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Lateral cephalometric analysis of children with otitis media with effusion: A comparison with age and sex matched controls

Published online by Cambridge University Press:  29 June 2007

A. R. Maw ,
I. M. Smith  and
G. N. Lance
A. R. Maw*
Affiliation:
Department of Otolaryngology, Bristol Royal Infirmary.
I. M. Smith
Affiliation:
Department of Otolaryngology, Bristol Royal Infirmary.
G. N. Lance
Affiliation:
Department of Computer Science, Bristol University.
*
Mr. A. R. Maw, M.S., F.R.C.S., Department of Otolaryngology, Bristol Royal Infirmary, Bristol BS2 8HW.
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Abstract

Previous reports from this department have established significant differences in the morphology of the nasopharynx between patients with otitis media with effusion (OME) and normal controls. This study has used lateral cephalometric analysis to investigate these differences in greater detail.

Skeletal and soft tissue measurements were recorded in 50 patients with bilateral OME and were compared with 50 age and sex matched normal controls.

Various points were plotted enabling 23 different linear dimensions and three angles in and around the nasopharynx to be compared. The results show significant differences between the two groups in the skeletal and soft tissue dimensions of the nasopharynx. The children with OME have a smaller nasopharynx with a suggestion that this may be due to a difference both in the rate and timing of growth.

Keywords

Otitis media with effusionAdenoidsNasopharynxCephalometry
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 2 , February 1991 , pp. 71 - 77
Copyright
Copyright © JLO (1984) Limited 1991

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References

Brown, P. M., Lewis, G. T. R., Parker, A. J., Maw, A. R. (1989) The skull base and nasopharynx in Down's syndrome in relation to hearing impairment. Clinical Otolaryngology, 14: 241–246.CrossRefGoogle ScholarPubMed
Buckingham, R. A. (1989) Gas generation in the ear Abstract I.F.O.S. Conference on the Eustachian tube and middle ear diseasesGeneva.Google Scholar
Burwood, R. J., Gordon, I. R. S., Taft, R. D. (1973) The skull in Mongolism Clinical Radiology, 24: 475–480.Google ScholarPubMed
Enlow, D. E. (1975) Handbook of facial growth. W. B. Saunders: Philadelphia, London, Toronto, p 76–114.Google Scholar
Falk, B., Magnusson, B. (1989) Sniff induced negative middle ear pressure in patients with retraction type cholesteatoma Abstract I.F.O.S. Conference on the Eustachian tube and middle ear diseasesGeneva.Google Scholar
Jeans, W. D., Fernando, D. C. J.Maw, A. R., Leighton, B. C. (1981) A longitudinal study of the growth of the nasopharynx and its contents in normal children. British Journal of Radiology, 54: 117–121.CrossRefGoogle ScholarPubMed
Handelman, C. S., Osborne, G. (1976) Growth of the Nasopharynx and adenoid development from one to eighteen years. Angle Orthodontist, 46: 243–258.Google Scholar
Herglis, L., Magnusson, B. (1989) Studies on middle ear pressure regulation in healthy adults. Abstract I.F.O.S. Conference on the Eustachian tube and middle ear diseasesGeneva.Google Scholar
Hibbert, J. (1979) Some aspects of adenoidectomy Ch.M. Thesis. University of Liverpool.Google Scholar
Hibbert, J., Stell, P. M. (1979) A radiological study of the adenoids in normal children. Clinical Otolaryngology, 4: 321–327.CrossRefGoogle ScholarPubMed
Hibbert, J., Stell, P. M. (1982) The role of enlarged adenoids in the aetiology of serous otitis media. Clinical Otolaryngology, 7: 253–256.Google ScholarPubMed
Holborrow, C. A. (1970) Eustachian tube function. ‘Changes in anatomy and function with age and the relation of these changes to aural pathology. Archives of Otolaryngology, 92: 624–626.CrossRefGoogle Scholar
Knott, V. (1971) Change in cranial base measurements in human males and females from age six years to adulthood. Growth, 35: 145–158.Google Scholar
Linder-Aronson, S. (1970) Adenoids their effect on mode of breathing and nasal airflow and their relationship to characteristics of the facial skeleton and the dentition. Acta Otolaryngologica Supplement 265.Google Scholar
Magnusson, B. (1989) The sniff theory. Abstract I.F.O.S. Conference on the Eustachian tube and middle ear diseasesGeneva.Google Scholar
Parker, A. J., Maw, A. R. (1989) Treatment of glue ear in relation to radiographic palatal airway size: a predictor for outcome following adenoidectomy. Journal of Laryngology and Otology, 103: 66–70.CrossRefGoogle Scholar
Phillips, D. E., Maw, A. R., Harvey, K. (1987) The nasopharynx and adenoid in children with glue ear compared with normal controls. Clinical Otolaryngology, 12: 255–260.CrossRefGoogle ScholarPubMed
Swift, D. L. (1982) Physical principles of airflow and transport phenomena influencing air modification. The nose, upper airway physiology and the atmospheric environment. (Procter, D. F. and Anderson, I Eds) Elsevier, Amsterdam: p 337–349.Google Scholar
Todd, N. W., Martin, S. W. (1988) Relationship of Eustachian tube bony landmarks and temporal bone pneumatization. Annals of Otology, Rhinology and Laryngology, 97: 277–280.CrossRefGoogle ScholarPubMed
Todd, N. W., Jackson, R. T., Browning, D. G., Van Tuyl, R. A. (1989) Cranial base relationships of otitis media, a cadaver study in cholesteatoma and mastoid surgery. (Tos, M., Thomsen, J., Peitersen, E. Kugler, Ghedini, Eds) Amsterdam, p 789–793.Google Scholar