Monitoring of conductive hearing loss due to because of eustachian tube dysfunction preservative treated with the Otovent pneumotherapy method.
Keywords:conductive loss, exudative otitis media, OME, pneumotherapy, obstruction of the eustachian tube
Introduction. A conductive hearing loss is a very common problem in childhood. It is possible to indicate many reasons for the problem, but most of the times it is caused by the infectious process, as well as the typical adenoid hypertrophy in children. Very often this disease is associated with obstruction of the eustachian tube.
Aim. In this study, the authors present the results of the hearing tests of patients who underwent the treatment of the eustachian tube obstruction by pneumotherapy with otovent. The aim of the work was to monitor the effectiveness of this method of OME treatment.
Material and Methods. The research group consisted of 54 children aged 4 to 15 years, including 23 girls and 31 boys. The control group consisted of 16 children. Pure tone audiometry and impedance audiometry were performed before and after the therapy, for all of the participants.
Results. Obtained results of the study showed improvement in hearing in children correctly using the Otovent set. Hearing improvement was recorded both in the results of pure tone audiometry and impedance audiometry.
Conclusions. The obtained results showed the effectiveness of the pneumotherapy method. In the case of the research group, 81.4% of children achieved the auditory norm (44 people). In the case of the control group, after a fixed period of application of the Otovent set, this value was 0%. The intergroup comparative analysis clearly shows that the research group obtained significantly better results within all of the parameters assessed, than the control group.
Zulkiflee S, Siti Sabzah MH, Philip R, Mohd Aminuddin MY, on behalf of the Development Group of management of otitis media with effusion in children. Management of otitis media with effusion in children. Malaysian Family Physician. 2013;8(2):32–5.
Zakrzewski L, Lee DT. An algorithmic approach to otitis media with effusion. Journal Of Family Practice. 2013;62(12):700–706.
Erdoglija M, Sotirović J, Baletić N. Early postoperative complications in children with secretory otitis media after tympanostomy tube insertion in the Military Medical Academy during 2000–2009. Vojnosanitetski Pregled. 2012;69(5):409–413. doi:10.2298/VSP1205409E.
Prauzińska M. Efektywność leczenia wysiękowego zapalenia ucha środkowego u dzieci. Rozprawa doktorska. 2013.
Rovers MM, Schilder AGM, Zielhuis GA, Rosenfeld RM. Seminar: Otitis media. Lancet. 2004;363:465–473. doi: 10.1016/S0140–6736(04)15495–0.
Kubba H, Pearson J, Birchall J. The aetiology of otitis media with effusion: a review. Clinical Otolaryngology & Allied Sciences. 2000;25(3):181–194. doi: 10.1046/j.1365-2273.2000.00350.x.
Tsuboi Y, Kim Y, Giebink GS, Le C, Paparella MM, Chen N, Lin J. Induction of Mucous Cell Metaplasia in the Middle Ear of Rats Using a Three‑step Method: An Improved Model for Otitis Media with Mucoid Effusion. Acta Oto‑Laryngologica. 2002;122(2):153–160. doi: 10.1080/00016480252814153.
Bhutta MF. Evolution and Otitis Media: A Review, and a Model to Explain High Prevalence in Indigenous Populations. Human Biology. 2015;(2):92. doi: 10.13110/humanbiology.87.2.0092.
Ruben RJ. Serous otitis media in the 20th and 21st centuries: evolving views and treatments. Acta Oto‑Laryngologica. 2009;129(4):343–347. doi: 10.1080/00016480802454724.
Jastrzębska I, Górecka‑Tuteja A, Sładek M, Składzień J, Fijorek K, Fyderek K. Charakterystyka refluksu krtaniowo‑gardłowego oraz żołądkowo‑przełykowego u dzieci z wysiękowym zapaleniem ucha środkowego. Contemporary Pediatrics, Gastroenterology, Hepatology & Child Feeding. 2012;14(2):69–73.
Ozmen OA, Genc A, Ozmen S, Kayikci EK, Sarac S, Sennaroglu L, Turan E. Successive Medical Treatment Versus Watchful Waiting in Chronic Otitis Media with Effusion. Journal Of International Advanced Otology. 2010;6(1):11–17.
Waldron C, Thomas‑Jones E, Cannings‑John R, Hood K, Powell C, Roberts A, Francis N. Oral steroids for the resolution of otitis media with effusion (OME) in children (OSTRICH): study protocol for a randomised controlled trial. Trials. 2016;171. doi: 10.1186/s13063-016-1236-1.
Stangerup S. Autoinflation: Historical Highlights and Clinical Implications. ENT: Ear, Nose & Throat Journal. 1998;77(9):737.
Mandel EM, ML. Recent developments in the treatment of otitis media with effusion. Drugs. 2006;(12):1565.
Obrębowski A, Obrębowska Z. Wpływ przewlekłego wysiękowego zapalenia ucha środkowego na rozwój mowy u dzieci. Otorynolaryngologia. 2009;8(4):159–162.
Khavarghazalani B, Farahani F, Emadi M, Hosseni Dastgerdi Z. Auditory processing abilities in children with chronic otitis media with effusion. Acta Oto‑Laryngologica. 2016;136(5), 456–459. doi: 10.3109/00016489.2015.1129552.
Ozgursoy OB, Tataragasi AI, Mermerkaya M, Gerceker M. Non‑Surgical Treatment of Otitis Media with Effusion in Children: Efficacy of Middle Ear Inflation with a Politzerization Device. Journal Of International Advanced Otology. 2009;5(2):145–150.
Stangerup S, Klokker M, Vesterhauge S, Jayaraj S, Rea P, Harcourt J. Point prevalence of barotitis and its prevention and treatment with nasal balloon inflation: A prospective, controlled study. Otology And Neurotology. 2004;25(2):89–94. doi: 10.1097/00129492-200403000-00001.
Arick DS, Silman S. Nonsurgical home treatment of middle ear effusion and associated hearing loss in children. Part I: Clinical trial. ENT: Ear, Nose & Throat Journal. 2005;84(9):567–578.
Bunne M, Magnuson B, Falk B, Hellström S. Eustachian Tube Function Varies over Time in Children with Secretory Otitis Media. Acta Oto‑Laryngologica. 2000;120(6):716–723. doi: 10.1080/000164800750000234.
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