We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Clinical Challenges in Otolaryngology |

Does Early Surgical Intervention of Middle Ear Atelectasis Improve Long-term Results and Prevent Cholesteatoma?

James E. Saunders, MD
Arch Otolaryngol Head Neck Surg. 2008;134(10):1040-1044. doi:10.1001/archotol.134.10.1040.
Text Size: A A A
Published online


Hypothesis:Early Surgical intervention of middle ear atelectasis improves long-term results and prevents cholesteatoma.

Buckingham  RA Changes in the tympanic membrane with eustachian tube malfunction. Otolaryngol Clin North Am 1970;3 (1) 15- 44
Sadé  JBerco  E Atelectasis and secretory otitis media. Ann Otol Rhinol Laryngol 1976;85 (2) ((suppl 25, pt 2)) 66- 72
Haapaniemi  JSuonpaa  JVirolainen  E Tympanic membrane changes in school-aged children. Ear Nose Throat J 1995;74 (4) 278- 285
Tos  MStangerup  SLarsen  P Dynamics of eardrum changes following secretory otitis. Arch Otolaryngol Head Neck Surg 1987;113 (4) 380- 385
PubMed Link to Article[[XSLOpenURL/10.1001/archotol.1987.01860040042014]]
Li  YHunter  LMargolis  R  et al.  Study of tympanic membrane retraction, hearing loss, and multifrequency tympanometry. Otolaryngol Head Neck Surg 1999;121 (5) 514- 522
PubMed Link to Article[[XSLOpenURL/10.1016/S0194-5998(99)70049-5]]
Luxford  WMSheely  J Ventilation tubes: indications and complications. Am J Otol 1984;5 (6) 468- 471
Sadé  J Atelectatic tympanic membrane: histological study. Ann Otol Rhinol Laryngol 1993;102 (9) 712- 716
Buckingham  RAFerrer  JL Middle ear pressures in eustachian tube malfunction: manometric studies. Laryngoscope 1973;83 (10) 1585- 1593
PubMed Link to Article[[XSLOpenURL/10.1288/00005537-197310000-00002]]
Sadé  JAvraham  SBrown  M Atelectasis, retraction pockets, and cholesteatoma. Acta Otolaryngol 1981;92 (5-6) 501- 512
PubMed Link to Article[[XSLOpenURL/10.3109/00016488109133289]]
Sadé  J Treatment of cholesteatoma and retraction pockets. Eur Arch Otorhinolaryngol 1993;250 (4) 193- 199
PubMed Link to Article[[XSLOpenURL/10.1007/BF00171523]]
Elden  LMGrundfast  KM The atelectatic ear. Elden  LMGrundfast  KMPediatric Otology and Neurotology. Philadelphia, PA Lippincott-Raven1998;645- 662
Kujawski  OBPoe  DS Laser eustachian tuboplasty. Otol Neurotol 2004;25 (1) 1- 8
PubMed Link to Article[[XSLOpenURL/10.1097/00129492-200401000-00001]]
Maw  ARBawden  R Does adenoidectomy have an adjuvant effect on ventilation tube insertion and thus reduce the need for re-treatment? Clin Otolaryngol Allied Sci 1994;19 (4) 340- 343
PubMed Link to Article[[XSLOpenURL/10.1111/coa.1994.19.issue-4]]
Buckingham  RAFerrer  JL Reversibility of chronic adhesive otitis media with polyethylene tube, middle ear air-vent, kodachrome time lapse study. Laryngoscope 1966;76 (6) 993- 1014
PubMed Link to Article[[XSLOpenURL/10.1288/00005537-196606000-00002]]
Avraham  SLuntz  MSade  J The influence of ventilating tubes on the surgical treatment of atelectatic ears. Eur Arch Otorhinolaryngol 1991;248 (5) 259- 261
PubMed Link to Article[[XSLOpenURL/10.1007/BF00176749]]
Maw  ARBawden  R Tympanic membrane atrophy, scarring, atelectasis and attic retraction in persistent, untreated otitis media with effusion and following ventilation tube insertion. Int J Pediatr Otorhinolaryngol 1994;30 (3) 189- 204
PubMed Link to Article[[XSLOpenURL/10.1016/0165-5876(94)90060-4]]
Donaldson  JD Mini-myringoplasty in the treatment of tympanic atelectasis. J Otolaryngol 1986;15 (1) 21- 24
Ostrowski  VBBojrab  DI Minimally invasive laser contraction myringoplasty for tympanic membrane atelectasis. Otolaryngol Head Neck Surg 2003;128 (5) 711- 718
PubMed Link to Article[[XSLOpenURL/10.1016/S0194-5998(03)00255-9]]
Paparella  MMJung  TT Experience with tympanoplasty for atelectatic ears. Laryngoscope 1981;91 (9, pt 1) 1472- 1477
PubMed Link to Article[[XSLOpenURL/10.1288/00005537-198109000-00010]]
Luntz  MAvraham  SSade  J The surgical treatment of atelectatic ears and retraction pockets in children and adults. Eur Arch Otorhinolaryngol 1991;248 (7) 400- 401
PubMed Link to Article[[XSLOpenURL/10.1007/BF01463562]]
Buckingham  RA Fascia and perichondrium atrophy in tympanoplasty and recurrent middle ear atelectasis. Ann Otol Rhinol Laryngol 1992;101 (9) 755- 758
Dornhoffer  J Cartilage tympanoplasty: indications, techniques, and outcomes in a 1,000-patient series. Laryngoscope 2003;113 (11) 1844- 1856
PubMed Link to Article[[XSLOpenURL/10.1097/00005537-200311000-00002]]
Sadé  JFuchs  C Secretory otitis media in adults, II: the role of mastoid pneumatization as a prognostic factor. Ann Otol Rhinol Laryngol 1997;106 (1) 37- 40
Avraham  SLuntz  MSadé  J The effect of mastoid surgery on atelectatic ears and retraction pockets. Eur Arch Otorhinolaryngol 1991;248 (6) 335- 336
PubMed Link to Article[[XSLOpenURL/10.1007/BF00169024]]
Tay  HLMills  RPPhil  M Tympanic membrane atelectasis in childhood otitis media with effusion. J Laryngol Otol 1995;109 (6) 495- 498
PubMed Link to Article[[XSLOpenURL/10.1017/S0022215100130555]]
Nielsen  KOBak-Pedersen  K Otosurgery of incipient adhesive otitis media in children. J Laryngol Otol 1984;98 (4) 341- 345
PubMed Link to Article[[XSLOpenURL/10.1017/S0022215100146705]]
Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption

James E. Saunders, MD

Graphic Jump Location




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

4 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Original Article: Does This Patient Have Ventilator-Associated Pneumonia?

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Original Article: Does This Patient Have Ventilator-Associated Pneumonia?