Long-term effects of chronic otitis media on binaural hearing in children

AbstractConservative treatment for otitis media with effusion (OME) led us to consider the use of hearing aids as a way of managing the associated hearing loss. This study aimed to assess the compliance of patients and acceptance of hearing aids for the management of children with OME.Thirty-nine children who had been given binaural hearing aids to manage OME were assessed at routine follow-up after six months. A clinician who did not prescribe the aid administered a questionnaire to assess compliance, change in symptoms and acceptance of the aids.Thirty-eight parents thought the aids were easy to use and 25 (66 per cent) were completely satisfied with the management. Aided hearing improved by a mean of 17 dB (Range 10–30) over three frequencies, 0.5, 1.0, 2.0 Khz and all parents reported subjective hearing improvement in their children. The stigma of an aid was reported as minimal under the age of seven.Hearing aids provide a non-invasive way of managing the problems associated with OME which is acceptable to certain parents and children. Long-term effects of using aids need to be evaluated before they can be recommended.

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LONG-TERM EFFECTS OF OTITIS MEDIA A TEN-YEAR COHORT STUDY OF ALASKAN ESKIMO CHILDREN

PEDIATRICS ◽

10.1542/peds.52.4.577 ◽

1973 ◽

Vol 52 (4) ◽

pp. 577-585 ◽

Cited By ~ 1

Author(s):

Gary J. Kaplan ◽

J. Kenneth Fleshman ◽

Thomas R. Bender ◽

Carol Baum ◽

Paul S. Clark

Keyword(s):

Hearing Loss ◽

Otitis Media ◽

Verbal Ability ◽

Significant Loss ◽

Long Term Effects ◽

Normal Range ◽

History Of ◽

Conductive Component ◽

Verbal Development

Histories of ear disease, otoscopic examinations, and audiologic, intelligence, and achievement tests were obtained from a cohort of 489 Alaskan Eskimo children who have been followed through the first ten years of life. Seventy-six per cent had experienced one or more episodes of otitis media since birth. Of these, 78% had their first attack during their first two years of life. Perforations and scars were present in 41%. A hearing loss of 26 decibels or greater was present in 16%, and an additional 25% were in the normal range but had a measurable air-bone gap. Children with a history of otitis media prior to 2 years of age and a hearing loss of 26 decibels or greater had a statistically significant loss of verbal ability and were behind in total reading, total math, and language. In addition, children who had an early onset of otitis media but now had normal hearing with a conductive component were also adversely affected in verbal areas. The number of otitis media episodes was related to tympanic membrane abnormalities, hearing loss, and low verbal and achievement scores. These findings indicate that otitis media has been a significant cause of morbidity in Alaskan Eskimo children, and its onset during the critical years of language development as well as the number of episodes play an important role in impairing verbal development.

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Long-Term Effects of Early-Life Otitis Media on Language Development

Journal of Speech Language and Hearing Research ◽

10.1044/1092-4388(2009/08-0250) ◽

2010 ◽

Vol 53 (1) ◽

pp. 34-43 ◽

Cited By ~ 23

Author(s):

Anne Zumach ◽

Ellen Gerrits ◽

Michelene Chenault ◽

Lucien Anteunis

Keyword(s):

Language Development ◽

Otitis Media ◽

Early Life ◽

Long Term Effects

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Long-term outcome of ossiculoplasty using autogenous mastoid cortical bone

The Journal of Laryngology & Otology ◽

10.1017/s0022215114002023 ◽

2014 ◽

Vol 128 (10) ◽

pp. 866-870 ◽

Cited By ~ 3

Author(s):

Z Yu ◽

L Zhang ◽

D Han

Keyword(s):

Cortical Bone ◽

Otitis Media ◽

Chronic Otitis Media ◽

Prosthetic Material ◽

Canal Wall ◽

Term Outcome ◽

Long Term Outcome ◽

Canal Wall Down ◽

Canal Wall Up

AbstractObjective:To observe the long-term outcome of ossiculoplasty using autogenous mastoid cortical bone in chronic otitis media in-patients.Methods:Sixty-one ears of 57 in-patients with chronic otitis media, with or without cholesteatoma, underwent type III tympanoplasty using autogenous mastoid cortical bone as the prosthetic material. Twenty-one ears were treated by canal wall down mastoidectomy and 40 ears by canal wall up mastoidectomy. The follow-up period was 3 to 6 years (average 4.2 years). Pure tone averages for thresholds at 0.5, 1, 2 and 3 kHz were calculated using standard conventional audiometry.Results:The pre-operative mean air–bone gap of 31.6 dB, for all ears, was reduced to 20.3 dB post-operatively. For the 40 canal wall up ears, this value decreased from 30.8 dB to 19.9 dB, and for the 21 canal wall down ears it decreased from 33.0 dB to 21.0 dB. The differences between the pre- and post-operative mean air–bone gap values were significant.Conclusion:No cases of extrusion, necrosis or resorption were exhibited for the autogenous mastoid cortical bone prosthesis. A significant hearing improvement was obtained in the majority of cases and this remained stable over time.

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Long-term effects on the nasopharyngeal flora of children following antimicrobial therapy of acute otitis media with cefdinir or amoxycillin-clavulanate

Journal of Medical Microbiology ◽

10.1099/jmm.0.45837-0 ◽

2005 ◽

Vol 54 (6) ◽

pp. 553-556 ◽

Cited By ~ 19

Author(s):

Itzhak Brook ◽

Alan E Gober

Keyword(s):

Otitis Media ◽

Antimicrobial Therapy ◽

Acute Otitis Media ◽

Long Term Effects

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Perception of Voicing Cues by Children With Early Otitis Media With and Without Language Impairment

Journal of Speech Language and Hearing Research ◽

10.1044/jshr.3901.43 ◽

1996 ◽

Vol 39 (1) ◽

pp. 43-54 ◽

Cited By ~ 20

Author(s):

Paul Groenen ◽

Thom Crul ◽

Ben Maassen ◽

Wim van Bon

Keyword(s):

Otitis Media ◽

Language Impairment ◽

Auditory Processing ◽

Otitis Media With Effusion ◽

Discrimination Performance ◽

Central Auditory Processing ◽

Long Term Effects ◽

History Of ◽

The Relationship

Research on the relationship between early otitis media with effusion (OME), language impairment, and central auditory processing has been equivocal. Identification and discrimination tasks provide us with a sensitive method of assessing speech perception on both an auditory and a phonetic level. The present study examined identification and discrimination of initial bilabial stop consonants differing in voicing by 9-year-old children with a history of severe OME. The groups studied were controlled for language impairment. The ability of these children to perceive major and minor voicing cues was examined using multiple voicing cues. Long-term effects of OME were found for both identification and discrimination performance. Children with OME produced an overall inconsistency in categorization, which suggests poorer phonetic processing. Discrimination was measured by means of “just noticeable differences” (JND). Children with early OME experience demonstrated a greater mean JND than children without early OME experience. Finally, in cases of language impairment with early OME, there was no additional deterioration of auditory or phonetic processing. It appears that either early OME or language impairment can lead to poorer perception.

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Effect of Persistent Otitis Media on Language Development

Annals of Otology Rhinology & Laryngology ◽

10.1177/00034894800890s360 ◽

1980 ◽

Vol 89 (3_suppl) ◽

pp. 257-263 ◽

Cited By ~ 18

Author(s):

Paula Menyuk

Keyword(s):

Language Development ◽

Otitis Media ◽

Language Processing ◽

Educational Achievement ◽

Otitis Media With Effusion ◽

Speech Sound ◽

Developmental Time ◽

Long Term Effects ◽

Time Duration

This paper suggests methods for systematically studying the short-term and long-term effects of persistent otitis media with effusion (OME) on language development and educational achievement. First, some suggestions are made about which aspects of language processing should be examined in detail during different periods of development given the nature of the hearing losses usually suffered by children with persistent OME. These aspects are phonological (speech-sound) categorization and rules and lexical (word) retrieval. Second, the factors which can interact with persistent OME to bring about long-term effects (developmental time, duration and degree of hearing loss, socioeconomic status and cognitive competence) are discussed and suggestions made for the design of studies which can examine the effects of interaction of these factors. Finally, a proposal is presented for cross-lag design, regional studies which can provide us with information needed in planning educational intervention.

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