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Outcomes of examination under anaesthesia of post-nasal space and grommet insertion in adults presenting with otitis media with effusion

Lookup NU author(s): Hassan Mohammed, Dr Hamza Qureshi, Dr Paula Yates

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Abstract

Copyright © The Author(s), 2021. Published by Cambridge University Press.Background In adults, otitis media with effusion causes considerable morbidity and has poorly established outcomes. A small number of nasopharyngeal carcinoma patients present with isolated ear-related symptoms. The investigation of choice for these patients is a point of debate. Methods A retrospective cohort study was conducted using a local database of adult patients who underwent examination under anaesthesia of the post-nasal space with grommet insertion for otitis media with effusion between January 2014 and January 2016. Results Ninety-eight patients met the inclusion criteria. Follow-up duration ranged from 39 to 63 months. Complications of grommets were present in 36 out of 98 patients (36.73 per cent). The findings of examination under anaesthesia of the post-nasal space were documented as abnormal in three patients. No patient was diagnosed with nasopharyngeal carcinoma. Conclusion Grommets in adults with otitis media with effusion as the sole presenting feature carry a high complication rate, especially in those with previously inserted grommets. Examination under anaesthesia of the post-nasal space offers a low yield. A magnetic resonance imaging scan of the post-nasal space may be a more sensitive alternative.


Publication metadata

Author(s): Mohammed H, Qureshi MH, Yates P

Publication type: Article

Publication status: Published

Journal: Journal of Laryngology and Otology

Year: 2021

Pages: epub ahead of print

Online publication date: 03/06/2021

Acceptance date: 02/04/2018

ISSN (print): 0022-2151

ISSN (electronic): 1748-5460

Publisher: Cambridge University Press

URL: https://doi.org/10.1017/S0022215121001444

DOI: 10.1017/S0022215121001444

PubMed id: 34078484


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