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A 14-year prospective follow-up study of children treated early in life with tympanostomy tubes: Part 2: Hearing outcomes.
Arch Otolaryngol Head Neck Surg 2005; 131(4):299-303AO

Abstract

OBJECTIVE

To determine hearing outcomes in young children receiving early and repeated tympanostomy tube insertion for recurrent acute otitis media or otitis media with effusion.

DESIGN

Prospective 14-year follow-up.

SETTING

Central Hospital of Central Finland, a tertiary care hospital. Patients Three hundred five consecutive infants and young children with otitis media received initial tympanostomy tube insertion at the age of 5 to 16 months. The final study group comprised 237 patients (77.7%) attending the 14-year checkups.

MAIN OUTCOME MEASURES

At the 14-year checkups, children received clinical examinations and audiometric testing for the determination of bone and air conduction pure-tone thresholds.

RESULTS

The mean pure-tone average of 177 healed ears was 4.3 dB. The mean pure-tone average of all ears was 5.8 dB, with significantly poorer results in ears with abnormal outcomes such as grade II or higher pars tensa retraction, otitis media with effusion, and tympanic membrane perforation. Thirteen (5.5%) of 237 ears had a hearing level worse than 15 dB, and the better ear hearing level was poorer than 15 dB in 3 patients.

CONCLUSIONS

The hearing level of healed ears was comparable to that of age-matched normal ears. Hearing losses were infrequent, of slight grade, and, when present, almost exclusively conductive and related to unsuccessful otological outcomes. From the hearing point of view, repeated tympanostomy tube insertion for recurrent acute otitis media or otitis media with effusion early in life is a safe treatment.

Authors+Show Affiliations

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

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15837896

Citation

Valtonen, Hannu, et al. "A 14-year Prospective Follow-up Study of Children Treated Early in Life With Tympanostomy Tubes: Part 2: Hearing Outcomes." Archives of Otolaryngology--head & Neck Surgery, vol. 131, no. 4, 2005, pp. 299-303.
Valtonen H, Tuomilehto H, Qvarnberg Y, et al. A 14-year prospective follow-up study of children treated early in life with tympanostomy tubes: Part 2: Hearing outcomes. Arch Otolaryngol Head Neck Surg. 2005;131(4):299-303.
Valtonen, H., Tuomilehto, H., Qvarnberg, Y., & Nuutinen, J. (2005). A 14-year prospective follow-up study of children treated early in life with tympanostomy tubes: Part 2: Hearing outcomes. Archives of Otolaryngology--head & Neck Surgery, 131(4), pp. 299-303.
Valtonen H, et al. A 14-year Prospective Follow-up Study of Children Treated Early in Life With Tympanostomy Tubes: Part 2: Hearing Outcomes. Arch Otolaryngol Head Neck Surg. 2005;131(4):299-303. PubMed PMID: 15837896.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A 14-year prospective follow-up study of children treated early in life with tympanostomy tubes: Part 2: Hearing outcomes. AU - Valtonen,Hannu, AU - Tuomilehto,Henri, AU - Qvarnberg,Yrjö, AU - Nuutinen,Juhani, PY - 2005/4/20/pubmed PY - 2005/5/11/medline PY - 2005/4/20/entrez SP - 299 EP - 303 JF - Archives of otolaryngology--head & neck surgery JO - Arch. Otolaryngol. Head Neck Surg. VL - 131 IS - 4 N2 - OBJECTIVE: To determine hearing outcomes in young children receiving early and repeated tympanostomy tube insertion for recurrent acute otitis media or otitis media with effusion. DESIGN: Prospective 14-year follow-up. SETTING: Central Hospital of Central Finland, a tertiary care hospital. Patients Three hundred five consecutive infants and young children with otitis media received initial tympanostomy tube insertion at the age of 5 to 16 months. The final study group comprised 237 patients (77.7%) attending the 14-year checkups. MAIN OUTCOME MEASURES: At the 14-year checkups, children received clinical examinations and audiometric testing for the determination of bone and air conduction pure-tone thresholds. RESULTS: The mean pure-tone average of 177 healed ears was 4.3 dB. The mean pure-tone average of all ears was 5.8 dB, with significantly poorer results in ears with abnormal outcomes such as grade II or higher pars tensa retraction, otitis media with effusion, and tympanic membrane perforation. Thirteen (5.5%) of 237 ears had a hearing level worse than 15 dB, and the better ear hearing level was poorer than 15 dB in 3 patients. CONCLUSIONS: The hearing level of healed ears was comparable to that of age-matched normal ears. Hearing losses were infrequent, of slight grade, and, when present, almost exclusively conductive and related to unsuccessful otological outcomes. From the hearing point of view, repeated tympanostomy tube insertion for recurrent acute otitis media or otitis media with effusion early in life is a safe treatment. SN - 0886-4470 UR - https://www.unboundmedicine.com/medline/citation/15837896/A_14_year_prospective_follow_up_study_of_children_treated_early_in_life_with_tympanostomy_tubes:_Part_2:_Hearing_outcomes_ L2 - https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/10.1001/archotol.131.4.299 DB - PRIME DP - Unbound Medicine ER -