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Otological and audiological outcomes five years after tympanostomy in early childhood.
Laryngoscope 2002; 112(4):669-75L

Abstract

OBJECTIVE

Ventilation tubes in the treatment of otitis media in young children remain controversial. Despite abundant research, few prospective long-term follow-up studies have included even a minority of patients under 1 year old. We investigated long-term otological and audiological outcomes in children with recurrent acute otitis media and otitis media with effusion, who were treated early with ventilation tubes.

STUDY DESIGN

Prospective follow-up.

METHODS

Three hundred five children under 17 months of age received a primary tympanostomy in the Central Hospital of Central Finland (Jyväskylä, Finland), and those 281 (92.1%) who were monitored prospectively for 5 years made up the study group. At the final examination, pneumatic otoscope and otomicroscope were used and pure-tone audiometric thresholds of air and bone conduction were measured to define the hearing levels (mean of 0.5, 1.0, and 2.0 KHz thresholds).

RESULTS

Of ears, 67.3% were healed, 7.1% had a retraction of tympanic membrane in pars flaccida and 9.6% in pars tensa, 7.5% had an ongoing otitis media with effusion, 3.9% had a ventilation tube in place, and 4.6% had a tympanic membrane perforation with mean hearing levels of 7.6, 9.0, 16.0, 18.5, 10.5, and 17.7 dB, respectively.

CONCLUSIONS

Hearing in general was well preserved, and no ear presented with adhesive otitis media or cholesteatoma. Adverse otological and audiological outcomes of these young children did not exceed those presented by others for older counterparts. Tympanic membrane perforations, ongoing otitis media with effusion, and pars tensa retractions were causes of mild conductive hearing loss. Because one third of ears continued to have middle ear disease or sequelae, we emphasize the proper follow-up and restoration of middle ear ventilation with repeat ventilation tubes if not otherwise achieved.

Authors+Show Affiliations

Department of Otorhinolaryngology, Kuopio University Hospital, Finland. hannu.valtonen@kuh.fiNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12150521

Citation

Valtonen, Hannu J., et al. "Otological and Audiological Outcomes Five Years After Tympanostomy in Early Childhood." The Laryngoscope, vol. 112, no. 4, 2002, pp. 669-75.
Valtonen HJ, Qvarnberg YH, Nuutinen J. Otological and audiological outcomes five years after tympanostomy in early childhood. Laryngoscope. 2002;112(4):669-75.
Valtonen, H. J., Qvarnberg, Y. H., & Nuutinen, J. (2002). Otological and audiological outcomes five years after tympanostomy in early childhood. The Laryngoscope, 112(4), pp. 669-75.
Valtonen HJ, Qvarnberg YH, Nuutinen J. Otological and Audiological Outcomes Five Years After Tympanostomy in Early Childhood. Laryngoscope. 2002;112(4):669-75. PubMed PMID: 12150521.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Otological and audiological outcomes five years after tympanostomy in early childhood. AU - Valtonen,Hannu J, AU - Qvarnberg,Yrjö H, AU - Nuutinen,Juhani, PY - 2002/8/2/pubmed PY - 2002/8/17/medline PY - 2002/8/2/entrez SP - 669 EP - 75 JF - The Laryngoscope JO - Laryngoscope VL - 112 IS - 4 N2 - OBJECTIVE: Ventilation tubes in the treatment of otitis media in young children remain controversial. Despite abundant research, few prospective long-term follow-up studies have included even a minority of patients under 1 year old. We investigated long-term otological and audiological outcomes in children with recurrent acute otitis media and otitis media with effusion, who were treated early with ventilation tubes. STUDY DESIGN: Prospective follow-up. METHODS: Three hundred five children under 17 months of age received a primary tympanostomy in the Central Hospital of Central Finland (Jyväskylä, Finland), and those 281 (92.1%) who were monitored prospectively for 5 years made up the study group. At the final examination, pneumatic otoscope and otomicroscope were used and pure-tone audiometric thresholds of air and bone conduction were measured to define the hearing levels (mean of 0.5, 1.0, and 2.0 KHz thresholds). RESULTS: Of ears, 67.3% were healed, 7.1% had a retraction of tympanic membrane in pars flaccida and 9.6% in pars tensa, 7.5% had an ongoing otitis media with effusion, 3.9% had a ventilation tube in place, and 4.6% had a tympanic membrane perforation with mean hearing levels of 7.6, 9.0, 16.0, 18.5, 10.5, and 17.7 dB, respectively. CONCLUSIONS: Hearing in general was well preserved, and no ear presented with adhesive otitis media or cholesteatoma. Adverse otological and audiological outcomes of these young children did not exceed those presented by others for older counterparts. Tympanic membrane perforations, ongoing otitis media with effusion, and pars tensa retractions were causes of mild conductive hearing loss. Because one third of ears continued to have middle ear disease or sequelae, we emphasize the proper follow-up and restoration of middle ear ventilation with repeat ventilation tubes if not otherwise achieved. SN - 0023-852X UR - https://www.unboundmedicine.com/medline/citation/12150521/Otological_and_audiological_outcomes_five_years_after_tympanostomy_in_early_childhood_ L2 - https://doi.org/10.1097/00005537-200204000-00014 DB - PRIME DP - Unbound Medicine ER -