Risk Factors for Preoperative and Postoperative Hearing Loss in Children Undergoing Pressure Equalization Tube Placement

Abstract

Our results support hearing testing to identify candidates for PET surgery and to determine treatment effectiveness after surgery, since hearing loss cannot be predicted on the basis of risk or demographic factors. These data have important preoperative counseling and postoperative management implications.

Wideband acoustic immittance in children with Down syndrome: prediction of middle-ear dysfunction, conductive hearing loss and patent PE tubes

“…Such a result might occur when there is a smaller middle-ear space, residual tissue or edema due to a longer time period of otitis media (OM) in these children with DS. Smaller equivalent ear-canal volumes in the presence of PET have been associated with more severe OM (Le et al, 1994), poorer pure tone thresholds on post-operative audiometry (Sidell et al, 2014), and higher risk for recurrence of OM (Takasaka et al, 1996). …”

Wideband acoustic immittance in children with Down syndrome: prediction of middle-ear dysfunction, conductive hearing loss and patent PE tubes

“…Such a result might occur when there is a smaller middle-ear space, residual tissue or edema due to a longer time period of otitis media (OM) in these children with DS. Smaller equivalent ear-canal volumes in the presence of PET have been associated with more severe OM (Le et al, 1994), poorer pure tone thresholds on post-operative audiometry (Sidell et al, 2014), and higher risk for recurrence of OM (Takasaka et al, 1996). …”

Clinical Practice Guideline: Tympanostomy Tubes in Children (Update)

“…6,92 Without preoperative hearing testing, necessity of surgery may be unclear, and hearing improvement after surgery cannot be ascertained. 92 Postoperative hearing loss was found in 14% of children receiving tympanostomy tubes 93 and in 23% of children with preoperative hearing loss. 91 However, if the decision to undergo tube placement has been made on the basis of risk criteria or subjective hearing difficulties and only a single hearing test can be obtained, a postoperative hearing test may be the best use of resources in such cases to determine if postoperative hearing function is normal and if further treatment is needed.…”

“…91 However, if the decision to undergo tube placement has been made on the basis of risk criteria or subjective hearing difficulties and only a single hearing test can be obtained, a postoperative hearing test may be the best use of resources in such cases to determine if postoperative hearing function is normal and if further treatment is needed. 93…”

“…The consensus of the GUG was that any child with hearing loss detected prior to tympanostomy tube insertion should have postoperative testing to confirm resolution of hearing loss. Hearing loss may still be present after tube insertion, especially in certain risk factors, including those with hearing loss prior to tube surgery, smaller tympanometric volumes after surgery, and Down syndrome 93 . Hearing loss that is initially attributed to OME but persists after tube placement requires additional assessment to determine the cause of the loss and whether it is conductive, sensorineural, or mixed.…”

“…Hearing loss may still be present after tube insertion, especially in certain risk factors, including those with hearing loss prior to tube surgery, smaller tympanometric volumes after surgery, and Down syndrome. 93 Hearing loss that is initially attributed to OME but persists after tube placement requires additional assessment to determine the cause of the loss and whether it is conductive, sensorineural, or mixed. Depending on the cause, additional evaluation and management may be indicated, including amplification when appropriate.…”

Wideband acoustic immittance in children with Down syndrome: prediction of middle-ear dysfunction, conductive hearing loss and patent PE tubes

“…Such a result might occur when there is a smaller middle-ear space, residual tissue or edema due to a longer time period of otitis media (OM) in these children with DS. Smaller equivalent ear-canal volumes in the presence of PET have been associated with more severe OM (Le et al, 1994), poorer pure tone thresholds on post-operative audiometry (Sidell et al, 2014), and higher risk for recurrence of OM (Takasaka et al, 1996). …”

Clinical Practice Guideline: Tympanostomy Tubes in Children (Update)

“…6,92 Without preoperative hearing testing, necessity of surgery may be unclear, and hearing improvement after surgery cannot be ascertained. 92 Postoperative hearing loss was found in 14% of children receiving tympanostomy tubes 93 and in 23% of children with preoperative hearing loss. 91 However, if the decision to undergo tube placement has been made on the basis of risk criteria or subjective hearing difficulties and only a single hearing test can be obtained, a postoperative hearing test may be the best use of resources in such cases to determine if postoperative hearing function is normal and if further treatment is needed.…”

“…91 However, if the decision to undergo tube placement has been made on the basis of risk criteria or subjective hearing difficulties and only a single hearing test can be obtained, a postoperative hearing test may be the best use of resources in such cases to determine if postoperative hearing function is normal and if further treatment is needed. 93…”

“…The consensus of the GUG was that any child with hearing loss detected prior to tympanostomy tube insertion should have postoperative testing to confirm resolution of hearing loss. Hearing loss may still be present after tube insertion, especially in certain risk factors, including those with hearing loss prior to tube surgery, smaller tympanometric volumes after surgery, and Down syndrome 93 . Hearing loss that is initially attributed to OME but persists after tube placement requires additional assessment to determine the cause of the loss and whether it is conductive, sensorineural, or mixed.…”

“…Hearing loss may still be present after tube insertion, especially in certain risk factors, including those with hearing loss prior to tube surgery, smaller tympanometric volumes after surgery, and Down syndrome. 93 Hearing loss that is initially attributed to OME but persists after tube placement requires additional assessment to determine the cause of the loss and whether it is conductive, sensorineural, or mixed. Depending on the cause, additional evaluation and management may be indicated, including amplification when appropriate.…”

Wideband acoustic immittance in children with Down syndrome: prediction of middle-ear dysfunction, conductive hearing loss and patent PE tubes

“…Such a result might occur when there is a smaller middle-ear space, residual tissue or edema due to a longer time period of otitis media (OM) in these children with DS. Smaller equivalent ear-canal volumes in the presence of PET have been associated with more severe OM (Le et al, 1994), poorer pure tone thresholds on post-operative audiometry (Sidell et al, 2014), and higher risk for recurrence of OM (Takasaka et al, 1996). …”

Clinical Practice Guideline: Tympanostomy Tubes in Children (Update)

“…6,92 Without preoperative hearing testing, necessity of surgery may be unclear, and hearing improvement after surgery cannot be ascertained. 92 Postoperative hearing loss was found in 14% of children receiving tympanostomy tubes 93 and in 23% of children with preoperative hearing loss. 91 However, if the decision to undergo tube placement has been made on the basis of risk criteria or subjective hearing difficulties and only a single hearing test can be obtained, a postoperative hearing test may be the best use of resources in such cases to determine if postoperative hearing function is normal and if further treatment is needed.…”

“…91 However, if the decision to undergo tube placement has been made on the basis of risk criteria or subjective hearing difficulties and only a single hearing test can be obtained, a postoperative hearing test may be the best use of resources in such cases to determine if postoperative hearing function is normal and if further treatment is needed. 93…”

“…The consensus of the GUG was that any child with hearing loss detected prior to tympanostomy tube insertion should have postoperative testing to confirm resolution of hearing loss. Hearing loss may still be present after tube insertion, especially in certain risk factors, including those with hearing loss prior to tube surgery, smaller tympanometric volumes after surgery, and Down syndrome 93 . Hearing loss that is initially attributed to OME but persists after tube placement requires additional assessment to determine the cause of the loss and whether it is conductive, sensorineural, or mixed.…”

“…Hearing loss may still be present after tube insertion, especially in certain risk factors, including those with hearing loss prior to tube surgery, smaller tympanometric volumes after surgery, and Down syndrome. 93 Hearing loss that is initially attributed to OME but persists after tube placement requires additional assessment to determine the cause of the loss and whether it is conductive, sensorineural, or mixed. Depending on the cause, additional evaluation and management may be indicated, including amplification when appropriate.…”