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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
[Clinical analysis of sensorineural hearing loss associated with otitis media with effusion in children]
Insights
Sensorineural hearing loss (SNHL) in children can be linked to otitis media with effusion (OME). Prompt treatment, including surgery and medication, led to significant hearing improvement in most cases.
Area of Science:
- Pediatric Otolaryngology
- Auditory Neuroscience
- Pediatric Audiology
Context:
- Otitis media with effusion (OME) is common in children.
- Sensorineural hearing loss (SNHL) can occur alongside OME.
- Understanding the relationship is crucial for pediatric hearing health.
Purpose:
- To investigate the etiology, diagnosis, and treatment of SNHL in children with OME.
- To determine the efficacy of surgical and medical interventions.
- To raise awareness of SNHL as a potential complication of OME.
Summary:
- Retrospective analysis of 35 pediatric cases (37 ears) with SNHL associated with OME.
- Treatment involved myringotomy with ventilation tube insertion and/or adenoidectomy, followed by medication.
- 34 out of 35 cases showed complete hearing improvement; one showed slight improvement.
Impact:
- Highlights the etiological link between OME and temporary or permanent threshold shifts.
- Emphasizes the need for clinical vigilance regarding SNHL development during OME.
- Informs pediatricians and otolaryngologists about effective management strategies.
Objective:
To explore the cause, diagnosis and therapy of sensorineural hearing loss associated with otitis media with effusion (OME) in children.
Method:
Thirty-five cases (37 ears) of sensorineural hearing loss associated with otitis media with effusion in children from a total 150 patients (225 ears) were analyzed retrospectively.
Result:
Thirty-five cases were treated with myringotomy with insertion of ventilation tubes or adenoids removal and myringotomy with insertion of ventilation tube. All cases were treated with drugs after the operation. Thirty-four of all cases improved completely. One improved slightly during follow-up with hearing level of bone.
Conclusion:
Thirty-five cases (23.3%) which had temporary threshold shift or permeant threshold shift were considered to be etiologically related to OME. The result of this study indicates that we have to be aware of a possible development of SNHL during the course of OME.
