Results: Incidence of sequelae/complications: otorrhea - 47.3% of the ears; perforation - 2.1%; retractions - 39.7%; tympanosclerosis - 23.3%.
Aboriginal infants receiving continuous amoxicillin had more normal ears, fewer perforations, and less pneumococcal carriage.
Our study shows that Aboriginal infants with OME receiving continuous amoxicillin had more normal ears, fewer perforations and less pneumococcal carriage.
The diagnosis of stirrup fixation by otosclerosis is made on the basis of a history of a gradually increasing impairment of hearing with absence of any chronic infection of the middle ear or of perforation of the tympanic membrane and with hearing tests showing that the auditory nerve in the inner ear is functioning but that sound fails to be conducted properly to it.
Recurrent (>1 episode in one ear) or bilateral perforation during follow-up were examined by log-linear modelling.
The factors tested for their value as predictors were the following: age at time of surgery, state of contralateral ear, previous adenoidectomy, cause of perforation, size of perforation, infection at the time of surgery, state of mucosa, age at first occurrence of perforation, presence of craniofacial dysmorphia, and surgical technique.
"He thought I might have a tiny perforation in the ear and I was prescribed antibiotics.
Chronic otitis media describes some long-term problems with the middle ear, such as a hole (perforation) in the eardrum that does not heal or a middle ear infection (otitis media) that doesn't improve or keeps returning.
In randomised controlled trials, compared to placebo, long-term amoxicillin has been shown to halve the risk of TMP 4 and long-term topical antibiotics will resolve the ear discharge (but not the perforation) in only 30% children.
Three children had non-suppurative perforation with normal middle ear mucosa also in their contralateral ears.
