Middle ear effusion

Changed by Henry Knipe, 12 May 2015

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Middle ear effusions are frequent in children due to prominent adenoids and horizontal Eustachian tubes. These do not require imaging, and can be treated expectantly / medically / orsurgically with gromits. Eustachian tube dysfunction is the accepted aetiology, with resorption of air and extravasation of serous fluid into the middle ear cavity and mastoid sinus

In adults a middle ear effusion should be treated more circumspectly, as is is the classic presentation of a nasopharyngeal carcinoma near the fossa of Rosenmuller and thus obstructing the Eustachian tube.

  • -<p><strong>Middle ear effusions</strong> are frequent in children due to prominent <a href="/articles/adenoid">adenoids</a> and horizontal <a href="/articles/eustachian-tubes">Eustachian tubes</a>. These do not require imaging, and can be treated expectantly / medically / or with <a href="/articles/gromit">gromits</a>. <a href="/articles/eustachian_tube_dysfunction">Eustachian tube dysfunction</a> is the accepted aetiology, with resorption of air and extravasation of serous fluid into the <a href="/articles/middle-ear">middle ear</a> cavity and <a href="/articles/mastoid-sinus">mastoid sinus</a></p><p>In adults a middle ear effusion should be treated more circumspectly, as is is the classic presentation of a <a href="/articles/nasopharyngeal-carcinoma">nasopharyngeal carcinoma</a> near the <a href="/articles/fossa-of-rosenmuller">fossa of Rosenmuller</a> and thus obstructing the <a href="/articles/eustachian-tube">Eustachian tube</a>.
  • -</p>
  • +<p><strong>Middle ear effusions</strong> are frequent in children due to prominent <a href="/articles/adenoid">adenoids</a> and horizontal <a href="/articles/eustachian-tubes">Eustachian tubes</a>. These do not require imaging, and can be treated expectantly / medically / surgically with <a href="/articles/gromit">gromits</a>. <a href="/articles/eustachian-tube-dysfunction">Eustachian tube dysfunction</a> is the accepted aetiology, with resorption of air and extravasation of serous fluid into the <a href="/articles/middle-ear">middle ear</a> cavity and <a href="/articles/mastoid-sinus">mastoid sinus</a></p><p>In adults a middle ear effusion should be treated more circumspectly, as is is the classic presentation of a <a href="/articles/nasopharyngeal-carcinoma">nasopharyngeal carcinoma</a> near the <a href="/articles/fossa-of-rosenmuller">fossa of Rosenmuller</a> and thus obstructing the <a href="/articles/eustachian-tube">Eustachian tube</a>.</p>

References changed:

  • 1. <a href="http://www.amazon.com/gp/product/0865777004?ie=UTF8&amp;tag=radiopaediaor-20&amp;linkCode=as2&amp;camp=1789&amp;creative=9325&amp;creativeASIN=0865777004" title="http://www.amazon.com/gp/product/0865777004?ie=UTF8&amp;tag=radiopaediaor-20&amp;linkCode=as2&amp;camp=1789&amp;creative=9325&amp;creativeASIN=0865777004" class="external text" rel="nofollow">JD Swatrz, HR Harnsberger "Imaging of the Temporal Bone" Thieme</a>
  • <a href="http://www.amazon.com/gp/product/0865777004?ie=UTF8&amp;tag=radiopaediaor-20&amp;linkCode=as2&amp;camp=1789&amp;creative=9325&amp;creativeASIN=0865777004" title="http://www.amazon.com/gp/product/0865777004?ie=UTF8&amp;tag=radiopaediaor-20&amp;linkCode=as2&amp;camp=1789&amp;creative=9325&amp;creativeASIN=0865777004" class="external text" rel="nofollow">JD Swatrz, HR Harnsberger "Imaging of the Temporal Bone" Thieme</a>

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