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The assessment of hearing results following surgery for otitis media with effusion using the Glasgow Benefit Plot

Published online by Cambridge University Press:  29 June 2007

H. L. Tay*
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee.
R. P. Mills
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee.
*
H. L. Tay, F.R.C.S., Department of Otolaryngology, Ninewells Hospital, Dundee DD1 9SY. Fax: 0382-632816.

Abstract

The hearing data from a sample of 73 children undergoing surgical treatment for chronic otitis media with effusion (OME) were analysed using a modification of the Glasgow Benefit Plot. All the patients had bilateral middle ear effusions confirmed at surgery. Using 20 dB average hearing level as the ‘cutoff’ point between normal and abnormal hearing, 65 (89 per cent) patients had binaural normal hearing, five (7 per cent) had monaural normal hearing and three (4 per cent) had bilateral hearing loss after surgery. However, 70 patients (96 per cent) were found to benefit from surgery. The cases with persistent hearing loss were re-examined to determine the cause of failure.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1994

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Footnotes

This work was presented at the Otorhinolaryngological Research Society Meeting, London, 1 October 1993.

References

Black, N. A., Sanderson, C. F, Freeland, A. P., Vessey, M. P. (1990) A randomised controlled trial of surgery for glue ear. British Medical Journal 300: 15511556.CrossRefGoogle ScholarPubMed
Bluestone, C. D., Beery, Q. C, Paradise, J. L. (1973) Audiometry and tympanometry in relation to middle ear effusion in children. Laryngoscope 83: 594604.CrossRefGoogle Scholar
Browning, G. G., Gatehouse, S., Swan, I. R. C. (1991) The Glasgow Benefit Plot: a new method of reporting benefits from middle ear surgery. Laryngoscope 101: 180185.CrossRefGoogle ScholarPubMed
Dempster, J. H., Browning, G. G., Gatehouse, S. G. (1993) A randomised study of the surgical management of children with persistent otitis media with effusion associated with a hearing impairment. Journal of Laryngology and Otology 107: 284289.CrossRefGoogle ScholarPubMed
Maw, A. R., Herod, F. (1986) Otoscopic, impedance and audiometric findings in glue ear treated by adenoidectomy and tonsillectomy: a prospective randomised study. Lancet 1: 13991402.CrossRefGoogle ScholarPubMed
Paradise, J. L. (1981) Early otitis media and development. Paediatrics 68: 869873.CrossRefGoogle Scholar
Rach, G. H., Zielhuis, G. A., Baarle, P. W., Broek, P. V. (1991) The effect of treatment with ventilation tubes on language development in preschool children with otitis media with effusion. Clinical Otolaryngology 16: 128132.CrossRefGoogle ScholarPubMed
Richards, S. H., Kilby, D., Shaw, J. D., Campbell, H. (1971) Grommets and glue ears: a clinical trial. Journal of Laryngology and Otology 85: 1722.CrossRefGoogle ScholarPubMed
Silva, P. A., Kirkland, C., Simpson, A., Stewart, I. A., Williams, S. M. (1982) Some development and behavioural characteristics associated with bilateral secretory otitis media. Journal of Learning Disabilities 15: 417425.CrossRefGoogle Scholar
To, S. S., Pahor, A. L., Robin, P. E. (1984) A prospective trial of unilateral grommets from bilateral secretory otitis media in children. Clinical Otolaryngology 9: 115117.CrossRefGoogle ScholarPubMed
Walker, M. A., Bryce, D., Carter, N. W. (1988) CRAFT: An aid to medical audit, research and patient management. Health Bulletin 46: 4254.Google ScholarPubMed