Diana's Blog

Thursday, February 14, 2008

February 14, 2008

This week I saw few clients on Monday, but clinic was canceled today. I saw a really adorable 5 year old as part of her speech diagnostic on Monday. During the case history, the mother said that the little girl had PE tubes when she was a baby and they had dropped out around 10 months-1 year. The little girl had type B tymps in the left ear and type C in the right. Her pure tone air conduction thresholds reflected this, with the left ear thresholds being 5-10 dB poorer than the right ear. We recommended that the mother seek medical advice on how to alleviate the fluid in the little girl's ears.

I found a really interesting article on otitis media with effusion, hearing loss, and auditory processes at school age. The authors of the article wanted to examine the effect of conductive hearing loss secondary to otitis media with effusion in the first 3 years of life on physiologic peripheral, and higher-order behavioral auditory measures examined at school age. The authors found that there was a significant association of peripheral hearing loss at the school age if the children had OME. They also found that hearing loss in early life and OME were significantly associated with the acoustic middle ear muscle reflex. They also found significant correlation between early OME and early HL when examining ABR Wave V latency.

Reference:
Gravel, J.S., Roberts, J.E., Roush, J., Grose, J., Besing, J., Burchinal, M., Neebe, E., Wallace, I.F., and Zeisel, S. (2006). Early otitis media with effusion, hearing loss, and auditory processes at school age. Ear & Hearing (27) 4. 353-368.

If you would like to read this article, please copy the following link and paste it in your browser.
http://ovidsp.tx.ovid.com/spb/ovidweb.cgi?WebLinkFrameset=1&S=GHFAFPBKDGDDLEEENCILKHMJBMPPAA00&returnUrl=http%3a%2f%2fovidsp.tx.ovid.com%2fspb%2fovidweb.cgi%3f%26Full%2bText%3dL%257cS.sh.15.16%257c0%257c00003446-200608000-00004%26S%3dGHFAFPBKDGDDLEEENCILKHMJBMPPAA00&directlink=http%3a%2f%2fgraphics.tx.ovid.com%2fovftpdfs%2fFPDDNCMJKHEEDG00%2ffs046%2fovft%2flive%2fgv023%2f00003446%2f00003446-200608000-00004.pdf&filename=Early+Otitis+Media+with+Effusion%2c+Hearing+Loss%2c+and+Auditory+Processes+at+School+Age.

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