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  Vol. 99 No. 6, June 1974 TABLE OF CONTENTS
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Postoperative and Postradiotherapeutic Serous Otitis Media

Alan H. Brill, MD; Mitz M. Martin, MD; G. Slaughter Fitz-Hugh, MD; William C. Constable, MB, ChB, DMRT

Arch Otolaryngol. 1974;99(6):406-408.


Abstract

Serous otitis media has been a complication of radiotherapy and surgery. Experience at the University of Virginia from July 1969 to June 1972 establishes the incidence of this complication and the relative importance of irradiation, surgical procedure, and site of primary. There was an incidence of approximately 10% in the present series. When the middle ear was irradiated by a high dose (minimum 5,000 rads in five weeks), a 17% to 50% incidence due to the radiation alone might occur, and surgery in this group would be expected to double this incidence. A further group consisted of patients with surgery involving the palate and interference with eustachian tube function. Finally, interference with lymphatic drainage as a consequence of radical neck dissection produced another small incidence. The predominant factor, however, was site of primary tumor, as this determined therapeutic approach.



Author Affiliations

Charlottesville, Va

From the Department of Otolaryngology (Drs. Brill and Fitz-Hugh) and the Division of Radiation Oncology (Drs. Martin and Constable), University of Virginia Hospital, Charlottesville, Va.


Footnotes

Accepted for publication Aug 23, 1973.

Reprint requests to Division of Radiation Therapy, University of Virginia Hospital, Charlottesville, VA 22901 (Dr. Constable).



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Effects of Nasal Packing on Eustachian Tube Function
McCurdy
Arch Otolaryngol Head Neck Surg 1977;103:521-523.
ABSTRACT  





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