Secretory otitis media and hearing loss

83 conclusions reached were that there is a relationship between the period of disease and the sensorineural hearing loss and that the local treatment with a mixture containing neomycin + polymyxin B appears to contribute to the worsening of the sensorineural hearing loss in patients with chronic otitis media. Our numbers are small and further studies must be done, but the fact that currently used ear drops may produce a sensorineural hearing loss should not be ignored. Early language milestone scale and language screening of young children Walker, D., Gugenheim, S., Downs, N.P. and Northern J.L. Pediain’cs (1989) 83/2 (284-288) The purpose of this project was to evaluate the use of the Early Language Milestone Scale (ELM) in screening language skills in young children. In this study, 657 children from birth to 36 months of age were evaluated with the ELM. The overall failure rate was 8%. Children who failed the ELM screening were evaluated with the Sequenced Inventory of Communication Development (SICD) that was used as the ‘gold standard’ for diagnosing language disorders. In the 12-month age and younger group, there was poor agreement between the ELN Scale and the SICD. For infants 13 to 24 months of age, there was moderately good agreement between the SICD and a second ELN that was administered 1 to 2 weeks after the initial screening. In the 25- to 26-month age group, there was excellent agreement between the SICD and a rescreen ELM. The agreement between the two instruments indicated that the rescreen ELN correctly classified 79% of the 13- to 24-month-old infants and 89% of the 25- to 36-month-old toddlers. Hypaque and steroids in the treatment of sudden sensorineural bearing loss Huang, T.-S., Cban, S.-T., Ho, T.-L., Su, J.-L. and Lee F.-P. Clin. Otolaryngol. Allied Sci. (1989) 14/l (45-51) While the origins of sudden sensorineural hearing loss remain unproven and treatment empirical, the most appropriate therapy remains a matter of controversy. In this paper we have analysed the current forms of treatment, i.e. diatrizoate meglumine, steroids and a vasodilator. The results suggest that although several related factors were shown to indicate a good prognosis regardless of the therapy, none of the currently available regimens produces consistently better results than the spontaneous recovery rate of 65% reported by Nattox & Simmons. Secretory otitis media and hearing loss Sorri, N. and Rantakallio, P. Acta Oto-Lmyngol. Suppl. (1989) 107/457 (94-99) Hearing losses at 15 years of age were investigated in a material of 11,780 children born in Northern Finland in 1966 and followed up since pregnancy. Two samples of the whole material, one representing a sample of 413 children with reported impaired hearing, and the other of 959 children with reported normal hearing were calculated to represent a total material of 11,748 cases. The correlation between the reported hearing and the audiometry results was very good. In the calculated material, 1,708 (14.6%) of the children exhibited a hearing loss exceeding 20 dB in at least one frequency in their school audiograms. The incidence of secretory otitis media as a risk diagnosis among those with impaired hearing was significantly higher than among those with normal hearing. Nost of the hearing losses were found in the high frequencies. A prospective randomized study of four commonly used tympanostomy tubes Weigel, N.T., Parker, N.Y., Coldsmitb, N.N., Posbna, D.S. and Pillsbury, H.C. Luryngoscope (1989) 99/3 (252-256) Tympanostomy tube placement has clearly been shown to be an efficacious treatment for recurrent bouts of acute otitis media or chronic otitis media with effusion. However, there are few objective, prospective, randomized studies present in the literature to aid the clinical otolaryngologist with the proper tube choice for middle ear aeration. A prospective, randomized study was undertaken of four commonly used tympanostomy tubes. Shepard Teflon@ grommet, Armstrong beveled tube, Reuter-Bobbin tube, and Goode T-tube. This study was undertaken to determine which of these tubes had the fewest number of postplacement complications, including otorrhea, plugging, residual perforation, or chronic persistence in the tympanic membrane. Average follow-up was 17 months. The Shepard and Armstrong tubes showed a