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鼓膜造瘘管与未来助听设备的关联：一项基于人群的研究。

Association of tympanostomy tubes with future assistive hearing devices-a population based study.

机构信息

Department of Otolaryngology, Kingston Health Sciences Centre, Queen's University, Kingston, 144 Brock Street, Kingston, Ontario, K7L 5G2, Canada.

ICES Adjunct Scientist ICES Queen's, Queen's University School of Medicine, Kingston, 144 Brock Street, Kingston, Ontario, K7L 5G2, Canada.

出版信息

BMC Pediatr. 2020 Feb 18;20(1):76. doi: 10.1186/s12887-020-1977-6.

DOI:10.1186/s12887-020-1977-6
PMID:32070307
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7027285/
Abstract

BACKGROUND

Ear (tympanostomy) tube (TT) placement is a common ambulatory surgery in children. Despite the commonality of this treatment, the long-term effects are unknown. The objective of this study was to determine the rate of permanent hearing loss, as measured by use of a rehabilitative hearing device.

METHODS

A retrospective comprehensive population-based cohort study was performed, evaluating all hospitals in the Canadian province of Ontario. Three cohorts of children were constructed: TT - at least one ear tube procedure (n = 193,880), No-TT -recurrent visits to a physician for middle ear disease, did not undergo ear tubes (n = 203,283), and Control - an age/sex matched group who had not undergone ear tubes and who didn't have repeat physician visits for middle ear disease (n = 961,168). The main outcome measures were risk and odds ratio (OR) of rehabilitative hearing devices.

RESULTS

The TT cohort had a higher risk of obtaining a hearing aid (OR 4.53 vs. No-TT, p < 0.001; OR 10.81 vs. Control, p < 0.001), an FM system (OR 3.84 vs. No-TT, p < 0.001; OR 15.13 vs. Control, p < 0.001), and an implanted bone conduction device (OR 5.08 vs. No-TT, p < 0.001; OR 15.67 vs. Control, p < 0.001).

CONCLUSIONS

An association between ear tube placement and long-term need for a rehabilitative hearing device was found. This association warrants future prospective research in this area.

摘要

背景

鼓膜置管（TT）是儿童常见的门诊手术。尽管这种治疗方法很常见，但长期效果尚不清楚。本研究的目的是确定使用康复听力设备测量的永久性听力损失率。

方法

进行了一项回顾性的基于人群的综合队列研究，评估了加拿大安大略省的所有医院。构建了三组儿童队列：TT-至少一只耳朵管程序（n=193880）、No-TT-因中耳疾病多次就诊但未行耳部管（n=203283）和 Control-未行耳部管且未因中耳疾病重复就诊的年龄/性别匹配组（n=961168）。主要结局指标为康复听力设备的风险和比值比（OR）。

结果

TT 组获得助听器（OR 4.53 比 No-TT，p<0.001；OR 10.81 比 Control，p<0.001）、FM 系统（OR 3.84 比 No-TT，p<0.001；OR 15.13 比 Control，p<0.001）和植入骨导装置（OR 5.08 比 No-TT，p<0.001；OR 15.67 比 Control，p<0.001）的风险更高。

结论

发现鼓膜置管与长期需要康复听力设备之间存在关联。这一关联需要在该领域进行未来的前瞻性研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d3/7027285/48166b54b602/12887_2020_1977_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d3/7027285/52cfc48be81f/12887_2020_1977_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d3/7027285/48166b54b602/12887_2020_1977_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d3/7027285/52cfc48be81f/12887_2020_1977_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d3/7027285/48166b54b602/12887_2020_1977_Fig2_HTML.jpg

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本文引用的文献

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Otol Neurotol. 2019 Apr;40(4):478-484. doi: 10.1097/MAO.0000000000002145.
2
Do race/ethnicity or socioeconomic status affect why we place ear tubes in children?种族/族裔或社会经济地位会影响我们给儿童置入耳管的原因吗？
Int J Pediatr Otorhinolaryngol. 2016 Sep;88:98-103. doi: 10.1016/j.ijporl.2016.06.029. Epub 2016 Jun 11.
3
Tracking tympanostomy tube outcomes in pediatric patients with otitis media using an electronic database.
J Mol Med (Berl). 2021 Nov;99(11):1571-1583. doi: 10.1007/s00109-021-02118-7. Epub 2021 Jul 28.
Int J Pediatr Otorhinolaryngol. 2015 Aug;79(8):1275-8. doi: 10.1016/j.ijporl.2015.05.029. Epub 2015 Jun 11.
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The impact of ventilation tubes in otitis media on the risk of cholesteatoma on a national level.全国范围内中耳炎通气导管对胆脂瘤风险的影响。
Int J Pediatr Otorhinolaryngol. 2015 Apr;79(4):605-9. doi: 10.1016/j.ijporl.2015.02.005. Epub 2015 Feb 11.
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Surgical treatments for otitis media with effusion: a systematic review.分泌性中耳炎的手术治疗：系统评价。
Pediatrics. 2014 Feb;133(2):296-311. doi: 10.1542/peds.2013-3228. Epub 2014 Jan 6.
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Int J Pediatr Otorhinolaryngol. 2013 Feb;77(2):241-7. doi: 10.1016/j.ijporl.2012.11.008. Epub 2012 Dec 6.
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