization of the tissue by imaging. The symptoms caused by such lesions usually provide clues as to their location and probable nature. Clinical tests such as the vestibular evaluation, audiometry, auditory brain stem response, and otoacoustic emissions further help with topodiagnosis of the lesion. If this information is covered to the neuroradiologist, the most diagnostically productive imaging study can be obtained, and the neuroradiologist will apply the most appropriate technical parameters necessary for any individual patient. An eclectic algorithm can be applied for each clinical situation, and illustrative examples are provided in the article. The algorithms will no doubt change with advances in diagnostic tests. Application of imaging studies without adequate clinical investigations often makes the task of interpreting the scans difficult for the neuroradiologist. Furthermore, the positive diagnostic yield from a widespread use of imaging technology is small and would be considered an inappropriate use of health care dollars.

Adolescent↗
PubMed1994

Swimming and grommets: a prospective survey.

AIM: To assess the incidence of otorrhoea after swimming in patients with grommets in situ, and discover whether protecting the ears from water affects this occurrence. METHODS: A group of children with bilateral patent grommets were allowed to swim with head under the water with one ear protected, and the other unprotected from water entry. Using a calendar system, each swim was recorded and each episode of otalgia or otorrhoea occasioning medical consultation was recorded with the outcome of the consultation. RESULTS: Nineteen children completed the survey taking a total of 551 swims with head immersion. One child suffered bilateral otorrhoea one day after a swim. There were three episodes of otalgia sufficiently severe to warrant medical consultation. Two occurred in a protected ear and one in an unprotected ear. On each occasion there was no evidence of infection. CONCLUSIONS: There appears to be a low incidence of otorrhoea during summer in children who swim with grommets in situ. There is no evidence that protecting the ears from water entry confers any benefit as far as preventing infection in concerned.

Adolescent↗
PubMed1995

"Scientific" chiropractors hope to improve status of chiropractic within scientific community.

A new group has been formed to represent chiropractors and other health care professionals who limit their use of spinal manipulation to the treatment of back problems, and who oppose claims that chiropractic can treat problems such as asthma and enuresis. However, some Canadian chiropractors respond that most claims that chiropractic can cure disease originate in the US, and that Canadian chiropractors are conservative in their claims. Some Canadian pediatricians are concerned that chiropractors are attempting to treat more children.

Asthma↗