Is It Necessary to Treat Otitis Media With Effusion (OME) Prior to Cochlear Implantation? Results Over a Long-term Follow-up

AbstractObjective:This study evaluated the complications and outcomes of cochlear implantation in patients who had otitis media with effusion at the time of surgery.Methods:A retrospective chart review study was performed of 87 consecutive paediatric patients (age range 22 months to 10 years, mean 4.8 years) who underwent successful cochlear implantation, with follow-up periods of 5–6 years. All patients had unilateral implants, with eight on the left side. All devices were activated two weeks after implantation. The effect of the middle-ear condition on the procedure, post-operative complications and outcome were evaluated.Results:Unilateral ears of 17 otitis media with effusion patients were implanted with some surgical difficulties but no long-term post-operative complications.Conclusion:For children admitted for cochlear implantation who are subsequently found to have otitis media with effusion, surgeons should be aware of possible surgical difficulties. Greater intra-operative risks should be anticipated and more surgical time allowed for cochlear implantation in these patients.

Download Full-text

Laser-assisted myringotomy versus conventional myringotomy with ventilation tube insertion in treatment of otitis media with effusion: Long-term follow-up

Interventional Medicine and Applied Science ◽

10.1556/imas.5.2013.1.3 ◽

2013 ◽

Vol 5 (1) ◽

pp. 16-20 ◽

Cited By ~ 1

Author(s):

Tarek Fouad Youssef ◽

Mohamed Rifaat Ahmed

Keyword(s):

Otitis Media ◽

Otitis Media With Effusion ◽

Ventilation Tube ◽

Tube Insertion ◽

Long Term Follow Up

Download Full-text

The acceptance of hearing aids for children with otitis media with effusion

The Journal of Laryngology & Otology ◽

10.1017/s0022215100143865 ◽

1999 ◽

Vol 113 (4) ◽

pp. 314-317 ◽

Cited By ~ 11

Author(s):

A. H. Jardine ◽

M. V. Griffiths ◽

E. Midgley

Keyword(s):

Otitis Media ◽

Hearing Aids ◽

Otitis Media With Effusion ◽

Binaural Hearing ◽

Long Term Effects ◽

Non Invasive ◽

Parents And Children ◽

Binaural Hearing Aids

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.

Download Full-text