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- 上出 洋介
- かみで耳鼻咽喉科クリニック
書誌事項
- タイトル別名
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- Classification of Tympanic Membrane Findings on Acute Otitis Media in Children and Their Verification.
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Based on imaging data for pediatric acute otitis media (AOM), we followed up 0-to 1-year-old children with otitis media retrospectively and propose a pathological classification of tympanic membrane (TM) findings on AOM into 5 stages, then assessed results for consistency and validity.<BR>Subjects were 2, 137 children between 0 and 6 years of age who visited our clinic during the 39-month study and were treated for AOM diagnosed on first visit.<BR>Results : Age-specific AOM incidence was 85.5% under 1 year of age and 88.4% at 1 year. The incidence of AOM decreased with each additional year of age.<BR>Classification results showed that children with AOM stages 4 and 5 accounted for half of all cases in the groups aged 0 and 1 year, consistent with previous reports of frequent cases in infants whose symptoms had worsened. Of groups aged 2 and 3, 25% had AOM stage 4 or 5, and the number of severe cases decreased with each additional year of age.<BR>In recovery, 80% of those aged 0 and 1 year was cured of AOM stage 1 within 1 month, and the rate decreased to 55-60% in cases of AOM stage 5. Of bilateral cases 48.6% were cured within 1 month in the group aged 0, as were 80.5% of unilateral cases, suggesting that unilateral cases have more favorable results in healing than bilateral, and that recovery improved with each additional year of age.<BR>Conclusion : We found that our classification meets requirements for consistency and validity.
収録刊行物
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- 耳鼻咽喉科展望
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耳鼻咽喉科展望 46 (1), 17-30, 2003
耳鼻咽喉科展望会
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詳細情報 詳細情報について
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- CRID
- 1390282679924999168
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- NII論文ID
- 130003795290
- 80015820696
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- ISSN
- 18836429
- 03869687
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可