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Published on: January 23, 2017
[Otitis media with effusion : frequency, diagnosis, and therapy in early childhood]
1-, Leipziger Str. 44, 39120, Magdeburg, Deutschland, friedrich.scholz@med.ovgu.de.
Insights
Newborn hearing screening (NHS) enables early detection and treatment of otitis media with effusion (OME), a common cause of childhood hearing loss. Prompt intervention prevents potential developmental issues in children.
Area of Science:
- Pediatric Audiology
- Otolaryngology
Context:
- Otitis media with effusion (OME) is the primary cause of hearing loss in children.
- Newborn hearing screening (NHS) facilitates early OME diagnosis and management.
- This study focuses on OME follow-up in children with failed NHS.
Purpose:
- To determine the prevalence and treatment of OME in children referred after failed NHS.
- To identify risk factors for persistent OME.
Summary:
- OME was diagnosed in 16% of 715 referred children (2006-2010).
- 37% experienced spontaneous resolution; 46% required surgery.
- Craniofacial dysmorphia or cleft palate increased persistent OME risk.
Impact:
- Early OME diagnosis via NHS can prevent long-term linguistic, social, and intellectual developmental problems.
- Effective management of OME is crucial for pediatric hearing health.
Background:
Otitis media with effusion (OME) as the most common cause of hearing loss in childhood plays an important role in the follow-up after failed newborn hearing screening (NHS). The introduction of the NHS allows OME to be diagnosed and treated in the first months of life.
Material And Methods:
In 715 children referred to the Department of Phoniatrics and Pedaudiology of the Ear, Nose, Throat University Hospital of Magdeburg during the period 2006-2010, the prevalence and therapy process of OME during follow-up could be determined.
Results:
OME was diagnosed in 16 % of the patients. Spontaneous resolution was observed in 37 % of the cases, while 46 % of the children were treated surgically. A substantially increased risk for persistent OME was observed in children with craniofacial dysmorphia or cleft palate.
Conclusion:
Using NHS, OME can be diagnosed and treated early, thus, preventing potential problems in the linguistic, social and intellectual development of children.
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