Title:
Management of recurrent otitis media with rapid maxillary expansion: our experience
Authors:
A. De Stefano*, C. Baffa*, D. Cerrone*, N. Mathur**, V. Cascini***, A. G. Petrucci**** and G. Neri*****
Institutions:
*Università degli Studi “G. d’Annunzio” Chieti-Pescara, Dipartimento di Scienze Chirurgiche, Sperimentali e Cliniche: sezione di Otorinolaringoiatria, Chieti, Italy; **Hospital of Jaipur, Ear-Nose-Throat Clinic, Jaipur, Rajasthan State, India; ***Università degli Studi “G. d’Annunzio” Chieti-Pescara, Dipartimento di Chirurgia Pediatrica, Ospedale Civile “Santo Spirito”, Pescara, Italy; ****Università degli Studi “G. d’Annunzio” Chieti-Pescara, Dipartimento di Medicina e Scienze dell’Invecchiamento: sezione di Epidemiologia e Sanità Pubblica, Chieti, Italy; *****Università degli Studi “G. d’Annunzio” Chieti-Pescara, Dipartimento di Scienze Mediche di Base ed Applicate , Chieti, Italy
Keywords:
Skeletal development syndrome; adenoid hypertrophy; rapid maxillary expansion; otitis media
Pages:
13 - 17
Abstract:
Management of recurrent otitis media with rapid maxillary expansion: our experience. Problems/objectives: Recurrent otitis media is a frequent problem in the paediatric population. It is commonly associated with adenoid hyper- trophy and occasionally with skeletal development syndrome characterised by maxillary anatomical alterations. When this syndrome is present in conjunction with adenoid hypertrophy, surgical management with adenoidectomy and/or myringotomy with ventilation tube positioning does not necessarily ensure a resolution of conductive hearing dis- orders. Methodology: We used maxillary rapid expansion in 27 children with a mean age of 7 years affected by recurrent otitis media associated with skeletal development syndrome and adenoid hypertrophy. Results: Rapid maxillary expansion acting directly on the median palatine suture expands the palate and the nasal floor, improving nasal breathing. In addition, maxillary expansion stretches elevator and tensor palatine muscles, helping to restore normal Eustachian tube function, even in the presence of adenoid hypertrophy. Conclusion: In our opinion, rapid maxillary expansion results in an improvement in skeletal-facial abnormalities associ- ated with skeletal development syndrome and it can be considered a valid treatment for preventing recurrent otitis media in children affected by maxillary anatomical alterations.
Issue:
Vol. 5, 2009, 1st trimester


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Management of recurrent otitis media with rapid maxillary expansion: our experience