PMID: 11309057Apr 20, 2001Paper

Risk factors for persistence of bilateral otitis media with effusion

Clinical Otolaryngology and Allied Sciences
MRC Multi-centre Otitis Media Study Group

Abstract

Otitis media with effusion (OME) is a common, episodic condition in childhood. The subset that has persistent bilateral OME is important to identify so that their management can be targeted. Most guidelines suggest a watchful-waiting period before a decision is made on the appropriateness of surgical intervention. In the UK this usually takes place in a specialist setting (otorhinolaryngology) over a period of 12 weeks. A cohort of children (n = 639), between the ages of 3.25 and 6.75 years with bilateral OME that had no previous ear or throat surgery, was followed up over 12 weeks during the recruitment phase of a multi-centre, randomised controlled study. This allowed multiple factors for persistence to be assessed. The overall spontaneous resolution rate in this cohort was between 26% and 65%, depending on the audiometric cut-off by which a persisting condition was defined. Three significant risk factors-time of year when first seen (July to December); hearing level (>or= 30 dB HL in the better ear); and a route of referral that included prior audiometry--were identified in the multivariate analysis for persistent OME both in isolation and when accompanied by each of three audiometric cut-offs (>or= 15, >or= 20 and >or= 25dB...Continue Reading

References

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Sep 21, 2000·British Journal of Audiology·UNKNOWN MRC Multi-centre Otitis Media Study Group

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Citations

May 23, 2003·Current Infectious Disease Reports·Christopher C. Butler, R. Gareth Williams
May 13, 2004·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Richard M RosenfeldUNKNOWN American Academy of Otolaryngology--Head and Neck Surgery
Apr 22, 2008·The Journal of Laryngology and Otology·S HenneyC Watson
Mar 13, 2008·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Narayanan ViswanathanBruce Richard
Oct 31, 2008·International Journal of Pediatric Otorhinolaryngology·UNKNOWN MRC Multi-centre Otitis Media Study Group
Jun 28, 2005·International Journal of Pediatric Otorhinolaryngology·Richard M Rosenfeld
May 13, 2011·The Cochrane Database of Systematic Reviews·Sharon A SimpsonChristopher C Butler
Oct 12, 2010·The Cochrane Database of Systematic Reviews·George G BrowningMartin J Burton
Apr 15, 2004·Journal of Developmental and Behavioral Pediatrics : JDBP·Joanne RobertsIna Wallace
Feb 11, 2005·The Annals of Otology, Rhinology & Laryngology. Supplement·Kathleen A DalyKari Jorunn Kvaerner

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