Transmyringeal ventilation tube treatment in children: hearing outcome after 10 years.

Int J Pediatr Otorhinolaryngol

Department of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.

Published: February 2015

Objective: This ten-year cohort study intended to determine any hearing impairment and eardrum sequelae comparing children treated with ventilation tubes (VT) with an age- and gender-matched control group.

Methods: A cohort of children who received ventilation tubes in 1996 was during 2006 compared with a control group, with no history of VT treatment, using standard audiometry, high frequency audiometry and otomicroscopy.

Results: In the spectrum of the standard audiometry, the differences between the groups were minimal. In the high frequency spectrum, even in a subgroup with normal eardrums, there were significant and major differences with inferior hearing thresholds in treated ears compared with the ears of the control group. The ventilation tube treated group presented a higher prevalence of eardrum pathology.

Conclusion: The ears treated with ventilation tubes had significantly higher hearing levels than the control group in the high frequency spectrum. This could be caused by the history of middle ear disease, the VT treatment or both combined.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijporl.2014.12.004DOI Listing

Publication Analysis

Top Keywords

ventilation tubes
12
control group
12
high frequency
12
ventilation tube
8
treated ventilation
8
standard audiometry
8
frequency spectrum
8
transmyringeal ventilation
4
tube treatment
4
treatment children
4

Similar Publications

Robotic Bronchoplasty for Iatrogenic Bronchial Rupture After Endotracheal Tube Placement.

Ann Thorac Surg Short Rep

December 2024

Division of Thoracic and Cardiovascular Surgery, Lahey Hospital, Burlington, Massachusetts.

The double-lumen endotracheal tube (DLT) was introduced by Carlens in 1949 and became widely used for single-lung ventilation. DLTs have since become standard for most pulmonary resections. Although the use of DLTs is routine and safe in experienced hands, it is not without risk.

View Article and Find Full Text PDF

Objective: Recent advancements in chest tube technologies have gained interest for their ability to enhance postoperative recovery via reduction of retained blood syndrome after cardiothoracic surgery. The present study investigates the effect of the Centese Thoraguard automated line-clearance chest tube system on postoperative pain and recovery after cardiac surgery.

Methods: This was a single-center retrospective review of 1771 adult patients undergoing nonemergency cardiac surgery between January 2021 and December 2022.

View Article and Find Full Text PDF

Background: Development of ventilator-associated pneumonia (VAP) is attributed to the microaspiration of pooled secretions around the cuff of airway devices. Despite the emphasis on the use of endotracheal tubes (ET) with subglottic secretion (SS) drainage ports to prevent VAP, the quality of the evidence for this recommendation remains moderate. This prospective observational study analyzed microbiological concordance between SS and endotracheal aspirate (ETA) cultures to generate further evidence in this regard.

View Article and Find Full Text PDF

Lip ulcers associated with endotracheal tube fixation are a known complication in adults, but their prevalence in neonates and preterm infants remains unclear. We report a case of a right oral commissure ulcer that developed during endotracheal tube fixation at the right oral commissure and left lateral decubitus positioning in an extremely preterm infant with unilateral pulmonary interstitial emphysema (PIE). A male infant was born at 24 weeks and four days of gestation, weighing 696 gm.

View Article and Find Full Text PDF

Introduction: Healthcare-associated infections are an important cause of morbidity and mortality in the pediatric population and a growing problem in intensive care services. However, limited data are available on these infections in the Portuguese pediatric population. This study aimed to estimate its prevalence rate in a Portuguese pediatric intensive care unit, identifying the most frequent microorganisms and their antibiotic resistance profiles.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!