Long-term follow-up of otitis media with effusion in children: Comparisons between a ventilation tube group and a non-ventilation tube group

Hong, Hye Ran; Kim, Tae Su; Chung, Jong Woo

doi:10.1016/j.ijporl.2014.03.019

Cited by 15 publications

(18 citation statements)

References 24 publications

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“…In contrast, a retrospective study in children diagnosed with OME 5 years earlier found that hearing was poorer in those treated with TTs compared with children who did not receive TTs. 37…”

Section: Discussionmentioning

confidence: 99%

Panel 7: Otitis Media: Treatment and Complications

Schilder

Marom²,

Bhutta

et al. 2017

Otolaryngol.--head neck surg.

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Objective We aimed to summarize key articles published between 2011 and 2015 on the treatment of (recurrent) acute otitis media, otitis media with effusion, tympanostomy tube otorrhea, chronic suppurative otitis media and complications of otitis media, and their implications for clinical practice. Data Sources PubMed, Ovid Medline, the Cochrane Library, and Clinical Evidence (BMJ Publishing). Review Methods All types of articles related to otitis media treatment and complications between June 2011 and March 2015 were identified. A total of 1122 potential related articles were reviewed by the panel members; 118 relevant articles were ultimately included in this summary. Conclusions Recent literature and guidelines emphasize accurate diagnosis of acute otitis media and optimal management of ear pain. Watchful waiting is optional in mild to moderate acute otitis media; antibiotics do shorten symptoms and duration of middle ear effusion. The additive benefit of adenoidectomy to tympanostomy tubes in recurrent acute otitis media and otitis media with effusion is controversial and age dependent. Topical antibiotic is the treatment of choice in acute tube otorrhea. Symptomatic hearing loss due to persistent otitis media with effusion is best treated with tympanostomy tubes. Novel molecular and biomaterial treatments as adjuvants to surgical closure of eardrum perforations seem promising. There is insufficient evidence to support the use of complementary and alternative treatments. Implications for Practice Emphasis on accurate diagnosis of otitis media, in its various forms, is important to reduce overdiagnosis, overtreatment, and antibiotic resistance. Children at risk for otitis media and its complications deserve special attention.

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Section: Discussionmentioning

confidence: 99%

Panel 7: Otitis Media: Treatment and Complications

Schilder

Marom²,

Bhutta

et al. 2017

Otolaryngol.--head neck surg.

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“…This study examined whether there is an association between timing and frequency of tube placement and long-term hearing outcomes. Although it has been established in previous studies that the use of VT is associated with a greater incidence of otologic complications both in children with and without cleft palate (Sheahan et al, 2002;Goudy et al, 2006;Ponduri et al, 2009;Hong et al, 2014), most studies have failed to explore the clinical relevance of this finding with regard to long-term hearing acuity in children with cleft palate. In addition, the absence of a prospective randomized control trial makes it difficult to assess whether greater Eustachian tube dysfunction and more severe middle ear disease contribute to additional tube placement along with increased risk of complications and hearing loss.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Ventilation Tube Placement and Long-term Audiologic Outcome in Children with Cleft Palate

Kim

Kanack

Dang-Vu

et al. 2017

The Cleft Palate Craniofacial Journal

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While children with worse middle ear disease are more likely to receive more tubes and have long-term conductive hearing loss as a result of ear disease, the results of this study suggest that multiple tube placements may not contribute to improved long-term hearing outcomes. Further research focusing on long-term outcomes is needed to establish patient-centered criteria guiding decision making for ventilation tube placement in children with cleft palate.

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“…Browning et al 13 emphasized that natural resolution of OME over led to improved hearing in subjects. Other long-term studies 14,15 have reported similar hearing improvements in subjects who had undergone ventilation tube placement.…”

mentioning

confidence: 54%

Rapid maxillary expansion versus middle ear tube placement: Comparison of hearing improvements in children with resistance otitis media with effusion

Kılıç

Yörük

Kılıç

et al. 2016

The Angle Orthodontist

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Objective: To test the null hypothesis that there are significant differences in hearing improvements of children with resistance otitis media with effusion (OME) who undergo a rapid maxillary expansion (RME) procedure or ventilation tube placement. Methods: Forty-two children between 4.5 and 15 years old were divided into three groups: RME, ventilation tube, and control groups. The RME group consisted of 15 children with maxillary constriction and resistance OME that indicated ventilation tube placement. The ventilation tube group consisted of 16 children for whom ventilation tube placement was indicated but no maxillary constriction. The control group consisted of 11 children with no orthodontic and/or rhinologic problems. Hearing thresholds were evaluated with three audiometric records: (1) before RME/ventilation tube placement (T0); (2) after RME/ventilation tube placement (T1), and (3) after an observation period of 10 months (T2). The control group was matched to these periods, except T1. Results: Hearing thresholds decreased significantly in both the RME and ventilation tube groups (P < .001). Hearing thresholds decreased approximately 15 and 17 decibels in the RME and ventilation tube groups, respectively, but differences in improvements were insignificant between the two study groups (P > .05). Slight changes were observed in the control groups. Conclusion: The null hypothesis was rejected. RME showed similar effects as ventilation tube placement for release of otitis media and improvement of hearing thresholds levels. RME should be preferred as a first treatment option for children with maxillary constriction and resistance OME.

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Long-term follow-up of otitis media with effusion in children: Comparisons between a ventilation tube group and a non-ventilation tube group

Cited by 15 publications

References 24 publications

Panel 7: Otitis Media: Treatment and Complications

Panel 7: Otitis Media: Treatment and Complications

Evaluation of Ventilation Tube Placement and Long-term Audiologic Outcome in Children with Cleft Palate

Rapid maxillary expansion versus middle ear tube placement: Comparison of hearing improvements in children with resistance otitis media with effusion

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