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September 1969

Otitis Media and Its Complications (1967 and 1968)

Author Affiliations

From the Department of Otolaryngology, the University of Toronto, Canada.

Arch Otolaryngol. 1969;90(3):387-393. doi:10.1001/archotol.1969.00770030389024

THE purpose of this review of selected articles is to stress the need for otolaryngologists to continually reexamine their concepts of middle ear disease in the light of the current literature and to stimulate effective research in deficient areas.

The close follow-up of hearing problems detected in pediatric populations will provide one of our best sources of information concerning the diagnosis, therapy, and prognosis in cases of otitis media.

"Serous" Otitis Media  Everberg1 found that 288 grade-school children out of a total population of 2,700 studied had a hearing loss. Three quarters of the conductive hearing losses were due to serous otitis media. Nineteen children with serous otitis media required myringotomy for the removal of persistent tenacious middle ear fluid. Fluid analysis revealed a very high albumen content. The author suggested that this medium could encourage fibroblast proliferation leading to chronic adhesive otitis media.Comment.—This supposition was not

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