Hearing Levels in Pierre Robin Syndrome

1995 ◽  
Vol 32 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Jadranka Handžić ◽  
Marijo Bagatin ◽  
Radovan Subotić ◽  
Višeslay Ćuk
Keyword(s):  
Hearing Loss ◽  
Middle Ear ◽  
Cleft Lip ◽  
Middle Ear Effusion ◽  
Pierre Robin Syndrome ◽  
Ear Malformations ◽  
Ventilation Tubes ◽  
Pierre Robin ◽  
Ear Effusion ◽  
Air Conduction

Hearing was tested in 18 patients with Pierre Robin syndrome (PRS). These results were compared with those obtained for 243 patients with either cleft lip or cleft palate, or both. None of the PRS group patients had middle ear or inner ear malformations, or sensorineural hearing loss in speech frequencies. Hearing loss in PRS is usually conductive, bilateral, and more frequent in PRS patients (30 ears or 83.33%) than in patients who do not have PRS (290 ears or 59.67%). A significantly higher (p < .01) mean of hearing loss for air conduction in speech frequencies (MHLSF = 24.5 dB) was found in PRS patients than in patients without PRS (MHLSF = 17.8 dB). The ears of the PRS patients with hearing loss were examined, revealing middle ear effusion. In all cases, hearing was restored to a normal level through suction and the use of ventilation tubes.

scholarly journals The management of acute otitis media

1984 ◽  
Vol 22 (14) ◽  
pp. 53-54
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Clinical Examination ◽  
Middle Ear ◽  
Acute Otitis Media ◽  
Infectious Complications ◽  
Middle Ear Effusion ◽  
Suppurative Otitis Media ◽  
Painful Condition ◽  
Ear Effusion

Acute suppurative otitis media (AOM) is a common, painful condition affecting 20% of children under 4 years at least once a year,1 and perhaps more in infancy when clinical examination is most difficult. Infectious complications such as mastoiditis, meningitis and cerebral abscess are now rare, but chronic middle ear effusion and hearing loss remain common. Hearing loss may persist long after the infective episode,2 and may impair learning.

Acoustic reflectometry for assessment of hearing loss in children with middle ear effusion

1990 ◽  
Vol 9 (12) ◽  
pp. 870-872 ◽  
Author(s):  
DAVID W. TEELE ◽  
IAN A. STEWART ◽  
JOHN H. TEELE ◽  
DALE K. SMITH ◽  
SIMON J. TREGONNING
Keyword(s):  
Hearing Loss ◽  
Middle Ear ◽  
Middle Ear Effusion ◽  
Ear Effusion

scholarly journals Nonsurgical Home Treatment of Middle Ear Effusion and Associated Hearing Loss in Children. Part I: Clinical Trial

2005 ◽  
Vol 84 (9) ◽  
pp. 567-578 ◽  
Author(s):  
Daniel S. Arick ◽  
Shlomo Silman
Keyword(s):  
Clinical Trial ◽  
Hearing Loss ◽  
Middle Ear ◽  
Home Treatment ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Middle Ear Effusion ◽  
Home Setting ◽  
Normal Limits ◽  
Ear Effusion

We conducted a randomized, controlled clinical trial to investigate the efficacy of treatment of persistent middle ear effusion (MEE) and associated hearing loss with a modified Politzer device used in the home setting over a 7-week period. Efficacy was determined by comparing pre-and post therapy air-conduction thresholds, tympanometric peak pressures, and otoscopic findings. The study group was made up of 94 children (174 ears), aged 4 to 11 years, who had at least a 2-month history of MEE and associated hearing loss. At study's end, patients in the treatment group experienced statistically significant improvements in all measured outcomes; no significant improvements were seen in the control group in all measured outcomes. At study's end, the hearing sensitivity of 73.9% of the treated ears was within normal limits, compared with only 26.7% of the control ears. These findings demonstrate that home treatment of children with persistent MEE and associated hearing loss with the modified Politzer device is highly efficacious.

Nonsurgical Management of Otitis Media with Effusion

1980 ◽  
Vol 89 (3_suppl) ◽  
pp. 301-302 ◽  
Author(s):  
G. Howard Gottschalk
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Medical Management ◽  
Otitis Media With Effusion ◽  
Middle Ear Effusion ◽  
Nonsurgical Management ◽  
Middle Ear Ventilation ◽  
Ventilation Tubes ◽  
Proper Diagnosis ◽  
Ear Effusion

Otitis media with effusion can be successfully treated without the use of middle ear ventilation tubes. Middle ear inflation will, if performed properly, empty most ears as effectively as direct suction through a myringotomy incision. Over 12,000 patients with middle ear effusion have responded to conservative treatment which includes medical management aided by middle ear inflations using a modification of the classic politzerization technique. The technique of controlled middle ear inflation is described and the proper medical management discussed. The avoidance of oral decongestants is stressed as is the proper diagnosis and treatment of the etiological factors causing the formation of the fluid.

scholarly journals Importance of early ventilation tubes insertion in chronic otitis media with effusion in children with congenital cleft palate

2018 ◽  
Vol 75 (3) ◽  
pp. 253-259
Author(s):  
Vladan Subarevic ◽  
Nenad Arsovic ◽  
Radoje Simic ◽  
Katarina Stankovic
Keyword(s):  
Cleft Palate ◽  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Speech Development ◽  
Middle Ear Effusion ◽  
Ventilation Tubes ◽  
Congenital Cleft ◽  
Ear Effusion

Background/Aim. Otitis media with effusion (OME) is almost universal in children with cleft palate with an incidence of more than 90%, but the approach to managing this problem varies significantly among authors. The Eustachian tube dysfunction is the main factor that leads to the presence of the middle ear effusion. This is especially prominent in children with congenital cleft palate and explains the prolonged course of this process. The objective of this study was to determine the effectiveness of early ventilation tubes insertion in children with cleft palate at the time of palatoplasty by monitoring the course and duration of the disease as well as development of complications. Methods. In the prospective study with predefined regular follow-up intervals and parameters, the two groups of children were observed. The group one (E) included 45 children with congenital cleft palate who underwent the early insertion of ventilation tubes during palatoplasty, and the group two (C) had the same number of children with cleft palate who were treated conservatively on an as-needed basis. Assessment parameters were findings of otomicroscopy, tympanometry, play and pure tone audiometry. Each child was followed-up for 5 full years at total of nine follow-up examinations. Results. Result analysis showed that there were no statistically important differences between the two study groups in terms of the course and duration of the presence of the middle ear effusion, or in terms of complications and speech development. Conclusion. Based on the results obtained, we can conclude that there is no significant benefit in early ventilation tubes insertion in children with cleft palate, therefore our recommendation is watchful waiting and a conservative treatment on an as-needed basis, with the ventilation tubes insertion when a surgeon, based on his or her experience and individual findings considers it necessary.

Impedance Bridge (Tympanometer) As a Screening Device in Schools

PEDIATRICS ◽  
1987 ◽  
Vol 79 (3) ◽  
pp. 472-472
Author(s):  
Keyword(s):  
Hearing Loss ◽  
Middle Ear ◽  
Pure Tone ◽  
School Health ◽  
Otitis Media With Effusion ◽  
Pure Tone Audiometry ◽  
Middle Ear Effusion ◽  
Screening Programs ◽  
Ear Effusion ◽  
Impedance Bridge

STATEMENT OF PROBLEM There is confusion in schools about the proper use of the impedance bridge. Some groups recommend its use as a substitute for audiometry and suggest physician referral on the basis of an abnormal tympanogram. In our opinion this is inappropriate. BACKGROUND The impedance bridge primarily detects asymptomatic middle ear effusion. This effusion may cause a conductive hearing loss (rarely greater than 20 to 30 dB). There is no consensus as to the advisability of treating this effusion, because it usually remits spontaneously within 2 to 3 months. RECOMMENDATIONS The Committee on School Health recommends that (1) the impedance bridge should not be used in mass screening programs for the detection of hearing loss or middle ear effusion; (2) the impedance bridge may be used in the school setting only as an aid in the diagnosis of individual children who are at high risk for, or who are suspected of having, otitis media with effusion; (3) hearing screening by pure-tone audiometry be used as the primary method of detection of hearing loss in school children; (4) the impedance bridge not be used as a replacement for audiometric screening, because it will not detect sensory neural hearing loss and may lead to overreferral of children with asymptomatic middle ear effusion; (5) any persistent abnormality detected by either the impedance bridge or pure-tone audiometry should result in a prompt referral to the child's pediatrician.

Pierre Robin syndrome: characteristics of hearing loss, effect of age on hearing level and possibilities in therapy planning

1996 ◽  
Vol 110 (9) ◽  
pp. 830-835 ◽  
Author(s):  
Jadranka Handžić-Ćuk ◽  
Višeslav Ćuk ◽  
Ranko Rišavi ◽  
Vladimir Katić ◽  
Damir Katušić ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Social Contact ◽  
Hearing Level ◽  
Pierre Robin Syndrome ◽  
Ventilation Tubes ◽  
Temporal Bones ◽  
Isolated Cleft Palate ◽  
Conductive Hearing ◽  
Pierre Robin ◽  
Effect Of Age

AbstractHearing loss was studied in 22 patients with Pierre Robin syndrome (PRS) aged three to 12 years (median 5.0 years). The results were compared to those obtained in 62 patients with isolated cleft palate (ICP) aged one to 27 years (median 5.5 years). Hearing loss was more frequently found in PRS (73.3 per cent) than in ICP (58.1 per cent) patients (p = 0.02). PRS patients had more ears with moderate (21–40 dB) and severe (>40 dB) hearing loss, disturbing their social contact, with no tendency to normalization with age (Spearman r = 0.065). In contrast to PRS, ICP patients showed a significant tendency to hearing level normalization with ageing (Spearman r = −0.453; p = 0.001). Planigraphs of temporal bones showed inadequately developed pneumatization of the mastoid bone in all PRS patients and in most ICP patients. No malformation of the inner or middle ear was found in either group. PRS patients have a significantly higher risk of conductive hearing loss than those with ICP. Use of tympanostomy (ventilation) tubes is therapy of choice in patients with Pierre Robin syndrome, and it should be introduced as early as possible, even at the same time as palatoplasty.

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