Trwałe następstwa wysiękowego zapalenia ucha w wieku dziecięcym

Hassmann‐Poznańska, Elżbieta; Goździewski, Artur; Piszcz, Małgorzata; Skotnicka, Bożena

doi:10.1016/s0030-6657(10)70022-6

Cited by 7 publications

(3 citation statements)

References 16 publications

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“…Some studies recommend that clinicians insert a ventilation tube if they obtained a hearing test and serous otitis media was permanent for longer than 3 months or a significant hearing loss was detected, structural problems of the tympanic membrane or middle ear were suspected or a child was at increased risk for speech, language, or learning problems from chronic OME because of baseline sensory, physical, cognitive, or behavioral factors ,ventilation tube insertion. 17 - 22 A significant reduction was observed in the number of physician visits associated with the ear and the use of antibiotics for middle ear infections in our study, which was consistent with the results obtained in the study of Mui et al 9 According to recent studies, four spectrums of problems, including physical, hearing, speech and behavior, make up the most important problems in patients with chronic middle ear diseases. 10 , 16 In this study, we essentially focused on evaluating the problems.…”

Section: Discussionsupporting

confidence: 91%

Evaluation of Children Quality of Life after Serous Otitis Media Surgery

Moghaddam¹,

Mirghaffari²

2018

J Caring Sci

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Introduction: Otitis media with effusion is a common childhood disease diagnosed with the accumulation of serous fluid or mucous in the middle ear. If not treated, the sustainable effusion leads to change and destruction of middle ear structures. One of the most successful treatment methods is myringotomy and ventilation tube insertion, which leads to improvement of patients' quality of life. The aim of this study was to evaluate children’s quality of life after inserting ventilation tubes. Methods: This prospective cross-sectional study examined the quality of life of the children suffering from otitis media with sustainable effusion, who were candidates for ventilation tube insertion. Otitis Media outcome-22 (OMO -22) questionnaire, was used to record the patients’ problems in a 12-week period before and after surgery. Results: In this study, 70 patients, including 43 (61.4%) boys and 27 (38.6%) girls (1y-13y), who completed the questionnaire, were studied. Treatment with ventilation tubes improved many physical symptoms of the hearing loss along with speech and behavioral symptoms. A significant reduction was observed in the number of physician visits and the use of antibiotics for ear problems. Conclusion: Ventilation tube insertion not only reduced the symptoms of otitis media with effusion, but also improved the children’s quality of life.

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Section: Discussionsupporting

confidence: 91%

Evaluation of Children Quality of Life after Serous Otitis Media Surgery

Moghaddam¹,

Mirghaffari²

2018

J Caring Sci

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“…These results were in agreement with the study of Barati et al (14) and Klopp-Dutote et al (21). But not consistent with the study by Hassmann-Poznanska et al (22). and Yaman et al (23).…”

Section: Discussionsupporting

confidence: 71%

A Study of Surgical Complications of Ventilation Tube Insertion in Children in Central Iran

et al. 2020

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Background: Middle ear inflammation and fluid accumulation are one of the most common childhood diseases. Untreated or chronic ear inflammation can lead to more serious complications, including hearing loss, eardrum rupture, adhesive otitis media, tympanosclerosis, temporal bone necrosis, and cholesteatoma. Ventilation tube insertion is one of the best treatments to cure these diseases. Objectives: This aimed to observe children suffering from ear inflammation who were candidates for VT insertion surgery and study surgical complications. Methods: A historical cohort study was performed, and 205 VT surgeries were studied. Demographic information of children (like age, sex, and family medical history) was gathered through their medical records and probable complications, including otorrhea, tympanosclerosis, atrophy, and eardrum rupture were noticed through medical examinations and interviews. Data were analyzed using descriptive statistics, chi-square test, independent t-test, Fisher’s exact, and Mann-Whitney U-test. Results: The results showed that 57% of surgery cases were boys, and 43% were girls, both having no family medical history. Serous otitis with tonsillar hypertrophy was reported in 200 cases (97.6%), which had concurrent adenoidectomy or adenotonsillectomy. The frequency of otorrhea, tympanosclerosis, atrophy, perforation, and serous otitis recurrence was 2%, 12.2%, 6.8%, 1.5%, and 14.1%, respectively. Serous otitis recurrence was reported in 3.9% of cases with T-tube insertion. Conclusions: The findings of this study show no significant difference in surgical complications between the two groups of girls and boys. But studying the relationship between the age of patients and the timing of surgery shows that the mean age of girls is significantly higher.

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“…An increasing number of studies, including the previous mentioned Cochrane report [ 6 ], have concluded that there is little or no long-term hearing effect of VT surgery [ 42 , 43 ]. This challenges the need for all children to be controlled by an otolaryngologist, i.e.…”

Section: Discussionmentioning

confidence: 99%

Can general practitioners do the follow-ups after surgery with ventilation tubes in the tympanic membrane? Two years audiological data

Austad

Hetlevik

Bugten

et al. 2014

BMC Ear Nose Throat Disord

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BackgroundA university hospital in Mid-Norway has modified their guidelines for follow-up after insertion of ventilation tubes (VTs) in the tympanic membrane, transferring the controls of the healthiest children to general practitioners (GPs). The aim of this study was to evaluate the implementation of these guidelines by exploring audiological outcome and subjective hearing complaints two years after surgery, assessing if follow-ups in general practice resulted in poorer outcome.MethodsA retrospective observational study was performed at the university hospital and in general practice in Mid-Norway. Children below 18 years who underwent surgery with VTs between Nov 1st 2007 and Dec 31st 2008 (n = 136) were invited to participate. Pure tone audiometry, speech audiometry and tympanometry were measured. A self-report questionnaire assessed subjective hearing, ear complaints and the location of follow-ups. This study includes enough patients to observe group differences in mean threshold (0.5–1–2–4 kHz) of 9 dB or more.ResultsThere were no preoperative differences in audiometry or tympanometry between the children scheduled for follow-ups by GPs (n = 23) or otolaryngologists (n = 50). Two years after surgery there were no differences between the GP and otolaryngologist groups in improvement of mean hearing thresholds (12.8 vs 12.6 dB, p = 0.9) or reduction of middle ears with effusion (78.0 vs 75.0%, p = 0.9). We found no differences between the groups in terms of parental reports of child hearing or ear complaints.ConclusionsImplementation of new clinical guidelines for follow-ups after insertion of VTs did not negatively affect audiological outcomes or subjective hearing complaints two years after surgery.

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Trwałe następstwa wysiękowego zapalenia ucha w wieku dziecięcym

Cited by 7 publications

References 16 publications

Evaluation of Children Quality of Life after Serous Otitis Media Surgery

Evaluation of Children Quality of Life after Serous Otitis Media Surgery

A Study of Surgical Complications of Ventilation Tube Insertion in Children in Central Iran

Can general practitioners do the follow-ups after surgery with ventilation tubes in the tympanic membrane? Two years audiological data

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