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中耳积液儿童使用耳通气球治疗对听力的作用

Contribution of Treatment with Ear Popper for Hearing in Children with Middle Ear Effusion.

作者信息

Priner Ronit, Ilan Ophir

机构信息

The Faculty of Communication Disorder, Hadassah Academic College, Jerusalem 9422408, Israel.

Department of Otolaryngology-Head & Neck Surgery, Hadassah Medical Center, Jerusalem 91120, Israel.

出版信息

Children (Basel). 2024 Jun 18;11(6):744. doi: 10.3390/children11060744.

Abstract

OBJECTIVES

we aim to assess the contribution of the EarPopper device to hearing in children with middle ear effusion (MEE).

METHODS

The study has three parts, including 1. tympanometry and audiometry before and six weeks after using the EarPopper to evaluate the treatment's effect over time compared to a control group; 2. tympanometry before and immediately after using the EarPopper to evaluate immediate changes in middle ear pressure (MEP); 3. length of effect 90 min after use to assess pressure fluctuations over time.

RESULTS

Part 1 was a follow-up six weeks after using the device, and the patients in the study group that completed the study showed a significant improvement in hearing threshold. The average gain in hearing threshold ranged from 9.1 dB to 14 dB compared to the control group's max improvement of 1.1 dB. In addition, MEP was significantly improved in the study group, as most Type Bs improved to Type A and C. Part 2 was the tympanometry immediately after using EarPopper and showed the majority of Type Cs turned into Type As. The majority of Type Bs remained unchanged. Part 3 was a follow-up 90 min after use; Type Cs that had improved to Type A demonstrated a decrease in pressure and return to negative pressure.

CONCLUSIONS

use of the EarPopper device for six weeks is associated with an improved hearing threshold and middle ear status.

摘要

目的

我们旨在评估EarPopper装置对中耳积液(MEE)患儿听力的影响。

方法

该研究分为三个部分,包括:1. 使用EarPopper前后及六周后的鼓室图和听力测定,以评估与对照组相比随时间推移该治疗的效果;2. 使用EarPopper前后即刻的鼓室图,以评估中耳压力(MEP)的即刻变化;3. 使用后90分钟的效果时长,以评估随时间的压力波动。

结果

第一部分是使用该装置六周后的随访,完成研究的研究组患者听力阈值有显著改善。与对照组最大改善1.1 dB相比,听力阈值的平均增益范围为9.1 dB至14 dB。此外,研究组的MEP有显著改善,因为大多数B型转为A型和C型。第二部分是使用EarPopper后即刻的鼓室图,显示大多数C型转为A型。大多数B型保持不变。第三部分是使用后90分钟的随访;已改善为A型的C型显示压力下降并恢复为负压。

结论

使用EarPopper装置六周与听力阈值和中耳状况的改善相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4f9/11201665/5b3f45f9c251/children-11-00744-g001a.jpg

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