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Hearing thresholds and tympanic membrane sequelae in children managed medically or surgically for otitis media with effusion.
Arch Pediatr Adolesc Med 2005; 159(12):1151-6AP

Abstract

OBJECTIVE

To determine the long-term effects of ventilation tube insertion on hearing thresholds and tympanic membrane pathologic abnormalities in children with otitis media with effusion.

DESIGN

Prospective cohort study.

SETTING

Tertiary care children's hospital, otorhinolaryngology and audiology service.

PARTICIPANTS

Patients aged 8 to 16 years who participated in a randomized controlled trial of medical vs surgical (ventilation tube [VT]) treatment for recurrent otitis media with effusion at ages 2.5 to 7 years.

MAIN OUTCOME MEASURES

Hearing thresholds and tympanic membrane sequelae.

METHODS

One hundred thirteen of 125 children who had participated in the trial underwent blinded audiometric, tympanometric, otomicroscopic, and parental questionnaire evaluation 6 to 10 years following the trial. Thirty of 57 [corrected] medical subjects received ventilation tubes and 18 of 56 [corrected] VT subjects received more than 1 set of tubes. To evaluate sequelae risk associated with ventilation tubes independent of disease severity, we compared 27 medical subjects who never received ventilation tubes and 38 subjects randomized to VT who only received 1 set of tubes.

RESULTS

Tympanic membrane pathologic abnormalities were present in 81% of VT subjects and 19% of medical subjects (relative risk, 4.4; 95% confidence interval, 2.2-9.9). Hearing thresholds were 2.1 to 8.1 dB higher in subjects treated with tubes (P = .005).

CONCLUSIONS

In children who were candidates for ventilation tube insertion randomly assigned to receive medical or VT treatment for otitis media with effusion, elevated hearing thresholds and tympanic membrane pathologic abnormalities were more common in VT subjects 6 to 10 years after insertion.

Authors+Show Affiliations

Department of Emergency Medicine, St Paul's Hospital, Vancouver, British Columbia, Canada. rstenstrom@providencehealth.bc.caNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

16330739

Citation

Stenstrom, Robert, et al. "Hearing Thresholds and Tympanic Membrane Sequelae in Children Managed Medically or Surgically for Otitis Media With Effusion." Archives of Pediatrics & Adolescent Medicine, vol. 159, no. 12, 2005, pp. 1151-6.
Stenstrom R, Pless IB, Bernard P. Hearing thresholds and tympanic membrane sequelae in children managed medically or surgically for otitis media with effusion. Arch Pediatr Adolesc Med. 2005;159(12):1151-6.
Stenstrom, R., Pless, I. B., & Bernard, P. (2005). Hearing thresholds and tympanic membrane sequelae in children managed medically or surgically for otitis media with effusion. Archives of Pediatrics & Adolescent Medicine, 159(12), pp. 1151-6.
Stenstrom R, Pless IB, Bernard P. Hearing Thresholds and Tympanic Membrane Sequelae in Children Managed Medically or Surgically for Otitis Media With Effusion. Arch Pediatr Adolesc Med. 2005;159(12):1151-6. PubMed PMID: 16330739.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hearing thresholds and tympanic membrane sequelae in children managed medically or surgically for otitis media with effusion. AU - Stenstrom,Robert, AU - Pless,I Barry, AU - Bernard,Philippe, PY - 2005/12/7/pubmed PY - 2006/1/4/medline PY - 2005/12/7/entrez SP - 1151 EP - 6 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 159 IS - 12 N2 - OBJECTIVE: To determine the long-term effects of ventilation tube insertion on hearing thresholds and tympanic membrane pathologic abnormalities in children with otitis media with effusion. DESIGN: Prospective cohort study. SETTING: Tertiary care children's hospital, otorhinolaryngology and audiology service. PARTICIPANTS: Patients aged 8 to 16 years who participated in a randomized controlled trial of medical vs surgical (ventilation tube [VT]) treatment for recurrent otitis media with effusion at ages 2.5 to 7 years. MAIN OUTCOME MEASURES: Hearing thresholds and tympanic membrane sequelae. METHODS: One hundred thirteen of 125 children who had participated in the trial underwent blinded audiometric, tympanometric, otomicroscopic, and parental questionnaire evaluation 6 to 10 years following the trial. Thirty of 57 [corrected] medical subjects received ventilation tubes and 18 of 56 [corrected] VT subjects received more than 1 set of tubes. To evaluate sequelae risk associated with ventilation tubes independent of disease severity, we compared 27 medical subjects who never received ventilation tubes and 38 subjects randomized to VT who only received 1 set of tubes. RESULTS: Tympanic membrane pathologic abnormalities were present in 81% of VT subjects and 19% of medical subjects (relative risk, 4.4; 95% confidence interval, 2.2-9.9). Hearing thresholds were 2.1 to 8.1 dB higher in subjects treated with tubes (P = .005). CONCLUSIONS: In children who were candidates for ventilation tube insertion randomly assigned to receive medical or VT treatment for otitis media with effusion, elevated hearing thresholds and tympanic membrane pathologic abnormalities were more common in VT subjects 6 to 10 years after insertion. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/16330739/Hearing_thresholds_and_tympanic_membrane_sequelae_in_children_managed_medically_or_surgically_for_otitis_media_with_effusion_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpedi.159.12.1151 DB - PRIME DP - Unbound Medicine ER -