Treatment of otitis media with effusion based on politzerization with an automated device.
This study evaluated the efficacy of politzerization with an automated, hand-held device that controls volume velocity (airflow) in the treatment of 20 children with otitis media with effusion. These patients underwent politzerization twice a week for up to 6 weeks. Another 20 children with otitis media with effusion who were not treated with politzerization served as controls. Following treatment, resolution of the average air-bone gap to within normal limits was achieved in 70% of the treated group and 20% of the controls, which eliminated the need for grommet insertion in these patients. Improvement in tympanometric peak pressure was also significantly greater in the treated group. Politzerization was efficiently and successfully performed in all patients. The automated device's ease of administration and its ability to control airflow suggests that it has the potential to be an effective home treatment that can be administered by the parents or guardians of children who have otitis media with effusion.
Arick
D S
DS
New York Eye and Ear Infirmary, New York City, USA.
Silman
S
S
D000388:Air; D016022:Case-Control Studies; D002648:Child; D004864:Equipment and Supplies; D005064:Eustachian Tube / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D010034:Otitis Media with Effusion / Q000503:physiopathology / Q000517:prevention & control / Q000628:therapy*; D011312:Pressure; D012648:Self Care; D016896:Treatment Outcome; D014432:Tympanic Membrane / Q000503:physiopathology; D014636:Valsalva Maneuver