Behaviour and developmental effects of otitis media with effusion into the teens

Bennett, Kathleen; Haggard, Mark; Silva, P A; Stewart, Ian

doi:10.1136/adc.85.2.91

Cited by 187 publications

(155 citation statements)

References 15 publications

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“…We observed a slight decrease in effect size when we controlled for the extent of childhood otitis media (Tables 4 and 5), but a significant proportion of variance was still explained by PTA. The remaining effects were independent of, and additional to, the well-established effects of otitis media (18).…”

Section: Discussionmentioning

confidence: 86%

“…Hearing threshold appears to depend partly upon history of otitis media in childhood (15). Furthermore, history of otitis media is associated with poor performance in language and academic areas during childhood (16,17), behavioral problems during childhood (17), and behavior and language during adolescence (18). As such, we were careful to consider the degree of otitis media in our study of the effects of hearing level on the four areas described.…”

Section: Identification Of Signals In Noisementioning

confidence: 99%

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Variation in the Normal Hearing Threshold Predicts Childhood IQ, Linguistic, and Behavioral Outcomes

Welch

Dawes

2007

Pediatr Res

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Childhood hearing level varies considerably within the range considered normal. Four classes of outcome were investigated for associations with hearing thresholds in this range: ability to identify speech in noise, neurocognitive ability, linguistic ability, and behavior. The research was conducted in a general population cohort of 711 children with mean hearing threshold of 15 dB HL or better. Some outcomes: speech in noise, intelligence, and certain linguistic abilities, were predicted in both boys and girls; effects were stronger in girls. In girls only, poorer hearing predicted worse behavior. These effects remained after statistical control for childhood socioeconomic status and otitis media. Variability in normal hearing, due to causes other than otitis media, is associated with the listening, language, and neurocognitive abilities of children, and the behavior of girls. We suggest that these effects may be present for three reasons, cochlear insults, neurodevelopmental factors, and psychological factors. We discuss how these may interact to produce the effects observed. T he conventional cut-off for normal-range hearing in children is 15 dB HL (1); which includes 97% (711/734) of the general population sample assessed here. This includes a wide range of actual hearing abilities, and how it relates to psychosocial consequences in humans is unclear (2). Hitherto, research has concentrated on effects in people with relatively large hearing losses, with little attention paid to the effects of variability within the normal range. We investigated four areas for which we hypothesized effects of hearing level in normally hearing children. Identification of signals in noise.A relation between puretone detection and identification of signals in noise has been demonstrated in minimally hearing-impaired children (3). Variation in normal hearing may be due to vulnerable structures involved in the cochlear active process (4). Children with poorer normal hearing may be less able to identify signals in noise due to slight deterioration in these systems.Neurocognitive ability. Assessment of hearing threshold measures performance on a psychoacoustical task in which general neurocognitive ability might play a part, so variation in threshold might be related to IQ. Furthermore, a body of research has related sensory processing, in terms of inspection time, with IQ (5-7). Thus, there may be a relation between hearing and IQ.Linguistic ability. Children with minimal hearing impairment perform less well on tests of educational performance, particularly in areas related to language (8). Furthermore, those with poor linguistic abilities perform less well on tests of acoustic frequency and temporal resolution (9,10). These findings are with stimuli requiring a high degree of processing (11), however, simple detectability may contribute to the effects shown.Behavior. Little research has investigated behavioral concomitants of variation in hearing in children. In deaf people, there may be effects with depression and interp...

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Section: Discussionmentioning

confidence: 86%

Section: Identification Of Signals In Noisementioning

confidence: 99%

Variation in the Normal Hearing Threshold Predicts Childhood IQ, Linguistic, and Behavioral Outcomes

Welch

Dawes

2007

Pediatr Res

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“…10 Very long-term effects of the condition remain unknown. The Paradise trial follow-up on 9-to 11-year-olds concluded that there were no demonstrable longterm disabilities in their selected sample, 25 whereas an earlier paper by Bennett et al 15 reported that some developmental effects persist into teenage years, particularly on reading ability. In the main, however, these study data support the importance of potential child benefit for interventions aimed principally at short-to medium-term outcomes for evaluation in clinical trials.…”

Section: Impact Of Otitis Media With Effusion On Children Over Timementioning

confidence: 99%

“…OME leads to variable and intermittent hearing loss and delays in language and behaviour development, and remains the most common reason for surgery in children. [13][14][15] While the trial of alternative regimens in glue ear treatment (TARGET) is currently clarifying the role for surgery in restricted and persistent cases, there is therefore (and likely to remain) a need for medical treatments for useful temporising management that either aid natural resolution or could be used prior to or as an alternative to surgical management.…”

Section: Introductionmentioning

confidence: 99%

A double-blind randomised placebo-controlled trial of topical intranasal corticosteroids in 4- to 11-year-old children with persistent bilateral otitis media with effusion in primary care

Williamson

Benge²,

Barton³

et al. 2009

Health Technol Assess

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How to obtain copies of this and other HTA programme reports An electronic version of this publication, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable CD-ROM is also available (see below).Printed copies of HTA monographs cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our Despatch Agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in t...

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“…It is one of the most common bacterial infections in the field of otolaryngology having significant economic and individual repercussion [1].…”

Section: Introductionmentioning

confidence: 99%

Role of Acetic Acid Irrigation in Medical Management of Chronic Suppurative Otitis Media: A Comparative Study

Gupta

Agrawal

Gargav

2014

Indian J Otolaryngol Head Neck Surg

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Chronic otitis media is persistent and insidious disease. It is one of the most common bacterial infections in the field of otolaryngology having significant economic and individual repercussion. Medical management of chronic suppurative otitis media (CSOM) for dry ear is essential before surgical treatment. The objective is to consider the most appropriate medical treatment modalities for patients of CSOM. To assess results of acetic acid irrigation and topical and systemic antibiotic in CSOM and consider, the most appropriate medical management. This study was conducted prospectively from Nov 2011 to Sep 2013 in 100 patients of CSOM (tubotympanic type). Patient included in the present study were divided in two groups. In one group patients were treated with aural toilet and irrigation with acetic acid and in other group patients were treated with topical and systemic antibiotic. After a follow up period of 3 months duration results were assessed on the basis of absence of discharge, healing of perforation and status of middle ear. Otorrhoea resolution in group treated with acetic acid was 84 % and healing of perforation was noted in 26 % while failure rate of 16 % was noted. In group treated with topical and systemic antibiotic 58 % of patient shows otorrhoea resolution, 14 % achieve healing of perforation and 32 % had failure. Medical management of CSOM without Cholesteatoma by frequent aural cleaning and irrigation using dilute acetic acid can be more desirable choice as compared to the topical and oral antibiotics.

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Behaviour and developmental effects of otitis media with effusion into the teens

Cited by 187 publications

References 15 publications

Variation in the Normal Hearing Threshold Predicts Childhood IQ, Linguistic, and Behavioral Outcomes

Variation in the Normal Hearing Threshold Predicts Childhood IQ, Linguistic, and Behavioral Outcomes

A double-blind randomised placebo-controlled trial of topical intranasal corticosteroids in 4- to 11-year-old children with persistent bilateral otitis media with effusion in primary care

Role of Acetic Acid Irrigation in Medical Management of Chronic Suppurative Otitis Media: A Comparative Study

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