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Otitis media with effusion in patients with nasopharyngeal carcinoma, postirradiation.
Arch Otolaryngol Head Neck Surg. 1995 Jul; 121(7):765-8.AO

Abstract

Eighteen patients with nasopharyngeal carcinoma were subjected to eustachian tube function testing before and 6 months and 5 years after irradiation at the university hospital to investigate the chronological changes of tubal function induced by irradiation and to study the development of otitis media with effusion after irradiation. Improvement of tubal function was found 5 years after irradiation in those ears without otitis media. However, in patients who had otitis media with effusion after irradiation, deterioration of tubal function was persistent, and inflammatory reaction was detected in the upper respiratory tract, including the maxillary sinus and nasopharynx. Thus, the development of otitis media with effusion after irradiation in patients with nasopharyngeal carcinoma is attributable to both tubal and inflammatory factors. Insertion of a ventilatory tube in ears can relieve tubal obstruction but can possibly aggravate the inflammatory process. Therefore, it is our opinion that myringotomy plus local treatment may be preferable to insertion of a ventilatory tube in patients with nasopharyngeal carcinoma who have otitis media with effusion.

Authors+Show Affiliations

Department of Otolaryngology, National Taiwan University, Taipei.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

7598854

Citation

Young, Y H., et al. "Otitis Media With Effusion in Patients With Nasopharyngeal Carcinoma, Postirradiation." Archives of Otolaryngology--head & Neck Surgery, vol. 121, no. 7, 1995, pp. 765-8.
Young YH, Lin KL, Ko JY. Otitis media with effusion in patients with nasopharyngeal carcinoma, postirradiation. Arch Otolaryngol Head Neck Surg. 1995;121(7):765-8.
Young, Y. H., Lin, K. L., & Ko, J. Y. (1995). Otitis media with effusion in patients with nasopharyngeal carcinoma, postirradiation. Archives of Otolaryngology--head & Neck Surgery, 121(7), 765-8.
Young YH, Lin KL, Ko JY. Otitis Media With Effusion in Patients With Nasopharyngeal Carcinoma, Postirradiation. Arch Otolaryngol Head Neck Surg. 1995;121(7):765-8. PubMed PMID: 7598854.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Otitis media with effusion in patients with nasopharyngeal carcinoma, postirradiation. AU - Young,Y H, AU - Lin,K L, AU - Ko,J Y, PY - 1995/7/1/pubmed PY - 1995/7/1/medline PY - 1995/7/1/entrez SP - 765 EP - 8 JF - Archives of otolaryngology--head & neck surgery JO - Arch Otolaryngol Head Neck Surg VL - 121 IS - 7 N2 - Eighteen patients with nasopharyngeal carcinoma were subjected to eustachian tube function testing before and 6 months and 5 years after irradiation at the university hospital to investigate the chronological changes of tubal function induced by irradiation and to study the development of otitis media with effusion after irradiation. Improvement of tubal function was found 5 years after irradiation in those ears without otitis media. However, in patients who had otitis media with effusion after irradiation, deterioration of tubal function was persistent, and inflammatory reaction was detected in the upper respiratory tract, including the maxillary sinus and nasopharynx. Thus, the development of otitis media with effusion after irradiation in patients with nasopharyngeal carcinoma is attributable to both tubal and inflammatory factors. Insertion of a ventilatory tube in ears can relieve tubal obstruction but can possibly aggravate the inflammatory process. Therefore, it is our opinion that myringotomy plus local treatment may be preferable to insertion of a ventilatory tube in patients with nasopharyngeal carcinoma who have otitis media with effusion. SN - 0886-4470 UR - https://www.unboundmedicine.com/medline/citation/7598854/Otitis_media_with_effusion_in_patients_with_nasopharyngeal_carcinoma_postirradiation_ L2 - https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/vol/121/pg/765 DB - PRIME DP - Unbound Medicine ER -