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Evaluation of Children Quality of Life after Serous Otitis Media Surgery
Yalda Jabbari Moghaddam1, Alireza Mirghaffari2
1Department of Otolaryngology, Faculty of Medicine, Tabriz University of Medical Sciences, Pediatric Heath Research Center, Tabriz, Iran.
Insights
Ventilation tube insertion significantly improves the quality of life for children with otitis media with effusion. This common childhood ear condition
Area of Science:
- Pediatric Otolaryngology
- Child Health Outcomes
Background:
- Otitis media with effusion (OME) is a prevalent childhood condition characterized by middle ear fluid accumulation.
- Persistent OME can lead to structural damage of middle ear components and negatively impact a child's development.
- Myringotomy with ventilation tube insertion is an established treatment to resolve OME and enhance patient well-being.
Purpose of the Study:
- To assess the impact of ventilation tube insertion on the quality of life in children diagnosed with OME.
- To evaluate changes in symptoms, healthcare utilization, and overall well-being post-surgery.
Main Methods:
- A prospective cross-sectional study design was employed.
- The Otitis Media outcome-22 (OMO-22) questionnaire was administered to assess quality of life.
- Data were collected over a 12-week period, comparing pre- and post-operative status in 70 pediatric patients.
Main Results:
- Ventilation tube insertion led to substantial improvements in physical symptoms associated with hearing loss.
- Significant positive changes were observed in speech and behavioral aspects.
- A notable decrease in physician visits and antibiotic prescriptions for ear-related issues was recorded.
Conclusions:
- Myringotomy and ventilation tube insertion effectively alleviate OME symptoms.
- The procedure demonstrably enhances the overall quality of life for affected children.
- This intervention reduces the burden of recurrent ear problems and associated healthcare needs.
Abstract:
Otitis media with effusion is a common childhood disease diagnosed with the accumulation of serous fluid or mucous in the middle ear. If not treated, the sustainable effusion leads to change and destruction of middle ear structures. One of the most successful treatment methods is myringotomy and ventilation tube insertion, which leads to improvement of patients' quality of life. The aim of this study was to evaluate children's quality of life after inserting ventilation tubes. This prospective cross-sectional study examined the quality of life of the children suffering from otitis media with sustainable effusion, who were candidates for ventilation tube insertion. Otitis Media outcome-22 (OMO -22) questionnaire, was used to record the patients' problems in a 12-week period before and after surgery. In this study, 70 patients, including 43 (61.4%) boys and 27 (38.6%) girls (1y-13y), who completed the questionnaire, were studied. Treatment with ventilation tubes improved many physical symptoms of the hearing loss along with speech and behavioral symptoms. A significant reduction was observed in the number of physician visits and the use of antibiotics for ear problems. Ventilation tube insertion not only reduced the symptoms of otitis media with effusion, but also improved the children's quality of life.
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