To Assess Hearing Outcome following Tympanostomy Tube Insertion in Otitis Media with Effusion
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 5, Pages 361-369
Abstract
Background: Otitis Media with Effusion (OME) is the effusion in middle ear and is commonly seen in children. It causes conductive hearing loss and increased risk of acute middle ear infections. It is mostly a paediatric problem, and leads to poor scholastic performance. It may be managed medically or surgically and surgical management includes grommet insertion or concurrent adenoidectomy with grommet insertion. Our study evaluates the use of ventilationtubes in management of OME. To study the symptomatology of otitis media with effusion (OME), to assess hearing following tympanostomy tube insertion and to determine the complications of tube insertion procedure.Materials and Methods: This was prospective study done at Jawaharlal Nehru Medical College and Hospital, Bhagalpur from July 2021 to March 2022. Fifty patients of otitis media with effusion were studied and underwent Grommet/ventilation tube insertion and they were followed up or 1, 3 and 6 month interval to determine the improvement in hearing ability.
Results: Patient age ranged from 6 years to 50 years and the male to female ratio was 1.17:1. Both the ears were found to be equally involved. A total of 27 (54%) cases had average of 11 to 20 dB hearing loss by PTA. Most common type of impedance was B type seen in 40 (80%) cases. The overall complication rate in our study was 9 cases, ie 18%. Pure tone audiometry (PTA) is important to evaluate hearing outcome and these readings gradually improved post operativelycorresponding to improvement in the hearing capacity of the affected subjects.
Conclusion: Otitis media with effusion (OME) has varied clinical presentation; it is more common in children and adolescents without any gender preponderance. Tympanostomy tube insertion is one of the ideal treatment choices for Otitis Media with effusion with significant improvement in post-operative PTA readings which can lead to a better quality of life.
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