JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (4): 11-14.doi: 10.6040/j.issn.1673-3770.0.2014.291

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Diagnosis and treatment of otitis media with effusion in children with bilateral sensorineural deafness.

SUN Changzhi, LIU Wenlong, LI Yan, LUO Renzhong   

  1. Department of Otolaryngology, Guangzhou Women and Children's Hospital, Guangzhou 510623, Guangdong, China
  • Received:2014-08-31 Revised:2015-06-30 Online:2015-08-16 Published:2015-08-16

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Abstract: Objective To explore the clinical characteristics of otitis media with effusion (OME) in children with bilateral sensorineural deafness. Methods Clinical data of 17 pediatric OME patients (34 ears) with bilateral sensorineural deafness (Group A) and another 17 pediatric patients (34 ears) with simple OME (Group B) were reviewed. Incidences of middle air adhesion, and changes of auditory brainstem response (ABR) before and after operation were compared. Results In Group A, the primary symptom was hearing loss; 7 cases were misdiagnosed as sudden deafness, and 5 cases (7 ears) had middle ear adhesion; the response threshold of wave Ⅴ of ABR was improved from 0 to 30 dB nHL (average 17.3 dB nHL) after tympanostomy tube and the improvement had significant difference (P<0.05). In Group B, the primary symptoms included ear discomfort (15 cases) and hearing loss (2 cases), and 1 patient (1 ear) had middle ear adhesion. There was statistical difference between the two groups in the incidence of middle ear adhesion (P<0.05). Conclusion It is difficult to collect the history of pediatric patients with OME and bilateral sensorineural deafness, which is often misdiagnosed. Surgical intervention should be taken timely to prevent complications. Tympanostomy tube can effectively improve hearing in these patients.

Key words: Sensorineural deafness, Otitis media with effusion, Children, Misdiagnosis

CLC Number: 

  • R764.43
[1] 马锐, 田亮, 任冬冬. 大龄儿童腺样体肥大合并分泌性中耳炎临床诊断与听力特点[J]. 中国眼耳鼻喉科杂志, 2013, 13(3):159-162. MA Rui, TIAN Liang, REN Dongdong. Clinical diagnosis and audiological characteristics of otitis media with effusion in elder children combined with adenoid hypertrophy[J]. Clin J Ophthalmol Otorhinolaryngol, 2013, 13(3):159-162.
[2] da Costa S S, Rosito L P, Domelles C. Sensorineural hearing loss in patients with chronic otitis media[J]. Eur Arch Otorhinolaryngol, 2009, 266(2):221-224.
[3] Park C W, Han J H, Jeong J H, et al. Detection rates of bacteria in chronic otitis media with effusion in children[J]. J Korean Med Sci, 2004, 19(5):735-738.
[4] Yellon R F, Rose E, Kenna M A, et al. Sensorineural hearing loss from quinolinic acid:a neurotoxin in middle ear effusions[J]. Laryngoscope, 1994, 104(2):176-181.
[5] Jung T T, John E O, Park S K, et al. Effect of platelet activating factor with and without receptor antagonist (WEB2170) on morphology of isolated cochlear outer hair cells[J]. Ann Otol Rhinol Laryngol, 2004, 13(2):164-168.
[6] Cureoglu S, Schachern P A, Paparella M M, et al. Cochlear changes in chronic otitis media[J]. Laryngoscope, 2004, 114(4):622-626.
[7] Ichimiya I, Yoshida K, Hirano T, et al. Significance of spiral ligament fibrocytes with cochlear inflammation[J]. Int J Pediatr Otorhinolaryngol, 2000, 56(1):45-51.
[8] Hall A J, Munro K J, Heron J. Developmental changes in word recognition threshold from two to five years of age in children with different middle ear status[J]. Int J Audiol, 2007, 46(7):355-361.
[9] Paradise J L, Feldman H M, Campbell T F, et al. Tympanostomy tubes and developmental outcomes at 9 to 11 years of age[J]. N Engl J Med, 2007, 356(3):248-261.
[10] Pereira M B, Pereira D R, Costa S S. Tympanostomy tube sequelae in children with otitis media with effusion: a three-year follow-up study[J]. Braz J Otorhinolaryngol, 2005, 71(4):415-420.
[11] Lous J. Which children would benefit most from tympanostomy tubes (grommets)? A personal evidence-based review[J]. Int J Pediatr Otorhinolaryngol, 2008, 72(6):731-736.
[12] 陈倩, 罗仁忠, 黄振云, 等. 分泌性中耳炎患儿听性脑干反应的应用及特征[J]. 听力学及言语疾病杂志, 2009, 17(2):118-120. CHEN Qian, LUO Renzhong, HUANG Zhenyun, et al. The application and characteristic of auditory brainstem response in children with otitis media with effusion[J]. J Audiol Speech Pathol, 2009, 17(2):118-120.
[13] Schraff S A. Contemporary indications for ventilation tube placement[J]. Curr Opin Otolaryngol Head Neck Surg, 2008, 16(5):406-411.
[14] 中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉头颈外科学分会小儿学组. 儿童中耳炎诊断和治疗指南(草案)[J]. 中华耳鼻咽喉头颈外科杂志, 2008, 43(12):884-885. Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery, Pediatric Division, Chinese Otorhinolaryngology Head and Neck Surgery Society of Chinese Medical Association. Draft of guideline for the diagnosis and treatment of pediatric otitis media[J]. Chin J Otorhinolarynol Head Neck Surg, 2008, 43(12):884-885.
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