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Anales de Otorrinolaringología Mexicana

2014, Number 2

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Otorrinolaringología 2014; 59 (2)

Hearing Characteristics in Pediatric Patients with Hearing Loss Secondary to Otitis Media with Efussion After the Use of Ventilation Tubes

Rueda-Rodríguez A, Campos-Navarro LA

Language: Spanish
References: 27
Page: 102-112
PDF size: 354.23 Kb.


ABSTRACT

Background: Otitis media with effusion is the commonest pathology and the main cause of conductive hearing loss in the pediatric age, with a high incidence in children younger than four years. Eustachian tube dysfunction is a predisposing and frequent factor of this disease. The hearing loss in children younger than 4 years deserves an early diagnosis to avoid complications in the development of the language, learning and structural damage to the middle ear. Surgical management is reserved for the age group of high risk with risk factors that limit a spontaneous remission. Grommets placement is the initial procedure recommended in patients who require active management.
Objective: To assess the hearing of pediatric patients with hearing loss secondary to otitis media with effusion subsequent to the placing of grommets ventilation tubes.
Patients and method: A prospective, observational and comparative study was done including 11 pediatric patients from 2 to 6 years of age with hearing loss by otitis media with effusion who have been planted grommets ventilation tubes. Hearing and mobility of the tympanic membrane were assessed using audiometry and tympanometry three and six months after placement of the grommets ventilation tubes. Statistical analysis was done by central tendency and non parametric tests.
Results: The installation of ventilation tubes improved hearing in patients with otitis media with effusion; conductive hearing losses were reversible in patients diagnosed with otitis media with effusion after placement of ventilation tubes; there was no clinical or audiologic postoperative difference among patients who underwent installation of ventilation tube and other procedures and the alterations in the impedance analysis of patients with otitis media with effusion were reduced with the installation of ventilation tube.
Conclusion: Patients with otitis media with effusion and no answer to medical treatment improved in clinical and audiologic terms with the installation of ventilation tubes, thus, this should be considered a therapeutic alternative.


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