Stewart M G, Ohlms L A, Friedman E M, Sulek M, Duncan N O, Fernandez A D, Bautista M H
Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston, TX, USA.
Otolaryngol Head Neck Surg. 1999 Mar;120(3):340-4. doi: 10.1016/S0194-5998(99)70272-X.
We performed this study to assess whether parental perception of hearing loss predicted the results of audiometric testing in children with recurrent otitis media or persistent otitis media with effusion.
As part of a larger prospective observational outcomes study of children undergoing tympanostomy tube placement, the child's parent completed a standardized questionnaire before and after tube placement. In addition, patients underwent age-appropriate audiologic threshold and tympanometry testing before and after tube placement.
We enrolled 113 patients (median age, 2 years), and 93 (82%) completed follow-up. Before treatment, parental perception of hearing loss did not predict hearing threshold level. After tube placement, parental perception of hearing loss was also poorly correlated with change in threshold.
Parental perception of their child's hearing loss is a poor predictor of objective audiologic findings both before and after treatment with tympanostomy tubes. These findings have important implications concerning the importance of screening for hearing loss in children with otitis media with effusion.
我们开展这项研究，以评估家长对听力损失的认知是否能预测复发性中耳炎或持续性分泌性中耳炎患儿的听力测试结果。
作为一项针对接受鼓膜置管术儿童的更大规模前瞻性观察性结局研究的一部分，患儿家长在置管前后完成了一份标准化问卷。此外，患者在置管前后接受了适合其年龄的听力学阈值和鼓室图测试。
我们纳入了113例患者（中位年龄2岁），93例（82%）完成了随访。治疗前，家长对听力损失的认知不能预测听力阈值水平。置管后，家长对听力损失的认知与阈值变化的相关性也很差。
家长对其孩子听力损失的认知，无论是在鼓膜置管治疗前还是治疗后，都不能很好地预测客观听力学检查结果。这些发现对于筛查分泌性中耳炎患儿听力损失的重要性具有重要意义。
