Paediatric otitis media surgery in Norway

Karevold, Gunnhild; Haapkylä, Johanna; Pitkäranta, Anne; Nafstad, Per; Kværner, Kari J.

doi:10.1080/00016480600606756

Cited by 11 publications

(12 citation statements)

References 12 publications

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“…A/T rates show a wide variability between countries [ 8 , 9 ], but it has been long recognized that, despite differences in average rates across countries, even more striking variations always exist from area to area of the same country [ 10 - 13 ]. A wide small-area variation in intervention rates suggests that there is a high degree of "clinical uncertainty" about the indications [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Variability of adenoidectomy/tonsillectomy rates among children of the Veneto Region, Italy

Fedeli

Marchesan

Avossa

et al. 2009

BMC Health Serv Res

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Section: Discussionmentioning

confidence: 99%

Variability of adenoidectomy/tonsillectomy rates among children of the Veneto Region, Italy

Fedeli

Marchesan

Avossa

et al. 2009

BMC Health Serv Res

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“…Regional variations were also reported in New Zealand and in Norway. [20,21] The authors of the Norwegian study proposed that regional variation was due to individual interpretation of the Norwegian Medical Association guidelines, the guidelines not being prescriptive, and possible non-medical factors. [15,21] Regional variations reported in Canada and Australia were proposed to be due to the influence of family physicians.…”

Section: Discussionmentioning

confidence: 99%

“…[20,21] The authors of the Norwegian study proposed that regional variation was due to individual interpretation of the Norwegian Medical Association guidelines, the guidelines not being prescriptive, and possible non-medical factors. [15,21] Regional variations reported in Canada and Australia were proposed to be due to the influence of family physicians. [17,18] In a New York study, [22] TTI was performed in cases that did not comply with accepted guidelines, and family disruption and theatre admission for another surgery were factors that influenced TTI.…”

Section: Discussionmentioning

confidence: 99%

Tympanostomy tube insertion practice in under-18-year-olds in the South African private healthcare sector insured by Discovery Health

et al. 2019

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Background. The reported rates of tympanostomy tube insertion (TTI) in children vary significantly internationally. Lack of adherence to evidence-based clinical guidelines may contribute to these differences. Objectives. To study the rates of TTI in South Africa (SA) in children ≤18 years old in the private healthcare sector, both nationally and regionally, to compare these with international TTI rates, and to determine the use of preoperative audiometry and tympanometry. Methods. A retrospective analysis was done of data obtained from the Discovery Health database. Rates of TTI were analysed nationally and regionally and in different age groups, as was the use of tympanometry and audiograms. Results. The SA TTI rates were much higher than published international rates except for the 0-1-year age group in Canada and Denmark and the 0-15-year age group in Denmark. There was a statistically significant regional variation in TTI rates as well as in the use of preoperative audiometry and tympanometry. Conclusions. SA private sector TTI rates are high by international standards. Significant regional variations may indicate over-or underservicing in certain regions. Further investigation of causes for the high TTI rate and regional variations is recommended. Education of healthcare professionals on recognised indications for TTI may improve patient selection.

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“…There are only a few cases in the literature that reported an association of TA with HL [ 8 – 10 ]. HL in TA may present as SSHL and is usually diagnosed and treated as an idiopathic SSHL.…”

Section: Discussionmentioning

confidence: 99%

Recovery from Repeated Sudden Hearing Loss in a Patient with Takayasu’s Arteritis Treated with Hyperbaric Oxygen Therapy: The First Report in the Literature

Ralli

Greco

Falasca

et al. 2017

Case Reports in Otolaryngology

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Hearing loss has been rarely reported in Takayasu's arteritis, may present as Sudden Sensorineural Hearing Loss, and usually responds well to corticosteroid therapy. Hyperbaric Oxygen Therapy is commonly used as a supplementary treatment to corticosteroids for Sudden Sensorineural Hearing Loss. We present the case of a 36-year-old woman with Takayasu's arteritis who had two episodes of sudden hearing loss involving one ear at a time with an 11-month delay between each episode. During the first episode, the patient was treated with high-dose intramuscular corticosteroids with a temporary improvement of auditory threshold that deteriorated 14 days after cessation of therapy. In the second episode, Hyperbaric Oxygen Therapy was associated with corticosteroids, with improvements in both ears, including the one that was unresponsive in the long term to previous pharmacologic therapy. In this case, Hyperbaric Oxygen Therapy could have acted synergically with corticosteroids playing a role in hearing restoration.

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Paediatric otitis media surgery in Norway

Abstract: The peak age for surgical treatment of otitis media was 5 years. Tympanostomy tubes were inserted in more than half of the children treated and the analysis showed considerable regional variation in the rates and in choice of surgical treatment.

Cited by 11 publications

References 12 publications

Variability of adenoidectomy/tonsillectomy rates among children of the Veneto Region, Italy

Variability of adenoidectomy/tonsillectomy rates among children of the Veneto Region, Italy

Tympanostomy tube insertion practice in under-18-year-olds in the South African private healthcare sector insured by Discovery Health

Recovery from Repeated Sudden Hearing Loss in a Patient with Takayasu’s Arteritis Treated with Hyperbaric Oxygen Therapy: The First Report in the Literature

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