Evidence map›Paper›PMID 38698162›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2024

The effect of tympanostomy tubes on otoacoustic emissions.

Aneesh A Patel, Peter C Weber, Jessica R Levi

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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3 authors.

Aneesh A PatelDepartment of Otolaryngology, Boston University Medical Center, 800 Harrison Ave, BCD Building, 5th Floor, Boston, MA, 02118, USA.
Peter C WeberDepartment of Otolaryngology, Boston University Medical Center, 800 Harrison Ave, BCD Building, 5th Floor, Boston, MA, 02118, USA.
Jessica R LeviDepartment of Otolaryngology, Boston University Medical Center, 800 Harrison Ave, BCD Building, 5th Floor, Boston, MA, 02118, USA. jessica.levi@bmc.org.ORCID http://orcid.org/0000-0002-5594-9374

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No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOtoacoustic emissions (OAE) are a common screening tool to evaluate cochlear function. Middle ear dysfunction has been shown to impact results of otoacoustic emission testing, but there are limited data on the effect of tympanostomy tubes on OAE. The purpose of this study was to determine whether tympanostomy tube placement significantly improved OAE.

methodsA retrospective review of charts was completed for patients younger than 18 years old who underwent tympanostomy tube placement from January 1, 2018 to September 1, 2023 and had preoperative and postoperative OAE testing within 6 months of surgery. The primary variable was presence of OAE preoperatively and postoperatively. Chi-square analysis and t test were used for statistical analysis.

resultsA total of 212 ears were examined from 111 pediatric patients who underwent tympanostomy tube placement during the study period. Presence of OAE at 3000, 4000, and 5000 Hz were all noted to significantly increase following tympanostomy tube placement, with OAE presence increasing from approximately 27.8% of the sample preoperatively to 95.3% postoperatively at 3000 and 4000 Hz. Patients who noted improvement had a significantly higher proportion of type B tympanogram preoperatively, compared to a higher proportion of type A tympanogram noted in patients who did not note improvement.

conclusionTympanostomy tubes can significantly improve otoacoustic emissions in patients with middle ear dysfunction.

Indexed as

Middle Ear VentilationOtoacoustic Emissions, SpontaneousAdolescentChildChild, PreschoolFemaleHumansInfantMaleRetrospective StudiesOtoacoustic emissionSerous otitis mediaTympanostomy

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