Hearing Acuity of Children With Otitis Media With Effusion

Fria, Thomas J.; Cantekin, Erdem I.; Eichler, John A.

doi:10.1001/archotol.1985.00800030044003

Cited by 227 publications

(139 citation statements)

References 9 publications

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“…Hearing levels in children with OM usually range from 10 to 40 dB, depending on character and quantity of effusion [52]. Fria et al [53] reported an average air conduction threshold of 27 dB in 540 children 2 to 12 years old with OME, while Ungkanont et al [54•] reported 31.7 dB.…”

Section: Advances In Audiological Diagnosismentioning

confidence: 99%

Audiological Investigation of Otitis Media in Children with Atopy

Martines

Bentivegna

2011

Curr Allergy Asthma Rep

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Otitis media (OM) describes an inflammatory process within the middle ear space that is generally associated with accumulation of fluid and that may lead to hearing loss, learning difficulties, and delays in language development. The pathogenesis of OM is multifactorial, involving the adaptive and native immune system, eustachian tube dysfunction, viral and bacterial load, and genetic and environmental factors. The involvement of IgEmediated allergic reactions in the pathogenesis of OM has been suggested by clinical observations of a high prevalence of OM among patients with allergies. Evidence from studies involving tympanometric measurements, audiometric measurements, and otoscopic examination confirms the role of atopy in the development and persistence of OM.

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Section: Advances In Audiological Diagnosismentioning

confidence: 99%

Audiological Investigation of Otitis Media in Children with Atopy

Martines

Bentivegna

2011

Curr Allergy Asthma Rep

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“…15 Hearing losses associated with otitis media with effusion (OME) can range from 15 to 55 dB HL but typically average 20 to 25 dB HL. [16][17][18] These losses might be transient or more chronic in nature. Collectively, prospective studies of children with recurrent OME suggest that mild hearing loss associated with OME in early life is associated with poorer extended high-frequency hearing sensitivity and atypical auditory brainstem pathway indices (elevated crossed, but not uncrossed, middle ear acoustic reflex thresholds, and delayed wave V auditory brainstem response [ABR] latencies 19 ) at school age but not psychoacoustic or speech-in-noise tasks.…”

Section: Auditory Deprivationmentioning

confidence: 99%

Amplification Considerations for Children With Minimal or Mild Bilateral Hearing Loss and Unilateral Hearing Loss

McKay

Gravel

Tharpe

2008

Trends in Amplification

117

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Children with minimal or mild bilateral hearing loss and unilateral hearing loss are at higher risk for academic, speech-language, and social-emotional difficulties than their normal hearing peers. The choice to fit infants with moderate or greater degrees of bilateral hearing loss has been standard practice for most clinicians, but for those with minimal or mild bilateral hearing loss or unilateral hearing loss, the fitting of hearing technology must be based on limited data. Evidence does not yet exist to support all the management decisions that an audiologist must make upon identifying an infant with minimal or mild bilateral hearing loss or unilateral hearing loss. It is not yet known which children are at the greatest risk for educational problems nor is it known if the provision of early amplification in this population will help a child avoid later difficulties. Some of these considerations and current hearing technology options for children with minimal or mild bilateral hearing loss or unilateral hearing loss are reviewed in this article.

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“…11 It has been shown in many studies that the hearing loss in OME shows a wide range with air conduction thresholds averaging 27.5dB. 12 This wide variation is probably related to the amount and type of fluid, its physical character (serous or mucous) and its exact location within the middle ear. 13 In present study 61.42% subjects had hearing loss in the range of 31-40dB with a mean hearing loss of 36.5dB.…”

Section: Discussionmentioning

confidence: 99%

A study on the effect of adenoidectomy with tonsillectomy in otitis media with effusion in children

2017

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INTRODUCTIONDisease of adenoids and tonsils are among the most common problems in children. Recurrent upper respiratory tract infections (URTI) affect the adenoids resulting in hyperplasia, nasal obstruction, snoring, mouth breathing and hyponasal speech.1 The effect of both obstruction and infection from tonsil and adenoid are seen to cause major ill effect nose and paranasal sinus, eustachian tube and middle ear cleft. 2 It has been postulated that the enlargement of adenoids or repeated infections of adenoids result in Otitis media with effusion (OME).2 Synonyms of OME include glue ear, serous otitis media, secretory otitis media and chronic ABSTRACT Background: The aural symptoms attributed to adenoid hypertrophy are Eustachian tube block (ET) and otitis media with effusion (OME). It is thought that adenoid hypertrophy causes a block in air flow through the ET, thus creating a negative pressure in the middle ear leading to effusion which acts as a focus of infection. The role of hypertrophied tonsils in the aetiology of OME is controversial. Adenoid and tonsillar hypertrophy and associated inflammation continue to be a major problem in paediatric age group despite the advances in medicine. Otitis media with effusion is a treatable cause of deafness which may hamper the learning ability of a child. This study was undertaken to study the effect of adenoidectomy with tonsillectomy on established otitis media with effusion in children. Methods: 35 children presenting to the department of ENT, Government Medical College, Thrissur, Kerala, India over one and a half years with features suggestive of secretory otitis media, tonsillar and adenoid hypertrophy who underwent adenoidectomy with tonsillectomy in Government Medical College, Thrissur, Kerala, India were included in the study. A predesigned questionnaire was prepared which included details on clinical symptoms, relevant investigations and preoperative and postoperative evaluation of hearing after 6 weeks and 3 months. Data collected was analyzed using paired t-test and chi square test to determine the improvement in hearing after 6 weeks and 3 months following surgery. Results: Out of the 35 children included in the study, it was seen that 56% of cases, after 6 weeks showed complete resolution of OME which improved to 67% after 3 months. This was assessed by PTA and tympanometry. 33% showed partial improvement with Type C curve in tympanometry and improvement in PTA values. Conclusions: All cases of OME associated with adenoid and tonsillar hypertrophy responded to our treatment with 67% showing complete cure of the condition. It can be assumed that, in the 33% partial responders there may be other factors like allergy, anatomical deformities, immunological which prevented the complete resolution of symptoms in OME.

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Hearing Acuity of Children With Otitis Media With Effusion

Cited by 227 publications

References 9 publications

Audiological Investigation of Otitis Media in Children with Atopy

Audiological Investigation of Otitis Media in Children with Atopy

Amplification Considerations for Children With Minimal or Mild Bilateral Hearing Loss and Unilateral Hearing Loss

A study on the effect of adenoidectomy with tonsillectomy in otitis media with effusion in children

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