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Query: UMLS:C0016382 (flushing)
 6,387 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Surgical management of otitis media includes the following options: myringotomy, flushing of the tympanic cavity, lateral bulla osteotomy, ventral bulla osteotomy, and curettage of the tympanic cavity. Combining one of the above procedures with an operative procedure of the external ear canal is frequently indicated because otitis media commonly accompanies chronic otitis externa. The selection of a surgical procedure to treat otitis media should be based on duration of clinical signs, response to previous treatment, the condition of the external ear canal (vertical and horizontal parts), and the familiarity of the surgeon with the different approaches and techniques. Nasopharyngeal polyps may be removed by excising them from the pharynx, external ear, or middle ear. Because of their frequent involvement of the middle ear cavity, nasopharyngeal polyps are best excised by using a bulla osteotomy technique in combination with other excision techniques.
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PMID:Surgery of the tympanic bulla (otitis media and nasopharyngeal polyps). 180 52

Preclinical and clinical studies were performed to evaluate usefulness and safety of aztreonam (AZT) in the treatment of acute otitis media, acute exacerbation of chronic otitis media and chronic otitis media and the following results were obtained. MICs for P. aeruginosa, P. mirabilis and P. inconstans isolated from the patients with suppurative otitis media were 1.56 micrograms/ml, less than or equal to 0.025 micrograms/ml and less than or equal to 0.025 micrograms/ml respectively in their peaks. In the intravenous injection of 1 g, AZT concentration in the mastoid cell mucosa was 7.52 micrograms/g on average and serum concentration 51.6 micrograms/ml sufficiently suggesting clinical efficacy of AZT. In the clinical trial by administering AZT 1-2 g/day for the patients with suppurative otitis media, effective rates were 2/3 (66.7%) for acute otitis media, 16/22 (72.7%) for acute exacerbation of chronic otitis media, 21/34 (61.8%) for chronic otitis media and 6/7 (85.7%) for cholesteatoma of the middle ear. Elimination rate of single Gram-negative pathogens was 82.1% in the bacteriological studies of AZT. As for abnormal laboratory findings, 7 cases showed GOT, GPT elevations. However, they were in minor degree and transient. Side effect was not noted except 1 case of flushing with itching. It was considered from the above results that AZT is a highly useful antibiotic for suppurative otitis media.
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PMID:[Efficacy evaluation of aztreonam for suppurative otitis media]. 351 6

Sixty-one episodes of primary secretory otitis media (PSOM) were diagnosed in 43 Cavalier King Charles spaniels over a 10-year period. The principal findings were signs of moderate to severe pain localised to the head or cervical area, and/or neurological signs. Diagnosis was made by examination of the tympanic membrane and middle ear with the aid of an operating microscope under general anaesthesia. A bulging, but intact, tympanic membrane was found in most cases. Following myringotomy, a highly viscous mucus plug was found filling the middle ear. Treatment, consisting of removal of the mucus plug, flushing of the middle ear, and local and systemic medical therapy, had to be repeated between one and five times. The prognosis was good in all cases. PSOM is an important differential diagnosis in Cavalier King Charles spaniels with signs of pain involving the head and neck, and/or neurological signs.
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PMID:Primary secretory otitis media in the Cavalier King Charles spaniel: a review of 61 cases. 1511 93

Ear cleaning helps maintain the normal otic environment and is important in the treatment of otitis. Over cleaning, however, may trigger otitis through maceration of the epidermal lining. Simple manual cleaning is useful for routine cleansing but doesn't remove tightly adherent debris. Bulb syringes are more vigorous but may damage the ear in inexperienced hands. Devices using mains water pressure or dental machines are also available. Thorough cleaning of the ear canals and middle ear cavity can only be achieved by retrograde flushing using specially adapted catheters, feeding tubes or video otoscopes under anaesthesia. Myringotomy, inspection and cleaning of the middle should be performed if the tympanic membrane appears abnormal. There are a wide variety of cleaning fluids available. Ceruminolytics soften and dissolve cerumen to facilitate cleaning. Surfactants emulsify debris, breaking it up and keeping it in solution. Astringents dry the ear canal surface, preventing maceration. Maintaining a low pH and incorporating antimicrobial agents can inhibit microbial proliferation and glucocorticoids can be used to reduce inflammation. Adverse effects and contraindications following ear cleaning can include maceration, contact reactions, otitis media, ear canal avulsion, vestibular syndrome, Horner's syndrome, facial nerve paralysis and deafness. Care should be exercised in selecting cleaning fluids if the tympanic membranes are ruptured.
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PMID:Ear cleaning: the UK and US perspective. 1503 May 61

Primary secretory otitis media (PSOM) is a disease that has been described in the Cavalier King Charles spaniel (CKCS). A large, bulging pars flaccida identified on otoscopic examination confirms the diagnosis. However, in many CKCS with PSOM the pars flaccida is flat, and radiographic imaging is needed to confirm the diagnosis. Current treatment for PSOM includes performing a myringotomy into the caudal-ventral quadrant of the pars tensa with subsequent flushing of the mucus out of the bulla using a video otoscope. Repeat myringotomies and flushing of the middle ear are necessary to keep the middle ear free of mucus.
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PMID:Primary secretory otitis media in Cavalier King Charles spaniels. 2312 73

Ear disease is a common disorder seen in exotic companion mammals, especially in ferrets, rabbits, and rats. This article describes patient preparation, equipment, and video otoscopy technique in exotic companion mammals. This noninvasive technique facilitates accurate diagnosis of diseases affecting the external ear canal or middle ear. Moreover, therapeutic otoscopic evaluation of the external ear facilitates foreign body removal, external ear canal flushing, intralesional drug administration, myringotomy, and middle ear cavity flushing.
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PMID:Video Otoscopy in Exotic Companion Mammals. 2611 17