{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T22:17:11Z","timestamp":1769120231267,"version":"3.49.0"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T00:00:00Z","timestamp":1622678400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215121001444_sec_a1\"><jats:title>Background<\/jats:title><jats:p>In adults, otitis media with effusion causes considerable morbidity and has poorly established outcomes. A small number of nasopharyngeal carcinoma patients present with isolated ear-related symptoms. The investigation of choice for these patients is a point of debate.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121001444_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study was conducted using a local database of adult patients who underwent examination under anaesthesia of the post-nasal space with grommet insertion for otitis media with effusion between January 2014 and January 2016.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121001444_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Ninety-eight patients met the inclusion criteria. Follow-up duration ranged from 39 to 63 months. Complications of grommets were present in 36 out of 98 patients (36.73 per cent). The findings of examination under anaesthesia of the post-nasal space were documented as abnormal in three patients. No patient was diagnosed with nasopharyngeal carcinoma.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121001444_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Grommets in adults with otitis media with effusion as the sole presenting feature carry a high complication rate, especially in those with previously inserted grommets. Examination under anaesthesia of the post-nasal space offers a low yield. A magnetic resonance imaging scan of the post-nasal space may be a more sensitive alternative.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215121001444","type":"journal-article","created":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T06:55:43Z","timestamp":1622703343000},"page":"620-624","source":"Crossref","is-referenced-by-count":2,"title":["Outcomes of examination under anaesthesia of post-nasal space and grommet insertion in adults presenting with otitis media with effusion"],"prefix":"10.1017","volume":"135","author":[{"given":"H","family":"Mohammed","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M H","family":"Qureshi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Yates","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2021,6,3]]},"reference":[{"key":"S0022215121001444_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1992.tb01069.x"},{"key":"S0022215121001444_ref5","doi-asserted-by":"publisher","DOI":"10.4193\/Rhin14.130"},{"key":"S0022215121001444_ref10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"S0022215121001444_ref17","first-page":"278","article-title":"Ventilation tube in adults with middle-ear effusion","volume":"28","author":"Wen-Yuan","year":"1999","journal-title":"J Otolaryngol Neck Surg"},{"key":"S0022215121001444_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215116000943"},{"key":"S0022215121001444_ref9","doi-asserted-by":"publisher","DOI":"10.3950\/jibiinkoka.105.863"},{"key":"S0022215121001444_ref12","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25135"},{"key":"S0022215121001444_ref8","doi-asserted-by":"publisher","DOI":"10.1258\/0022215011909422"},{"key":"S0022215121001444_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100132736"},{"key":"S0022215121001444_ref11","unstructured":"11 NHS Digital. Hospital Admitted Patient Care Activity 2018-19. In: https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/hospital-admitted-patient-care-activity\/2018-19 [10 July 2020]"},{"key":"S0022215121001444_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106000685"},{"key":"S0022215121001444_ref18","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.10101241"},{"key":"S0022215121001444_ref15","first-page":"1650","article-title":"Diagnosis and treatment of otitis media","volume":"67","author":"Ramakrishnan","year":"2007","journal-title":"Am Fam Physician"},{"key":"S0022215121001444_ref3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1988.tb00767.x"},{"key":"S0022215121001444_ref14","doi-asserted-by":"publisher","DOI":"10.1177\/014556131309200411"},{"key":"S0022215121001444_ref2","first-page":"706","article-title":"The probability of diagnosis of nasopharyngeal carcinoma in patients with only adult-onset otitis media with effusion","volume":"14","author":"Sheu","year":"1998","journal-title":"Kaohsiung J Med Sci"},{"key":"S0022215121001444_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215120001887"},{"key":"S0022215121001444_ref16","doi-asserted-by":"publisher","DOI":"10.1177\/019459988809800203"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215121001444","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T12:59:14Z","timestamp":1651237154000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215121001444\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,3]]},"references-count":18,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["S0022215121001444"],"URL":"https:\/\/doi.org\/10.1017\/s0022215121001444","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,3]]}}}