Department of Research, Boys Town National Research Hospital, Omaha, Nebraska, USA.
Department of Otolaryngology, Boys Town National Research Hospital, Omaha, Nebraska, USA.
Ear Hear. 2024;45(2):505-510. doi: 10.1097/AUD.0000000000001434. Epub 2023 Sep 28.
Clinical practice guidelines predicate the need for evaluation of hearing in children with otitis media with effusion (OME). The objective of this work was to characterize the completeness of hearing assessment results in children with OME.
Forty participants with OME completed two full audiological assessments, one in a clinical setting and a second in a research setting. An additional 14 participants without OME completed a single audiological assessment in the research setting as a control group. The success of various behavioral and objective audiometric tests in each setting was quantified and evaluated.
Findings indicate that ear-specific behavioral audiometric information is substantially limited in children with OME, particularly in clinical settings. In contrast, objective testing including tympanometry and otoacoustic emission testing was largely successful.
Ear-specific behavioral audiometric information is limited in children with OME and, consequently, consideration of these data for use as part of clinical decision making is also limited. Objective tests were more successful but are not direct measures of hearing.
临床实践指南预测需要对分泌性中耳炎（OME）患儿的听力进行评估。本研究的目的是描述 OME 患儿听力评估结果的完整性。
40 名 OME 患儿完成了两次完整的听力学评估，一次在临床环境中，一次在研究环境中。另外 14 名无 OME 的患儿作为对照组在研究环境中完成了单次听力学评估。对每种设置中各种行为和客观测听测试的成功率进行了量化和评估。
研究结果表明，OME 患儿的耳特异性行为听力学信息存在很大局限性，特别是在临床环境中。相比之下，客观测试包括鼓室图和声导抗测试，大部分都取得了成功。
OME 患儿的耳特异性行为听力学信息有限，因此，将这些数据作为临床决策的一部分使用也受到限制。客观测试更成功，但不是听力的直接测量。
