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[The main steps in treatment of the children with otitis media with effusion]
N A Mileshina1, V V Volodkina1, E V Kurbatova1
1Russian Research Clinical Center for Audiology and Hearing Rehabilitation, Moscow, Russia.
Insights
This study improved treatment for otitis media with effusion (OME) in children, achieving 97.6% hearing normalization after tympanostomy. Long-term follow-up is recommended for optimal outcomes.
Area of Science:
- Pediatric Otolaryngology
- Auditory Health
Background:
- Otitis media with effusion (OME) is a common childhood condition affecting hearing.
- Establishing standardized treatment protocols is crucial for effective management.
Purpose of the Study:
- To establish a standard and improve the treatment of otitis media with effusion (OME) in children.
- To evaluate diagnostic methods and surgical outcomes for OME.
Main Methods:
- A cohort of 361 children (11 months to 18 years) underwent tympanostomy between 2013-2018.
- Diagnostic tools included otoscopy, tympanometry, endoscopy, and CT scans.
- Surgical intervention, primarily tympanostomy, was the initial treatment approach.
Main Results:
- Tympanostomy in the anterior-inferior quadrant was preferred.
- For recurrent OME or cases with cleft palate, long-term tubes and Eustachian tube (ET) ballooning were beneficial.
- Hearing thresholds normalized in 97.6% of cases post-surgery.
Conclusions:
- Tympanostomy is an effective treatment for OME, leading to significant hearing improvement.
- Post-surgical follow-up for 12-24 months is essential to monitor outcomes.
- Tailored approaches using long-term tubes or ET ballooning are indicated for complex OME cases.
The Aim:
Of the investigation was to establish the standard and improve the treatment of otitis media with effusion (OME) in children. 361 children at age from 11 months to 18 years were inspected after tympanostomy during 2013-2018 years. The main diagnostic methods were: otoscopy, tympanometry, endoscopy, CT.
Material And Methods:
Treatment takes into consideration the reveal of OME: surgical initially. The tympanostomy preferable place is anterior-inferior quadrant.
Results:
In cases with cleft palate or reccurence OME long-term tubes and balloonisation of ET are preferable.
Conclusion:
Authors received normalization of the hearing thresholds in 97.6% cases, but after surgery the patients have to be followed-up during 12-24 months.
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