title: The effects of anesthesia on middle-ear effusions.
abstract: Surgeons occasionally note a discrepancy between preoperative assessment of middle-ear effusion and operative observation during the placement of ventilating tubes in children's ears. This study was designed to determine whether this variance is secondary to the effects of inhalation anesthesia or misinterpretation of the preoperative exam. Observations were recorded by three distinctly different methods of measurement: the surgeon, the MD-2 Impedance Analyzer, and the Acoustic Otoscope immediately before and after induction of anesthesia. These results were then analyzed and compared with the operative findings. Anesthetic induction was shown to cause alteration in the presence of middle-ear fluid in less than 10% of cases.
authors.affiliation: Department of Otology and Laryngology, Harvard Medical School, Boston, MA.
authors.forename: M P
authors.initials: MP
authors.lastname: Fried
authors.forename: D M
authors.initials: DM
authors.lastname: Vernick
authors.forename: V
authors.initials: V
authors.lastname: Silberstein
authors.forename: J H
authors.initials: JH
authors.lastname: Kelly
authors.forename: M
authors.initials: M
authors.lastname: Strome
mesh_terms: D000158:Acoustic Impedance Tests; D000769:Anesthesia, Inhalation; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008876:Middle Ear Ventilation; D010034:Otitis Media with Effusion / Q000503:physiopathology* / Q000601:surgery; D010036:Otolaryngology / Q000295:instrumentation; D011187:Posture