Wilmot J F, Cable H R
J R Coll Gen Pract. 1988 Apr;38(309):149-52.
Children aged six months to 10 years in one practice who were diagnosed with acute otitis media were examined one, three, six and 12 months after diagnosis by a general practitioner and an otolaryngologist on the same day using pneumatic otoscopy. Tympanometry and pure tone audimetry were also carried out. Tympanograms were combined with the specialist's otoscopy findings to determine whether effusion was present. The outcome categories three months or longer after diagnosis were compared with the otoscopic findings up to that stage.The tympanometry results showed that of the 29 children (31 affected ears), five had evidence of middle ear effusion on all occasions tested, while six were normal throughout, 10 fluctuated and eight followed a resolving pattern. Examination 10-14 days or one month after diagnosis was 75% accurate in predicting effusion after three months. Recommendations are made for the use of the pneumatic otoscope in follow up by general practitioners.
在一家诊所中，对年龄在6个月至10岁之间且被诊断为急性中耳炎的儿童，在诊断后的1个月、3个月、6个月和12个月，由一名全科医生和一名耳鼻喉科医生在同一天使用鼓气耳镜进行检查。同时还进行了鼓室图检查和纯音听力测定。将鼓室图与专科医生的耳镜检查结果相结合，以确定是否存在积液。将诊断后三个月或更长时间的结果类别与该阶段之前的耳镜检查结果进行比较。鼓室图检查结果显示，在29名儿童（31只患耳）中，5名在所有测试时均有中耳积液迹象，6名始终正常，10名波动变化，8名呈消退模式。诊断后10 - 14天或1个月时的检查对预测三个月后的积液准确率为75%。文中针对全科医生在随访中使用鼓气耳镜给出了建议。
