Biomedical subjects
Publications and source records attributed to J E Hug.
The present study is based on the results of planimetric measurements of temporal bone pneumatization in 60 children. Radiological and clinical follow-up studies show that a myringotomy is sufficient therapy for cases of serous effusions. In contrast, mucous effusion require long-term middle ear ventilation with tympanostomy tubes to get approximately the same increase in temporal bone pneumatization.
This present study is based on the results of a planimetric investigation of temporal bone pneumatization in 73 children (with and without middle ear pathology). Radiologic and clinical follow-up studies indicate a definite inhibition of pneumatization due to chronic secretory or recurrent suppurative otitis media. This process is partially reversible if the underlying pathologic ventilation of the middle ear spaces is cured by an adequate treatment, such as direct adenoidectomy and/or long-term middle ear ventilation (6 months indispensable).
In this retrospective study the results of long and short term middle ear ventilation are discussed by comparison of recurrence and frequency of reoperation. It is obvious that only long term middle ear drainage can lead to a satisfactory and permanent therapy success.