Показать сообщение отдельно
  #6  
Старый 18.03.2019, 19:09
Аватар для EMankovskaya
EMankovskaya EMankovskaya вне форума ВРАЧ
Врач-участник форума
 
Регистрация: 13.02.2019
Город: Москва
Сообщений: 184
Сказал(а) спасибо: 4
Поблагодарили 77 раз(а) за 77 сообщений
EMankovskaya этот участник имеет плохую репутацию на форуме
Цитата:
Сообщение от BBC Посмотреть сообщение
Сообщество считает, что не бывает "чешских доказательств", а "я видела" - крайне слабый аргумент для консультации. Международные рекомендации по лечению отитов у детей физиотерапии не предусматривают. Краткая информация о лечении отитов в ЧАВО раздела https://forums.rusmedserv.com/showthread.php?t=117340
В этих рекомендациях про экссудативный отит и адгезивный отит ничего не написано. В данном случае ребенок почти полностью потерял слух, и речь не о наружном и не о среднем катаральном отите.

В pubmed релевантная статья про пневмомассаж:
Ossicular calisthenics: Pneumomassage of the tympanic membrane.
Mudry A1, Santa Maria P1, Jackler RK1.
Author information
Abstract
OBJECTIVES/HYPOTHESIS:
Throughout the latter portion of the 19th and early 20th centuries, pneumomassage devices were widely used by otologists to treat a variety of ear diseases. The so-called eardrum massagers produced a regular, repetitive, oscillatory movement through modifying the air pressure in the ear canal. The goal of this study was to trace the invention, clinical use, technological diversification, abandonment, and ultimate resurrection of tympanic pneumomassage.

METHOD:
Review of the 19th- and early 20th-century medical journals, texts, and trade catalogs concerning the tympanic pneumomassage.

RESULTS:
In 1884, the Belgian otologist Charles Delstanche introduced what he called a rarefacteur, and 5 years later he introduced the masseur du tympan. This lead to a frenzied development of imaginative mechanical and electrical pneumassagers with a goal to exercise the tympanic membrane and ossicles to overcome contraction and rigidity. Tympanic pneumomassage rose to prominence in mainstream otology as a treatment for otitis media, chronic deafness, and tinnitus. After gradually fading out of the otological practice by the 1930s, pneumomassage was reintroduced in the 1980s after a half century of obscurity, this time as a novel invention notably for the treatment of Menière's disease.

CONCLUSION:
The golden era of pneumomassage illustrates the ingenuity of otologists and medical instrument makers in creating a proliferation of clever devices, as well as how highly touted treatment methods may become widely adopted by practitioners despite the lack of efficacy. It also noteworthy that historic therapeutic methods are sometimes reintroduced for purposes not envisioned by their original makers.

LEVEL OF EVIDENCE:
N/A. Laryngoscope, 126:1180-1186, 2016.

© 2015 The American Laryngological, Rhinological and Otological Society, Inc.

Заключение: нет доказанного эффекта.

В других статьях болезнь Меньера и малое количество исследуемых.
Ответить с цитированием