Fadlullah AKSOY, Yavuz Selim YILDIRIM, Bayram VEYSELLER, Hasan DEMİRHAN, Orhan ÖZTURAN

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Seröz otitis medialı çocuklarda distorsiyon ürünü otoakustik emisyon sonuçları

Amaç: Efüzyonlu otitis medialı çocuklarda ventilasyon tüpü öncesi ve sonrası distorsiyon ürünü otoakustik emisyon DÜOAE sonuçları ölçüldü ve değerlendirildi.Hastalar ve Yöntemler: Eylül 2007 - Mayıs 2008 tarihleri arasında kliniğimize başvuran, seröz otitis media tanısı konulan ve ameliyatla ventilasyon tüpü yerleştirilen toplam 30 hastanın 18 erkek, 12 kız; ort yaş 8.6 yıl; dağılım 6-15 yıl 41 kulağı ileriye yönelik tasarlanan bu klinik çalışmaya dahil edildi. Kontrol grubu olarak sağlıklı ve herhangi bir işitme sorunu olmayan 15 gönüllü bireyin 8 erkek, 7 kız; ort yaş 7.8 yıl; dağılım 5-15 yıl 30 kulağı çalışmaya alındı. Ameliyat için uygun olan çocukların ameliyat öncesi ve sonrası dört hafta timpanometri, saf ses odyometrisi ve DÜOAE ölçümleri yapıldı. Kontrol grubu DÜOAE değerleri ile ameliyat öncesi ve sonrası DÜOAE değerleri karşılaştırıldı.Bulgular: Ameliyat öncesi DÜOAE ölçümlerinde anormal timpanometrik bulguları olan 41 kulağın %80’ninde DÜOAE’ler alınmadı. Ameliyattan dört hafta sonra tüm hastalarda %92.6 oranında DÜOAE’ler alındı. Kontrol grubundaki 30 kulağın 29’unda %96.7 DÜOAE’ler alındı.Sonuç: Seröz otitis medialı hastalarda ventilasyon tüpü yerleştirildikten bir ay sonra ölçülen DÜOAE’ler ameliyat öncesi değerlere göre anlamlı derecede artmasına rağmen kontrol grubuna göre düşük kaldı
Anahtar Kelimeler:

Distorsiyon ürünü otoakustik emisyon, efüzyonlu otitis media, ventilasyon tüpü yerleştirilmesi

Distortion product otoacoustic emissions results in children with middle ear effusion

Objectives: To evaluate the role of distortion product otoacoustic emissions DPOAE results in children with middle-ear effusion before and after ventilation tube insertion. Patients and Methods: The study was conducted between the September 2007 and May 2008 at the Otolaryngology Clinic diagnosed with middle-ear effusion. A prospective study was carried out 30 patient 18 males, 12 females; mean age 8.6 years; range 6 to 15 years and a total of 41 ears with middle-ear effusion. A total of 30 ears of 15 volunteers healthy control group 8 males, 7 females; mean age 7.8 years; range 5 to 15 included in the study. All children listed for appropriate surgery had a pre- and postoperative four week after tympanometry, pure tone audiometry and DPOAE recorded. A comparison was made between control group DPOAE value and pre- and postoperative DPOAE value of patient. Results: Preoperatively, 41 ears had an abnormal tympanometry of which 80% had absent DPOAE. After four week all postoperative patients with surgery had 92.6% a normal DPOAE. Control group of 29/30 ears had a normal 96.7% DPOAE. Conclusion: Patients with otitis media with effusion measured preoperative DPOAE, postoperative after one month all patients with grommets had a more DPOAE value comparison with preoperative, but less for control group.
Keywords:

Distortion product otoacoustic emissions, otitis media with effusion, ventilation tube insertion,

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  • Bluestone CD, Klein JO. Definitions, terminology and classification. In: Bluestone CD, Klein JO, editors. Otitis media in infants and children. 4. Hamilton, Ontario: BC Decker; 2007. p. 1-29.
  • Akyıldız N. Kulak hastalıkları ve mikrocerrahisi. Vol. 1. Ankara: Bilimsel Tıp Yayınevi; 1998. s. 275-325.
  • Williamson I. Otitis media with effusion. Clin Evid 2002;7:469-76.
  • Kemp DT. Stimulated acoustic emissions from within the human auditory system. J Acoust Soc Am 1978; 64:1386-91.
  • Rosenfeld RM, Culpepper L, Doyle KJ, Grundfast KM, Hoberman A, Kenna MA, et al. Clinical practice guideline: otitis media with effusion. Otolaryngol Head Neck Surg 2004;130(5 Suppl):S95-118.
  • Saleem Y, Ramachandran S, Ramamurthy L, Kay NJ. Role of otoacoustic emission in children with middle-ear effusion and grommets. J Laryngol Otol 2007;121:943-6.
  • Yeo SW, Park SN, Park YS, Suh BD. Effect of middle- ear effusion on otoacoustic emissions. J Laryngol Otol 2002;116:794-9.
  • Özturan O, Lew H, Jerger J. Otoakustik emisyonlar ve klinik uygulamaları. Kulak Burun Boğaz İhtisas Dergisi 1994;2:194-205.
  • Paradise JL, Feldman HM, Campbell TF, Dollaghan CA, Colborn DK, Bernard BS, et al. Early versus delayed insertion of tympanostomy tubes for per- sistent otitis media: developmental outcomes at the age of three years in relation to prerandomization ill- ness patterns and hearing levels. Pediatr Infect Dis J 2003;22:309-14.
  • Chang KW, Vohr BR, Norton SJ, Lekas MD. External and middle ear status related to evoked otoacoustic emission in neonates. Arch Otolaryngol Head Neck Surg 1993;119:276-82.
  • Knight RD, Kemp DT. Indications of different distor- tion product otoacoustic emission mechanisms from a detailed f1,f2 area study. J Acoust Soc Am 2000; 107:457-73.
  • Smurzynski J, Probst R. Intensity discrimination, temporal integration and gap detection by normally- hearing subjects with weak and strong otoacoustic emissions. Audiology 1999;38:251-6.
  • Ueda H, Nakata S, Hoshino M. Effects of effusion in the middle ear and perforation of the tympanic mem- brane on otoacoustic emissions in guinea pigs. Hear Res 1998;122:41-6.
  • Chang SO, Jang YJ, Rhee CK. Effects of middle ear effusion on transient evoked otoacoustic emissions in children. Auris Nasus Larynx 1998;25:243-7.
  • Nozza RJ, Sabo DL, Mandel EM. A role for otoacoustic emissions in screening for hearing impairment and middle ear disorders in school-age children. Ear Hear 1997;18:227-39.
  • Amedee RG. The effects of chronic otitis media with effusion on the measurement of transiently evoked otoacoustic emissions. Laryngoscope 1995;105:589-95.
  • Park SN, Park KH, Park SY, Jeon EJ, Chang KH, Yeo SW. Clinical and biochemical factors that affect DPOAE expressions in children with middle ear effu- sion. Otolaryngol Head Neck Surg 2007;136:23-6.
  • Topolska MM, Hassman E, Baczek M. The effects of chronic otitis media with effusion on the mea- surement of distortion products of otoacoustic emis- sions: presurgical and postsurgical examination. Clin Otolaryngol Allied Sci 2000;25:315-20.
  • Tas A, Yagiz R, Uzun C, Adali MK, Koten M, Tas M, et al. Effect of middle ear effusion on distortion product otoacoustic emission. Int J Pediatr Otorhinolaryngol 2004;68:437-40.
  • Akdogan O, Ozkan S. Otoacoustic emissions in chil- dren with otitis media with effusion. Int J Pediatr Otorhinolaryngol 2006;70:1941-4.
  • Koivunen P, Uhari M, Laitakari K, Alho OP, Luotonen J. Otoacoustic emissions and tympanometry in chil- dren with otitis media. Ear Hear 2000;21:212-7.
  • Yeo SW, Park SN, Park YS, Suh BD. Prognostic value of otoacoustic emissions in children with middle ear effu- sion. Otolaryngol Head Neck Surg 2003;129:136-40.
  • Gravel JS, Roberts JE, Roush J, Grose J, Besing J, Burchinal M, et al. Early otitis media with effusion, hearing loss, and auditory processes at school age. Ear Hear 2006;27:353-68.
The Turkish Journal of Ear Nose and Throat-Cover
  • ISSN: 2602-4837
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1991
  • Yayıncı: İstanbul Üniversitesi
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