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[Long term sequelae of otitis media with effusion during childhood].
Otolaryngol Pol 2010 Jul-Aug; 64(4):234-9OP

Abstract

INTRODUCTION

Otitis media with effusion is the most common cause of hearing loss in children and myringotomy with tympanostomy tube insertion is recommended procedure to deal with the problem. The objective of the present study was to determine the results of treatment, incidence and prevalence of middle ear sequelae and hearing results among children with chronic otitis media with effusion who received standard treatment with tympanostomy tubes.

MATERIAL AND METHODS

The group of 97 patients treated by tympanostomy tubes insertion in the years 1999-2001 was reevaluated after mean period of follow up 7.3 years. At the control examination videootoscopy and audiologic examinations were performed. Audiological assessment consisted of tympanometry and pure-tone thresholds of air and bone conduction.

RESULTS

Recurrent otitis media with effusion requiring tube insertion occurred during follow up period in 23.7% of patients. At the control examination 16.5% of children had an ongoing otitis media or ventilation tube in place or tympanic membrane perforation. Most common tympanic membrane abnormality were focal atrophy (67.2% of ears) and myringosclerosis (39.5%) followed by retraction pockets of pars flaccida (29.9%) and tensa (9.6%). Mean pure-tone audiometric threshold were significantly higher in ears with tympanic membrane abnormality by the difference did not excide 5dB HL in ears with focal atrophy and myringosclerosis and 6.5 dB HL in ears with retraction pockets.

CONCLUSIONS

As the percentage of recurrences after tympanostomy tubes insertion are not uncommon prolonged period of follow up of those children is recommended. Although ventilation tubes have proven very effective in improving hearing in short term, they have not proven effective in preventing long-term sequelae of tympanic membrane and some degree of hearing loss. The decision about surgical treatment should be taken cautiously taking into account the chance of spontaneous resolution.

Authors+Show Affiliations

Klinika Otolaryngologii Dzieciecej, Uniwersytetu Medycznego w Białymstoku. pedorl@umwb.edu.plNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

pol

PubMed ID

20873100

Citation

Hassmann-Poznańska, Elzbieta, et al. "[Long Term Sequelae of Otitis Media With Effusion During Childhood]." Otolaryngologia Polska = the Polish Otolaryngology, vol. 64, no. 4, 2010, pp. 234-9.
Hassmann-Poznańska E, Goździewski A, Piszcz M, et al. [Long term sequelae of otitis media with effusion during childhood]. Otolaryngol Pol. 2010;64(4):234-9.
Hassmann-Poznańska, E., Goździewski, A., Piszcz, M., & Skotnicka, B. (2010). [Long term sequelae of otitis media with effusion during childhood]. Otolaryngologia Polska = the Polish Otolaryngology, 64(4), pp. 234-9. doi:10.1016/S0030-6657(10)70022-6.
Hassmann-Poznańska E, et al. [Long Term Sequelae of Otitis Media With Effusion During Childhood]. Otolaryngol Pol. 2010;64(4):234-9. PubMed PMID: 20873100.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Long term sequelae of otitis media with effusion during childhood]. AU - Hassmann-Poznańska,Elzbieta, AU - Goździewski,Artur, AU - Piszcz,Małgorzata, AU - Skotnicka,Bozena, PY - 2010/9/29/entrez PY - 2010/9/29/pubmed PY - 2010/10/27/medline SP - 234 EP - 9 JF - Otolaryngologia polska = The Polish otolaryngology JO - Otolaryngol Pol VL - 64 IS - 4 N2 - INTRODUCTION: Otitis media with effusion is the most common cause of hearing loss in children and myringotomy with tympanostomy tube insertion is recommended procedure to deal with the problem. The objective of the present study was to determine the results of treatment, incidence and prevalence of middle ear sequelae and hearing results among children with chronic otitis media with effusion who received standard treatment with tympanostomy tubes. MATERIAL AND METHODS: The group of 97 patients treated by tympanostomy tubes insertion in the years 1999-2001 was reevaluated after mean period of follow up 7.3 years. At the control examination videootoscopy and audiologic examinations were performed. Audiological assessment consisted of tympanometry and pure-tone thresholds of air and bone conduction. RESULTS: Recurrent otitis media with effusion requiring tube insertion occurred during follow up period in 23.7% of patients. At the control examination 16.5% of children had an ongoing otitis media or ventilation tube in place or tympanic membrane perforation. Most common tympanic membrane abnormality were focal atrophy (67.2% of ears) and myringosclerosis (39.5%) followed by retraction pockets of pars flaccida (29.9%) and tensa (9.6%). Mean pure-tone audiometric threshold were significantly higher in ears with tympanic membrane abnormality by the difference did not excide 5dB HL in ears with focal atrophy and myringosclerosis and 6.5 dB HL in ears with retraction pockets. CONCLUSIONS: As the percentage of recurrences after tympanostomy tubes insertion are not uncommon prolonged period of follow up of those children is recommended. Although ventilation tubes have proven very effective in improving hearing in short term, they have not proven effective in preventing long-term sequelae of tympanic membrane and some degree of hearing loss. The decision about surgical treatment should be taken cautiously taking into account the chance of spontaneous resolution. SN - 0030-6657 UR - https://www.unboundmedicine.com/medline/citation/20873100/[Long_term_sequelae_of_otitis_media_with_effusion_during_childhood]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0030-6657(10)70022-6 DB - PRIME DP - Unbound Medicine ER -