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hearing impairment in children with otitis media with effusion

Cong Tian, Belinda S Harris, Kenneth R Johnson
Otitis media (OM), inflammation of the middle ear, is a common cause of hearing loss in children and in patients with many different syndromic diseases. Studies of the human population and mouse models have revealed that OM is a multifactorial disease with many environmental and genetic contributing factors. Here, we report on otitis media-related hearing loss in asj (ages with stiffened joints) mutant mice, which bear a point mutation in the Enpp1 gene. Auditory-evoked brainstem response (ABR) measurements revealed that around 90% of the mutant mice (Enpp1asj/asj) tested had moderate to severe hearing impairment in at least one ear...
2016: PloS One
Henrik Szőke, Márta Maródi, Zsuzsa Sallay, Balázs Székely, Martin-Günther Sterner, Gabriella Hegyi
BACKGROUND: Chronic otitis media with effusion (COME) and adenoid hypertrophy (AH) are common entities in the pediatric population. The conventional treatment approach (conventional medicine; COM) involved mainly surgery after a period of close observation. In this study, we aimed to introduce an integrative, non-invasive approach (integrative medicine; IM) for COME, AH, and associated episodes of recurrent acute otitis media, and compared outcomes with conventional treatment. METHODS: We conducted a prospective, non-randomized study in an integrative primary care pediatric practice and a conventional pediatric otolaryngological clinic, where treatment modality was determined by patient preference...
2016: Forschende Komplementärmedizin, Research in Complementary Medicine
Hazem Saeed Amer, Mohammad Waheed El-Anwar, Alaa Eldin Elfeky
INTRODUCTION: Otitis media with effusion (OME) is a leading cause of hearing impairment in children. Therefore, early and proper management is essential. OBJECTIVES: The objective of this research is to assess the efficacy of intratympanic (IT) steroids injection for management of otitis media with effusion (OME). METHODS: This study involved 42 children (84 ears) with bilateral OME. We used tympanometry to confirm the childreńs middle ear effusion and pure tone audiometry to determine hearing threshold...
July 2016: International Archives of Otorhinolaryngology
K Sharma, M S Pannu, A Arora, V Sharma
A late detection of hearing impairment in children can affect speech and language development. Otitis media with effusion (OME) associated with risk factors like recurrent upper respiratory tract infections (URTI) is considered the most common cause of silent hearing impairment among children. So this study was carried out to screen such at risk children for hearing impairment. The study was conducted on 1000 children in the age group of 2-12 years who presented to the OPD of ENT and Pediatrics Department, Govt Medical College with the complaint of recurrent URTI...
June 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
Elisa Biamino, Andrea Canale, Michelangelo Lacilla, Annalisa Marinosci, Federico Dagna, Lorenzo Genitori, Paola Peretta, Margherita Silengo, Roberto Albera, Giovanni Battista Ferrero
OBJECTIVE: To assess the audiological profile in a cohort of children affected by syndromic craniosynostosis. METHODS: Eleven children with Apert syndrome (n=4), Saethre-Chotzen syndrome (n=3), Muenke syndrome (n=2), Crouzon syndrome (n=1) and Pfeiffer syndrome type 1 (n=1) were submitted to a complete audiologic evaluation including otoscopy, pure-tone audiometry, tympanometry and acoustic reflex testing, ABR, otoacustic emissions, temporal bone High Resolution CT (HRCT) scan...
June 2016: International Journal of Pediatric Otorhinolaryngology
Terez Boshra Kamel, Tharwat Ezzat Deraz, Rasha H Elkabarity, Rasha K Ahmed
OBJECTIVES: This work aimed to highlight a challenging asymptomatic problem which is early detection of hearing impairment in toddlers with protein energy malnutrition (PEM) as a neuro-cognitive effect of PEM on developing brain in relation to hemoglobin level. METHODS: 100 toddlers, aged 6-24 months, fifty with moderate/severe PEM and fifty healthy children, were included in study. Both TEOAEs and ABR testing were used to assess auditory function. RESULTS: Study reported an association between malnutrition and hearing impairment, 26% of cases had conductive deafness secondary to otitis media with effusion using tympanometry; 84...
June 2016: International Journal of Pediatric Otorhinolaryngology
Nicola Principi, Paola Marchisio, Susanna Esposito
Otitis media with effusion (OME) is a common clinical condition that is associated with hearing loss. It can be diagnosed at least once in approximately 80% of preschool children: 30-40% of them have recurrent episodes, and 5-10% have chronic disease. OME, in recurrent and persistent cases, might significantly delay or impair communication skills, resulting in behavioral and educational difficulties. Several therapeutic approaches have been used to avoid these problems. Most, however, have not been adequately studied, and no definitive conclusions can be drawn...
2016: Expert Review of Anti-infective Therapy
Daniel J Adams, Apryl Susi, Christine R Erdie-Lalena, Gregory Gorman, Elizabeth Hisle-Gorman, Michael Rajnik, Marilisa Elrod, Cade M Nylund
Acute otitis media (AOM) symptoms can be masked by communication deficits, common to children with autism spectrum disorders (ASD). We sought to evaluate the association between ASD and otitis media. Using ICD-9-CM diagnostic codes, we performed a retrospective case-cohort study comparing AOM, and otitis-related diagnoses among children with and without ASD. Children with ASD had a significantly increased rate of AOM, otitis media with effusion, otorrhea, and PE tube placement. Children with ASD were more than twice as likely to develop mastoiditis, and to undergo mastoidectomy and tympanoplasty...
May 2016: Journal of Autism and Developmental Disorders
M M C Yaneza, K Hunter, S Irwin, H Kubba
OBJECTIVES: To report the prevalence of hearing problems and the hearing sequelae in school-aged children with trisomy 21 in a longitudinal study. DESIGN: All children with trisomy 21 were identified via schools, community-based child development centres, general practitioners, or the universal newborn hearing screen. Audiological data and otorhinolaryngological problems were prospectively entered in to the Audiological Surveillance Programme database from each visit...
December 2016: Clinical Otolaryngology
Iain Bruce, Nicola Harman, Paula Williamson, Stephanie Tierney, Peter Callery, Syed Mohiuddin, Katherine Payne, Elisabeth Fenwick, Jamie Kirkham, Kevin O'Brien
BACKGROUND: Cleft lip and palate are among the most common congenital malformations, with an incidence of around 1 in 700. Cleft palate (CP) results in impaired Eustachian tube function, and 90% of children with CP have otitis media with effusion (OME) histories. There are several approaches to management, including watchful waiting, the provision of hearing aids (HAs) and the insertion of ventilation tubes (VTs). However, the evidence underpinning these strategies is unclear and there is a need to determine which treatment is the most appropriate...
August 2015: Health Technology Assessment: HTA
M M Alam, M I Ali, M A Habib, M A Siddique, N P Sanyal, A H Joarder
This cross-sectional prospective study was done in the Department of Otolaryngology Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka during the period of January 2008 to December 2009 with the aim to find out the frequency of otitis media with effusion in patients with enlarged adenoid admitted for Adenoidectomy, To see the frequency of otitis media with effusion in different age group, To find out the degree of hearing loss in enlarged Adenoid patients. A total number of 60 patients who were admitted for adenoidectomy with or without tonsillectomy were purposively collected...
April 2015: Mymensingh Medical Journal: MMJ
Navid Nourizadeh, Kiarash Ghazvini, Vahideh Gharavi, Niloufar Nourizadeh, Rahman Movahed
Acute otitis media and otitis media with effusion (OME) are the main causes of hearing impairment in children which require proper treatment, mainly antibiotic therapy. Patients whom were appropriate candidates for adenoidectomy were divided into two groups regarding the presence of middle ear effusion. Adenoid tissue specimens were cultured in both groups and the bacterial flora and anti-microbial resistance pattern were determined. 72 patients were studied, 42 % had OME while 58 % did not. The following bacteria were isolated and cultured from both groups with no meaningful difference in prevalence: Streptococcus viridans (p = 0...
April 2016: European Archives of Oto-rhino-laryngology
Mirjana Kostić, Ksenija Ribarić Jankes, Robert Trotić, Mihael Ries, Branka Ledić, Vladimir Bedeković
CONCLUSION: It is recommended to perform follow-up tympanometry and if necessary tonal audiometry in children who have normal plain otoscopy findings after recovering from acute otitis media (AOM). Children with Type B tympanogram, 3 months following the onset of AOM, are very likely to have a conductive hearing loss. Type B tympanogram is a much better indicator of effusion in the middle ear compared to plain otoscopy. OBJECTIVE: This study was undertaken to investigate the frequency and duration of middle ear effusion in children following an episode of acute otitis media, to track changes in tonal audiometry and tympanometry findings in the post-AOM period, and recognize the optimal timing for performing both tests...
July 2015: Acta Oto-laryngologica
E A Kolkaila, A A Emara, T A Gabr
BACKGROUND: Fifty per cent of children with serous otitis media may have some balance disturbances. OBJECTIVE: To evaluate vestibular function in children with otitis media with effusion. METHODS: The control group comprised 25 children with bilateral normal hearing and middle-ear function. The study group consisted of 30 children with bilateral otitis media with effusion; these were divided into 2 subgroups according to air-bone gap size...
April 2015: Journal of Laryngology and Otology
K H Tarafder, N Akhtar, M M Zaman, M A Rasel, M R Bhuiyan, P G Datta
OBJECTIVE: This study aimed to determine the prevalence of hearing impairment in Bangladeshi people of all ages. METHODS: A nationally representative cross-sectional survey was carried out in 2013. A total of 4260 subjects (1774 males and 2486 females), with a mean age of 32 years, participated. Hearing impairment was determined by pure tone audiometry and otoacoustic emissions testing. RESULTS: Disabling hearing loss (greater than 40 dB loss in adults, and greater than 30 dB loss in children younger than 15 years, in their better hearing ears) was present in 9...
February 2015: Journal of Laryngology and Otology
Axel Håkansson, Rut Florentzson, Lisa Tuomi, Caterina Finizia
OBJECTIVE: This ten-year cohort study intended to determine any hearing impairment and eardrum sequelae comparing children treated with ventilation tubes (VT) with an age- and gender-matched control group. METHODS: A cohort of children who received ventilation tubes in 1996 was during 2006 compared with a control group, with no history of VT treatment, using standard audiometry, high frequency audiometry and otomicroscopy. RESULTS: In the spectrum of the standard audiometry, the differences between the groups were minimal...
February 2015: International Journal of Pediatric Otorhinolaryngology
Syed Mohiuddin, Katherine Payne, Elisabeth Fenwick, Kevin O'Brien, Iain Bruce
There is a paucity of evidence to guide the management of otitis media with effusion (OME), which is a common problem causing significant hearing impairment in children with cleft palate. The insertion of grommets is currently being used to correct hearing impairment and prevent complications of unmanaged OME, but there is ongoing discussion about whether the benefits of grommets outweigh the costs and risks. A decision-tree model was developed to assess the surgical insertion of grommets with two non-surgical alternatives (hearing-aids and do-nothing strategies) in cleft palate children with persistent bilateral OME...
July 2015: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
Terhi Tapiainen, Tiia Kujala, Marjo Renko, Petri Koivunen, Tero Kontiokari, Aila Kristo, Tytti Pokka, Olli-Pekka Alho, Matti Uhari
IMPORTANCE: Antimicrobial treatment reduces the symptoms of acute otitis media (AOM). The effect of antimicrobial treatment on the duration of middle ear effusion (MEE) and concomitant hearing impairment is not known. OBJECTIVE: To determine whether the antimicrobial treatment of AOM reduces the duration of MEE. DESIGN, SETTING, AND PARTICIPANTS: This randomized, double-blind, placebo-controlled trial involved a total of 84 children with AOM between 6 months and 15 years of age...
July 2014: JAMA Pediatrics
Peter Keating, Andrew J King
Under normal hearing conditions, comparisons of the sounds reaching each ear are critical for accurate sound localization. Asymmetric hearing loss should therefore degrade spatial hearing and has become an important experimental tool for probing the plasticity of the auditory system, both during development and adulthood. In clinical populations, hearing loss affecting one ear more than the other is commonly associated with otitis media with effusion, a disorder experienced by approximately 80% of children before the age of two...
December 27, 2013: Frontiers in Systems Neuroscience
Stephen Oluwatosin Adebola, Samuel Oluyomi Ayodele, Oyeleye Abayomi Oyelakin, John Adekunle Babarinde, Oyebola Eyitayo Adebola
OBJECTIVES: To carry out otoscopic and audiologic examinations amongst pre-school children in Ogbomoso, Nigeria in order to identify any cases of hearing loss and to intervene where possible. STUDY DESIGN AND SETTING: Prospective audiologic evaluations of children in Nursery I and II (pre-kindergarten and kindergarten) in both private and public primary schools were carried out. METHODS: One hundred and one children (202 ears) were screened using otoscopy and pure tone audiometry...
December 2013: International Journal of Pediatric Otorhinolaryngology
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