Long-Term Results of Tympanostomy Treatment In Chronic Secretory Otitis Media

Karma, Pekka; Sipilä, Markku; Kokko, E.

doi:10.3109/00016488209108506

Cited by 21 publications

(18 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…She accounted for them by the fact that the otologically normal sample was a subset of the typical sample, and that tympanic membrane changes have little effect on HTL (Karma et al, 1982). The typical HTLs found in the present study are similar to those found by Haapaniemi (1996), despite the difference in prevalence of otitis media with effusion in the two samples (11.6% of subjects in the present study as compared with 4.2% in the study by Haapaniemi, 1996).…”

Section: Hearing Threshold Levelssupporting

confidence: 71%

Hearing threshold levels and speech recognition in noise in 7-year-olds

Blandy

Lutman

2005

International Journal of Audiology

View full text Add to dashboard Cite

International standards define normal hearing threshold levels (HTLs) and many studies describe speech recognition in noise (SRN) for adults. Less has been published on these characteristics for children. This study aims to establish ranges of HTLs and SRN for otologically normal 7-year-olds. Air conduction HTLs were measured in 189 7-year-olds within an audiometric booth. Speech recognition was measured adaptively for BKB sentences in noise presented binaurally through headphones, determining the speech-to-noise ratio (SNR) required to score 71% correct. The mean HTLs of otologically normal 7-year-olds were significantly lower (better) than those published for young adults at 1 and 2 kHz. Speech recognition in noise was unrelated to HTLs and was higher (worse) for 7-year-olds (SNR = -4 dB) than has been found for young otologically normal adults (SNR = -6 dB). It is concluded that although the HTLs of 7-year-old children are generally better than those of young adults, their speech recognition in noise is worse. This confirms that their ability to recognise speech in noise is not fully developed at this age.

show abstract

Section: Hearing Threshold Levelssupporting

confidence: 71%

Hearing threshold levels and speech recognition in noise in 7-year-olds

Blandy

Lutman

2005

International Journal of Audiology

View full text Add to dashboard Cite

show abstract

“…In recent years, persistent TM perforations have also been encountered after the use of transmyringeal ventilation tubes [1][2][3]. Most acute trau matic TM perforations and those secondary to acute oti tis media heal spontaneously and need no treatment [4], However, some TM perforations will persist and have to be closed surgically.…”

Section: Introductionmentioning

confidence: 99%

Repair of Chronic Tympanic Membrane Perforations Using Applications of Hyaluronan or Rice Paper Prostheses

Laurent

Söderberg

Anniko

et al. 1991

ORL

View full text Add to dashboard Cite

A controlled randomized study was performed in 60 patients with 64 chronic, dry tympanic membrane (TM) perforations. The perforations were randomly allocated to either resection of the perforation rim and instillation of 1 % hyaluronan (Healon®; HYA) in the perforation gap once daily for 7 days (33 ears) or resection of the perforation margin and application of a sterile rice paper prosthesis (31 ears). The treatment effect was documented by TM photography and morphometric measurements of the perforation area. The hearing was assessed with pure-tone and high-frequency audiometry. After 2 months, 5 of the HYA-treated perforations (15 %) and 4 of the rice-paper-treated TMs (13%) were healed. After 1 year, 18 perforations (9 in each treatment group) were healed. In neither group were there any persistent adverse effects on hearing. It is noteworthy that 28% (18/64) of the chronic, long-standing TM perforations could be repaired by these technically simple and time-saving methods. Both procedures should be considered as easy first-choice alternatives to myringoplasty in selected cases.

show abstract

“…Although changes in the tympanic membrane, such as tympanosclerosis and atrophy, have little influence on hearing thresholds (Karma et al 1982), secretory otitis media, chronic otitis media, or cholesteatoma have been found to increase hearing thresholds in children. There are more contemporary indices of what constitutes tympanometrically normal in Asian children (Driscoll et al 2008;Wong et al 2008).…”

Section: Discussionmentioning

confidence: 97%