Few More on Otis Media

[Guest guest]

Enjoy. Dr. G. Smalling

Peer Reviewed Journals: Chiropractic RX for Chronic Otitis Media With

Effusion Eisenberg, MD This work is in progress under a

grant from the Consortial Center for Chiropractic Research and the

National Institutes of Health (NIH) National Center for Complementary

and Alternative Medicine (NCCAM)

The aim of the proposal is to examine whether chiropractic treatment

will reduce the likelihood of the persistence of effusion in children

with otitis media with effusion (OME) when compared to usual care.

The innervation of the tensor veli palatini (tvp) muscle is through

the motor fibers of the mandibular branch of the trigeminal nerve.

These fibers unite to form portions of the superior cervical ganglion

located between the C-1 and C-4 nerve roots. Neurological compromise

of this muscle by osseous or soft tissue structures may contribute to

the malfunction of the tvp muscle causing inadequate patency of the

tube resulting in the pathological response of OME. Chiropractic

therapy may improve the function of the TVP.

Prevention and Therapy of Serous Otitis Media by Oral Decongestants.

A Double-Blind Study in Pediatric Practice. Olson, AL; Klein SW;

Charney E. MacWhinney JB Jr.,McInerny TK, RL, Nazarian LF,

Cunningham D. et al Pediatrics 1978 May; 61 (5): 679-684

Pharyngitis-57% of patients with phyaryngitis were treated on the

first day of sore throat with spinal manipulative therapy and salt

water gargle. All were symptom free the second day. Laryngitis- 100%

of patients with laryngitis were treated on the first day of illness,

with spinal manipulative therapy and voice function returned to

normal within one day.

Characteristics of 217 children attending a chiropractic college

teaching clinic. Nyiendo J. Olsen E. J Manipulative Physiol Ther

1988 (Apr); 11 (2): 78-84

The authors found that pediatric patients at Western States

Chiropractic College public clinic commonly had ordinary complaints

of ear-infection, sinus problems, allergy, bedwetting, respiratory

problems, and gastro-intestinal problems. Complete or substantial

improvement had been noted in 61.6% of pediatric patients of their

chief complaint, 60.6% received " maximum " level of improvement while

only 56.7% of adult patients received " maximum " level of improvement.

Ear Infection: A Retrospective Study Examining Improvement from

Chiropractic Care and analyzing influencing factors. Froehle RM J

Manipulative Physiol Ther 1996 (Mar-Apr); 19 (3): 169-177

This was a study of forty-six children aged 5 years and under in a

private practice in a Minneapolis suburb. All care was done by a

single chiropractor, who adjusted the subluxations found and paid

particular attention to the cervical vertebrae and occiput. Sacral

Occipital Technique-style pelvic blocking and the doctor's own

modified applied kinesiology were also used. Typical care was three

adjustments per week for one week, then two adjustments per week for

one week, then one adjustment per week. Interestingly, children with

a history of past antibiotic use was associated with a less favorable

outcome. From the abstract: " 93% of all episodes improved, 75% in 10

days or fewer and 43% with only one or two treatments. Young age, no

history of antibiotic use, initial episode (vs. recurrent) and

designation of an episode as discomfort rather than ear infection

were factors associated with improvement with the fewest treatments.

Improvement was based on parental decision (they stated that the

child had no fever, no signs of ear pain, and was totally

asymptomatic), and/or the child seemed to be asymptomatic to the

treating DC and/or the parent stated that the child's MD judged the

child to be improved.

5) Allergy airway disease and otitis media in children. Todd NW,

Feldman CM, Int J Pediatr Otorhinolaryngol 1985 (Oct); 10 (1): 27-

35

Musculoskeletal eustachian tube dysfunction is an important

etiological factor for otitis media. The eustachian tube dysfunction

manifests primarily by poor ventilation from the nasopharynx to the

middle ear, by allowing negative pressure in the middle ear

A feasibility study of chiropractic spinal manipulation versus sham

spinal manipulation for chronic otitis media with effusion in

children. Sawyer CE, RL, Boline PD, Branson R, Spicer A. J

Manipulative Physiol Ther 1999 (Jun); 22 (5): 292-298

A pilot study was undertaken for the purpose of assessing the

feasibility of conducting a full-scale randomized clinical trial

investigating the efficacy of chiropractic spinal manipulative

therapy (SMT) for children with chronic otitis media with effusion.

Recruitment for a randomized controlled trial is feasible and could

be enhanced by medical collaboration. Patients and parents are able

and willing to participate in a study comparing active SMT and

placebo SMT. Parents were extremely compliant with the daily diaries,

suggesting that similar quality-of-life and functional status

measures can be successfully used in a larger trial. We found the

objective outcomes assessment involving tympanometry and otoscopy

extremely challenging and should be performed by experienced

examiners in future studies.

Blocked atlantal nerve syndrome in babies and infants. Gutman G.

le Medizin (1987) 25: 5-10

From the abstract: Three case reports are reviewed to illustrate a

syndrome that has so far received far too little attention, which is

caused and perpetuated in babies and infants by blocked nerve

impulses at the atlas. Included in the clinical picture are lowered

resistance to infections, especially to ear-,nose-, and throat

infections. "