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Ear Nose Throat J. 2005 Sep;84(9):567-8, 570-4, 576 passim.

Nonsurgical home treatment of middle ear effusion and associated hearing loss in children. Part I: clinical trial.

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  • 1Department of Otolaryngology-Head and Neck Surgery, New York Eye & Ear Infirmary, New York City, USA.

Erratum in

  • Ear Nose Throat J. 2005 Oct;84(10):614.

Abstract

We conducted a randomized, controlled clinical trial to investigate the efficacy of treatment of persistent middle ear effusion (MEE) and associated hearing loss with a modified Politzer device used in the home setting over a 7-week period. Efficacy was determined by comparing pre-and posttherapy air-conduction thresholds, tympanometric peak pressures, and otoscopic findings. The study group was made up of 94 children (174 ears), aged 4 to 11 years, who had at least a 2-month history of MEE and associated hearing loss. At study's end, patients in the treatment group experienced statistically significant improvements in all measured outcomes; no significant improvements were seen in the control group in all measured outcomes. At study's end, the hearing sensitivity of 73.9% of the treated ears was within normal limits, compared with only 26.7% of the control ears. These findings demonstrate that home treatment of children with persistent MEE and associated hearing loss with the modified Politzer device is highly efficacious.

PMID:
16261757
[PubMed - indexed for MEDLINE]
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