Pneumatic otoscopy
José Ignacio Benito Orejasa, Juan Vicente Velasco Vicenteb, Miriam Mata Jorgec, M.ª Rosario Bachiller Luqued, Mercedes Garrido Redondoe, Beatriz Ramírez Canoa
aServicio de Otorrinolaringología. Hospital Clínico Universitario de Valladolid. Valladolid. España.
bPediatra. CS de San Pablo. Valladolid. España.
cPediatra. CS de Valladolid Rural I. Valladolid. España.
dPediatra. CS Pilarica Circular. Valladolid. España.
ePediatra. CS La Tórtola. Valladolid. España.
Correspondence: JI Benito. E-mail: jibenito@ono.com
Reference of this article: Benito Orejas JI, Velasco Vicente JV, Mata Jorge M, Bachiller Luque MR, Garrido Redondo M, Ramírez Cano B. Pneumatic otoscopy. Rev Pediatr Aten Primaria. 2015;17:e279-e288.
Published in Internet: 29-10-2015 - Visits: 93581
Abstract
After explaining the best way to clean ear wax in a previous article, in the second one we aim to show the advantages of pneumatic otoscopy (PO) when diagnosing otitis media (OM), exposing the procedure and exploratory findings.
Our conclusions sum up again the recommendations offered by the literature review carried out about pneumatic otoscopy, and the experience of a team of pediatricians and otolaryngologists from the same Healthcare Area.
American guidelines and most pediatricians consider PO is the best method to examine the middle ear in children when effusion is present; however, very few pediatricians use it. It is a simple, economical, reliable and easily accessible procedure in Primary care; but, as it is a subjective technique, a prior targeted training is necessary.
We consider that learning and application of the pneumatic otoscopy is essential in Primary care, as a diagnostic procedure of middle ear effusion.
Keywords
● Child ● Ear middle ● Otitis media ● Otitis media with effusion ● Otoscopy ● Primary health care
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