Speech reception in noise: an indicator of benefit from otitis media with effusion surgery

Clinical Otolaryngology and Allied Sciences
MRC Multicentre Otitis Media Study Group

Abstract

To determine possible selection criteria for ventilation tubes (VTs - grommets), in otitis media with effusion (OME), a randomized trial on 68 children was undertaken. To provide both a baseline predictor and outcome measure in auditory disability, speech-in-noise thresholds were obtained with the IHR-McCormick Automated Toy Test (SiN ATT). Children allocated to surgery (n = 32) and control (n = 36) were followed-up at 3 and 12 months postintervention. Baseline SiN ATT score provided a significant by-treatment interaction in predicting the performance at +3 months, establishing it as an evidence-based indicator. Although average benefits on hearing level score (HL) were also shown, baseline HL was not a valid indicator (no significant interaction). The 40% of the sample with worst baseline SiN experienced high benefit from VTs. In children over 3 years of age, baseline SiN performance can indicate those with OME most likely to benefit from VTs.

References

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Oct 27, 2001·Clinical Otolaryngology and Allied Sciences·UNKNOWN Medical Research Council Multicentre Otitis Media Study Group

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Citations

Aug 16, 2012·The Journal of Laryngology and Otology·V PossamaiD Skinner
Jan 10, 2016·International Journal of Pediatric Otorhinolaryngology·Maj-Britt Glenn LauritsenJørgen Lous
Oct 3, 2009·International Journal of Pediatric Otorhinolaryngology·R G CampbellL Morgan
Aug 23, 2005·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·J M Higson, UNKNOWN MRC Multi-Centre Otitis Media Study Group
Aug 9, 2018·Scientific Reports·Arwa KurabiAllen F Ryan
Dec 14, 2011·Current Opinion in Allergy and Clinical Immunology·Raewyn Campbell
Nov 15, 2016·International Journal of Audiology·Ting Cai, Bradley McPherson
Jun 24, 2017·Disability and Rehabilitation·Ting CaiFeng Yang

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