The frequency of otitis media with effusion in British pre-school children: a guide for treatment

Midgley, Elizabeth; Dewey, Claire; Pryce, K.; Maw, A. R.; Team, Alspac Study

doi:10.1046/j.1365-2273.2000.00360.x

Cited by 62 publications

(61 citation statements)

References 18 publications

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“…However, this is equally probable for the children in the control groups. The incidence of OME in children aged five to six is about 15-17%, but most of these children are only affected for shorter periods (Midgley, Dewey, Pryce, and Maw, 2000;Williamson, Dunleavey, Bain, and Robinson, 1994) and there are no studies showing that shorter periods of OME influence speech development.…”

Section: Discussionmentioning

confidence: 99%

Influence of adenotonsillar hypertrophy on /s/-articulation in children—effects of surgery

Lundeborg

Ericsson

Hultcrantz

et al. 2010

Logopedics Phoniatrics Vocology

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Tonsillar hypertrophy is common in young children and affects several aspects of the speech such as distortions of the dento-alveolar consonants. The study objective was to assess sarticulation, perceptually and acoustically in children with tonsillar hypertrophy and compare effects of two types of surgery, total tonsillectomy and tonsillotomy. Sixty-seven children, 50-65 months, on waiting list for surgery, were randomized to tonsillectomy or tonsillotomy. The speech material was collected pre-operatively and six months post-operatively. Two groups of age-matched children were controls. /S/-articulation was affected acoustically with lower spectral peak locations and perceptually with less distinct /s/-production before surgery, in comparison to controls. After surgery /s/-articulation was normalized perceptually, but acoustic differences still remained. No significant differences between surgical methods were found..

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Section: Discussionmentioning

confidence: 99%

Influence of adenotonsillar hypertrophy on /s/-articulation in children—effects of surgery

Lundeborg

Ericsson

Hultcrantz

et al. 2010

Logopedics Phoniatrics Vocology

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“…The point prevalence of OME is of the order of 15-25% in the 0-6-year-old age group, with peaks in the first year of life and at school entry. [15][16][17] The period prevalence across that age range may be as high as 80%. Most cases resolve within 2-3 months.…”

Section: The Nature Of Childhood Hearing Impairmentmentioning

confidence: 99%

“…These included the Waltham Forest study reported in Chapter 3, published prevalence surveys, published surveys of clinical practice, published treatment guidelines, reviews and intervention studies. 12,17,[81][82][83] In most cases it was not possible to combine estimates from different studies into table distributions for these other events, so triangular distributions of mean or most likely estimates with minimum and maximum were used. …”

Section: Likelihood Of Eventsmentioning

confidence: 99%

“…91 The prevalence of permanent hearing impairment was estimated from published studies. 12,17,30 Table 41 presents the probability of interventions for hearing impairment by different levels and types of hearing impairment. Children with transient hearing impairment will have either surgical or non-surgical intervention.…”

Section: Data Used As Inputs To the Economic Modelmentioning

confidence: 99%

See 1 more Smart Citation

Current practice, accuracy, effectiveness and cost-effectiveness of the school entry hearing screen

Bamford¹,

Fortnum²,

Bristow³

et al. 2007

Health Technol Assess

124

153

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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. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £300 per volume. Please see our website for details. Subscriptions can only be purchased for the current or forthcoming volume. 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, now part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the costs, effectiveness and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of 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 the NHS, the public and consumer groups and professional bodies such as r...

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“…31 Na análise socioeconômica da amostra, não foi considerado o convívio com outras crianças, bem como a permanência em berçários ou creches, embora isso seja um fator de risco para a presença de secreção na orelha média, discutido na literatura.…”

Section: Resultsunclassified

Secretion of middle ear in infants - occurrence, recurrence and related factors

Saes¹,

Goldberg²,

Montovani³

2005

J Pediatr (Rio J)

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Objective: The present study aimed at evaluating the occurrence and recurrence of middle ear effusion and possible associated factors in the first two years of life of 190 newborns and infants, participants in the interdisciplinary prevention, detection, and intervention program at the Clínica de Educação para Saúde of Universidade do Sagrado Coração.Methods: Newborns and infants were monthly submitted to anamneses, otoscopy, behavioral hearing assessment using sound instruments and pure tones (pediatric audiometry) and tympanometry. Results:The results revealed that 68.4% of infants presented one or more episodes of middle ear effusion during their two first years, with more recurrence among males. Peak occurrence was between four and 12 months of age and, the earlier the first episode, the higher the probability of recurrence. Greatest incidence was during May and August. It was found that, of the variables investigated, the period of exclusive breastfeeding actuated as a protector factor. With respect of risk factors, it was observed that passive smoking, gastro-esophageal reflux and respiratory allergy were related with the recurrences of effusion. Conclusion:Findings revealed the importance of periodic auditory follow-up for infants during their first two years of life, considered to be the critical period of auditory system maturation, during which sensory deprivation can be responsible for damage to the development of speech, language and other auditory abilities.J Pediatr (Rio J). 2005;81(2):133-8: Otoscopy, otitis media, acoustic impedance tests. ResumoObjetivo: O presente estudo objetivou avaliar a ocorrência e recorrência de secreção na orelha média e os possíveis fatores associados, em 190 recém-nascidos e lactentes observados nos 2 primeiros anos de vida, participantes de um programa de prevenção, detecção e intervenção interdisciplinar desenvolvido na Clínica de Educação para Saúde da Universidade do Sagrado Coração.Métodos: Os recém-nascidos e lactentes foram submetidos mensalmente a anamnese, otoscopia, avaliação audiológica comportamental por meio de instrumentos sonoros e tons puros (audiometria pediátrica) e timpanometria.Resultados: Os resultados revelaram que 68,4% dos lactentes apresentaram um ou mais episódios de secreção na orelha média nos 2 primeiros anos, com maior recorrência para o sexo masculino. A idade de maior ocorrência foi entre 4 e 12 meses. Quanto mais cedo ocorreu o primeiro episódio, maior foi a probabilidade de recorrência. Os meses do ano de maior incidência foram de maio a agosto. Das variáveis estudadas, constatou-se que o período de aleitamento materno exclusivo atuou como um fator protetor. Quanto aos fatores de risco, verificou-se que a presença tabagismo passivo, refluxo gastroesofági-co, alergia respiratória esteve relacionada à recorrência de efusão.Conclusão: Os achados revelaram a importância do acompanhamento auditivo periódico para lactentes nos 2 primeiros anos de vida, considerando ser o período crítico para o processo de maturação do sistema auditiv...

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The frequency of otitis media with effusion in British pre-school children: a guide for treatment

Cited by 62 publications

References 18 publications

Influence of adenotonsillar hypertrophy on /s/-articulation in children—effects of surgery

Influence of adenotonsillar hypertrophy on /s/-articulation in children—effects of surgery

Current practice, accuracy, effectiveness and cost-effectiveness of the school entry hearing screen

Secretion of middle ear in infants - occurrence, recurrence and related factors

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