Tympanic membrane retractions in patients with Williams Syndrome : a controlled study

• Autor(a) principal: Oliveira, Marcelo Wierzynski de
• Data de Publicação: 2021
• Outros Autores: Lavinsky, Joel, Valério, Marcel Machado, Felix, Temis Maria, Lavinsky, Luiz
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFRGS
• Texto Completo: http://hdl.handle.net/10183/230807
• topic: Síndrome de Williams; Membrana timpânica; Elastina; Otite média; Williams syndrome; Elastin; Chronic otitis media

Introduction The role of elastin in tympanic retractions and chronic otitis media is not well established. Williams Syndrome (WS), a pathology related to a mutation in the elastin gene, could generate tympanic retractions. Objective To compare the prevalence of tympanic retractions among patients with WS and controls. Methods WS patients (n = 43 ears) and controls (n = 130 ears) were evaluated by digital otoscopic examination and the degree of tympanic membrane retraction was classified by 2 blinded experienced otolaryngologists. Results The agreement rate between the evaluators was 71.1% for pars tensa and 65% for pars flaccida retraction (p < 0.001). The pars tensa and pars flaccida retractions are present in patients with WS after an adjusted residue of respectively - 2.8 and - 2.6 (p = 0.011 and p = 0.022) compared with controls. Conclusions Tympanic membrane retractions are not more common in the WS group when compared with controls.