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Lookup NU author(s): Hassan Mohammed, Dr Hamza Qureshi, Dr Paula Yates
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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.
Author(s): Mohammed H, Qureshi MH, Yates P
Publication type: Article
Publication status: Published
Journal: Journal of Laryngology and Otology
Year: 2021
Volume: 135
Issue: 7
Pages: 620-624
Print publication date: 01/07/2021
Online publication date: 03/06/2021
Acceptance date: 22/11/2020
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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