[Incidence of coexisting sensorineural hearing loss and secretory otitis media]

Bozena Skotnicka1, Małgorzata Topolska, Elzbieta Hassmann-Poznańska

  • 1Klinika Otolaryngologii Dzieciecej AM w Białymstoku.

Insights

Standard hearing assessments are lacking for children needing tympanostomy tubes. This study found previously unrecognized sensorineural hearing loss in 1.7% of children evaluated for secretory otitis media.

Area of Science:

  • Pediatric Otolaryngology
  • Audiology
  • Hearing Science

Context:

  • Children undergoing evaluation for tympanostomy tubes often have secretory otitis media.
  • Current guidelines for audiological assessment in this population are lacking.
  • This study investigated hearing loss in children treated for otitis media with effusion.

Purpose:

  • To determine the prevalence of previously unrecognized hearing loss in children evaluated for tympanostomy tubes.
  • To highlight the importance of comprehensive hearing assessments in diagnosing secretory otitis media.
  • To assess the audiological profiles of children with secretory otitis media.

Summary:

  • Audiologic testing was performed on 587 children (age 2 months to 17 years) treated for secretory otitis media.
  • Ten children (1.7%) were diagnosed with previously unrecognized sensorineural hearing loss (SNHL).
  • Four cases presented with unilateral deafness, and six with moderate to severe bilateral SNHL; three children initially referred for SNHL were found to have otitis media.

Impact:

  • Underscores the critical need for age-appropriate hearing assessments in the diagnostic workup of secretory otitis media.
  • Identifies a significant prevalence of undiagnosed sensorineural hearing loss in pediatric otitis media patients.
  • Informs the development of standardized audiological protocols for children undergoing tympanostomy tube evaluation.