The prevalence of tympanic membrane and related middle ear pathology in children: a large longitudinal cohort study followed from birth to age ten

A. Richard Maw, Amanda J. Hall, David D. Pothier, Steven P. Gregory, Colin D. Steer

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To record with video-otoscopy the appearance of the tympanic membranes of a cross section of children aged 9 to 10 years.

STUDY DESIGN: Cross-sectional study nested within an established longitudinal study of childhood development, the Avon Longitudinal Study of Parents and Children.

SETTING: South West England, U.K.

PARTICIPANTS: Approximately 6908 of 7261 children with ages ranging from 105 to 140 months born between April 1, 1991, and December 31, 1992, were examined by trained technicians with video-otoscopy.

MAIN OUTCOME MEASURES: Two photographs were taken of each child's tympanic membranes to show the features of the pars tensa and the pars flaccida.

RESULTS: In just less than three quarters of the children, both ears were normal. Retraction of the pars flaccida was present in 9.6% of children, and that of the pars tensa was present in 7.9%. Most of these changes were mild with few severe retractions. There were 15 cases of overt or suspected cholesteatoma.

CONCLUSION: The tympanic membrane changes reflect most of the middle ear disease seen in 9- to 10-year-old children. The prevalence is low, and few children have serious disease at this stage.

Original languageEnglish
Pages (from-to)1256-1261
Number of pages6
JournalOtology and Neurotology
Volume32
Issue number8
DOIs
Publication statusPublished - Oct 2011

Fingerprint

Tympanic Membrane
Middle Ear
Longitudinal Studies
Cohort Studies
Parturition
Pathology
Otoscopy
Ear Diseases
Cholesteatoma
England
Ear
Cross-Sectional Studies
Parents

Keywords

  • child
  • middle ear cholesteatoma
  • middle ear
  • infant
  • newborn infant
  • prevalence
  • tympanic membrane
  • tympanic membrane perforation

Cite this

@article{1af7585c1962475da297c043d1ec832e,
title = "The prevalence of tympanic membrane and related middle ear pathology in children: a large longitudinal cohort study followed from birth to age ten",
abstract = "OBJECTIVE: To record with video-otoscopy the appearance of the tympanic membranes of a cross section of children aged 9 to 10 years.STUDY DESIGN: Cross-sectional study nested within an established longitudinal study of childhood development, the Avon Longitudinal Study of Parents and Children.SETTING: South West England, U.K.PARTICIPANTS: Approximately 6908 of 7261 children with ages ranging from 105 to 140 months born between April 1, 1991, and December 31, 1992, were examined by trained technicians with video-otoscopy.MAIN OUTCOME MEASURES: Two photographs were taken of each child's tympanic membranes to show the features of the pars tensa and the pars flaccida.RESULTS: In just less than three quarters of the children, both ears were normal. Retraction of the pars flaccida was present in 9.6{\%} of children, and that of the pars tensa was present in 7.9{\%}. Most of these changes were mild with few severe retractions. There were 15 cases of overt or suspected cholesteatoma.CONCLUSION: The tympanic membrane changes reflect most of the middle ear disease seen in 9- to 10-year-old children. The prevalence is low, and few children have serious disease at this stage.",
keywords = "child, middle ear cholesteatoma, middle ear, infant, newborn infant, prevalence, tympanic membrane, tympanic membrane perforation",
author = "Maw, {A. Richard} and Hall, {Amanda J.} and Pothier, {David D.} and Gregory, {Steven P.} and Steer, {Colin D.}",
year = "2011",
month = "10",
doi = "10.1097/MAO.0b013e31822f10cf",
language = "English",
volume = "32",
pages = "1256--1261",
journal = "Otology and Neurotology",
issn = "1531-7129",
publisher = "Lippincott Williams and Wilkins",
number = "8",

}

The prevalence of tympanic membrane and related middle ear pathology in children : a large longitudinal cohort study followed from birth to age ten. / Maw, A. Richard; Hall, Amanda J.; Pothier, David D.; Gregory, Steven P.; Steer, Colin D.

In: Otology and Neurotology, Vol. 32, No. 8, 10.2011, p. 1256-1261.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The prevalence of tympanic membrane and related middle ear pathology in children

T2 - a large longitudinal cohort study followed from birth to age ten

AU - Maw, A. Richard

AU - Hall, Amanda J.

AU - Pothier, David D.

AU - Gregory, Steven P.

AU - Steer, Colin D.

PY - 2011/10

Y1 - 2011/10

N2 - OBJECTIVE: To record with video-otoscopy the appearance of the tympanic membranes of a cross section of children aged 9 to 10 years.STUDY DESIGN: Cross-sectional study nested within an established longitudinal study of childhood development, the Avon Longitudinal Study of Parents and Children.SETTING: South West England, U.K.PARTICIPANTS: Approximately 6908 of 7261 children with ages ranging from 105 to 140 months born between April 1, 1991, and December 31, 1992, were examined by trained technicians with video-otoscopy.MAIN OUTCOME MEASURES: Two photographs were taken of each child's tympanic membranes to show the features of the pars tensa and the pars flaccida.RESULTS: In just less than three quarters of the children, both ears were normal. Retraction of the pars flaccida was present in 9.6% of children, and that of the pars tensa was present in 7.9%. Most of these changes were mild with few severe retractions. There were 15 cases of overt or suspected cholesteatoma.CONCLUSION: The tympanic membrane changes reflect most of the middle ear disease seen in 9- to 10-year-old children. The prevalence is low, and few children have serious disease at this stage.

AB - OBJECTIVE: To record with video-otoscopy the appearance of the tympanic membranes of a cross section of children aged 9 to 10 years.STUDY DESIGN: Cross-sectional study nested within an established longitudinal study of childhood development, the Avon Longitudinal Study of Parents and Children.SETTING: South West England, U.K.PARTICIPANTS: Approximately 6908 of 7261 children with ages ranging from 105 to 140 months born between April 1, 1991, and December 31, 1992, were examined by trained technicians with video-otoscopy.MAIN OUTCOME MEASURES: Two photographs were taken of each child's tympanic membranes to show the features of the pars tensa and the pars flaccida.RESULTS: In just less than three quarters of the children, both ears were normal. Retraction of the pars flaccida was present in 9.6% of children, and that of the pars tensa was present in 7.9%. Most of these changes were mild with few severe retractions. There were 15 cases of overt or suspected cholesteatoma.CONCLUSION: The tympanic membrane changes reflect most of the middle ear disease seen in 9- to 10-year-old children. The prevalence is low, and few children have serious disease at this stage.

KW - child

KW - middle ear cholesteatoma

KW - middle ear

KW - infant

KW - newborn infant

KW - prevalence

KW - tympanic membrane

KW - tympanic membrane perforation

U2 - 10.1097/MAO.0b013e31822f10cf

DO - 10.1097/MAO.0b013e31822f10cf

M3 - Article

C2 - 21897314

VL - 32

SP - 1256

EP - 1261

JO - Otology and Neurotology

JF - Otology and Neurotology

SN - 1531-7129

IS - 8

ER -