Yousefi Jaleh, Raeisi Zahra, Saeedi Masoumeh, Hasanalifard Mahdieh, Hosini Seyed Morteza, Abolghasemi Reyhaneh
New Hearing Technologies Research Center, Baqiyatallah University of Medical Sciences, Tehran, Islamic Republic of Iran; Department of ENT, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Islamic Republic of Iran.
New Hearing Technologies Research Center, Baqiyatallah University of Medical Sciences, Tehran, Islamic Republic of Iran.
Int J Pediatr Otorhinolaryngol. 2023 Apr;167:111498. doi: 10.1016/j.ijporl.2023.111498. Epub 2023 Feb 27.
Otitis media with effusion is one of the most common diseases among children. The purpose of this research is to investigate whether the resolvement of conductive hearing loss from the insertion of a ventilation tube also improves central auditory processing disorders in children with otitis media with effusion.
In this cross-sectional study, 20 children between 6 and 12 years old were diagnosed with otitis media with effusion and 20 normal children were included in the study. The central auditory processing status was evaluated in all patients before ventilation tube insertion and after six months by Speech Discrimination Score, Speech Reception Threshold, Words-in-Noise, Speech in Noise, Consonant Vowel in Noise tests, and the results were compared.
The mean score of Speech Discrimination Score and Consonant Vowel in Noise tests in the control group were significantly higher than the patient group before ventilation tube insertion and after surgery, in the patient group, the mean scores increased significantly. The mean scores of the Speech Reception Threshold, Words-in-Noise, and Speech in Noise tests in the control group were significantly lower than the patient group before ventilation tube insertion and after the operation, in the patient group, the mean scores significantly decreased. After VT insertion, these tests were close to the control group.
Restituting normal hearing by ventilation tube treatment improves central auditory abilities as shown in speech reception, speech discrimination, the ability to hear, the ability to recognize monosyllabic words, and the power of speech in the presence of noise.
中耳积液是儿童中最常见的疾病之一。本研究的目的是调查通过插入通气管解决传导性听力损失是否也能改善中耳积液患儿的中枢听觉处理障碍。
在这项横断面研究中，20名6至12岁被诊断为中耳积液的儿童和20名正常儿童被纳入研究。在所有患者插入通气管前及术后六个月，通过言语辨别得分、言语接受阈、噪声中的单词、噪声中的言语、噪声中的辅音元音测试评估中枢听觉处理状态，并比较结果。
在对照组中，言语辨别得分和噪声中的辅音元音测试的平均得分在插入通气管前和术后均显著高于患者组，在患者组中，平均得分显著提高。对照组中言语接受阈、噪声中的单词和噪声中的言语测试的平均得分在插入通气管前和术后均显著低于患者组，在患者组中，平均得分显著降低。插入通气管后，这些测试结果接近对照组。
通过通气管治疗恢复正常听力可改善中枢听觉能力，如言语接受、言语辨别、听力、识别单音节词的能力以及在噪声环境中的言语能力。
