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Turkish Archives of Otolaryngology 2006; 44(3): 151-155 Abstract |
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Full Text in English [PDF] 233 KB |
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The impact of delayed ventilation tube insertion in otitis media with effusion on children's development Effüzyonlu otitis mediada gecikmiş ventilasyon tüpü uygulamasının çocuk gelişimi üzerindeki etkisi Ö. Akdoğan*, G. Erdem**, H.N. Arda*, M.A. Çetin*, S. Akkuş*, A.N. Arda*** |
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| *Department of ENT, Ankara Numune Research and Education Hospital, **Department of Physicology, Faculty of Letters, Ankara University, Ankara, and ***Pediatrics Clinic, SSK Pendik Haemodialysis and Health Center, Istanbul, Turkey |
| Key Words |
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| Otitis media with effusion, ventilation tube, children development |
| Abstract |
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Objectives:
The effect of delayed ventilation tube insertion in children concerning
linguistic, speech and cognitive development with otitis media with
effusion (OME) were examined in this study. Methods:
Randomized controlled trial. Wechsler Intelligence Scale for Children -
Revised and Peabody Picture Vocabulary Tests were applied two groups of
children. Study group consists of the children with OME who had
ventilation tube insertion delayed for nine or more months control group
with OME who had ventilation tube insertion before nine months. Results:
Significant statistical difference have been found out between these two
groups in the parameters such as total intelligence, verbal intelligence,
receptive language, general information, comprehension, arithmetic,
similarity, vocabulary, picture completion and picture arrangement. The
control group has been found more successful in these tests according to
the group with children who had OME surgery after nine months. However,
in the parameters of design with cubes, coding and object assembling, no
significant difference has been found out between the two groups. Conclusion: Delayed tube insertion in OME has a permanent negative effect on children’s articulation, linguistic and cognitive development. For this reason, following OME diagnosis, hearing loss in children should be followed at regular intervals by audiological tests and if hearing loss is not improving for more than nine months ventilation tube should be inserted immediately. |
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| Accepted after revision: | March 30, 2006 | ||
| Correspondence: |
H. Nedim Arda, MD Çankaya, Ankara - Türkiye Phone: (0532) 612 72 42, Fax: (0312) 310 34 60 e-mail: nedard@yahoo.com |
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Copyright © 2006 by the Turkish Otolaryngology & Head and Neck Surgery Foundation. |
