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Do tissue spears used to clear ear canal pus improve hearing? A case series study of hearing in remote Australian Aboriginal children with chronic suppurative otitis media before and after dry mopping with tissue spears.
Sparrow, K; Sanchez, L; Turner, D; MacFarlane, P; Carney, A S.
Afiliación
  • Sparrow K; Speech Pathology and Audiology,School of Health Sciences,Flinders University,Adelaide,Australia.
  • Sanchez L; Speech Pathology and Audiology,School of Health Sciences,Flinders University,Adelaide,Australia.
  • Turner D; Haematology and Genetic Pathology,School of Medicine,Flinders University,Adelaide,Australia.
  • MacFarlane P; Department of Surgery,School of Medicine,Flinders University,Adelaide,Australia.
  • Carney AS; Department of Surgery,School of Medicine,Flinders University,Adelaide,Australia.
J Laryngol Otol ; 130 Suppl 1: S11-5, 2016 Jan.
Article en En | MEDLINE | ID: mdl-26685792
OBJECTIVE: To determine whether the use of tissue spears to remove otorrhoea from Aboriginal children's ear canals improves hearing in the affected ear. DESIGN: Case series study with controls. METHODS: The study comprised 61 Aboriginal children from communities in the remote arid zone of South Australia who had otorrhoea obscuring the tympanic membrane in 1 or both ears. Eighty ears were treated with tissue spears, and hearing was assessed before and after treatment. RESULTS: Forty-two children had unilateral and 19 had bilateral active disease. An additional 13 ears without otorrhoea served as controls. Improvement by 5 dB HL or greater in a four-frequency pure tone average occurred in 41.3 per cent of treated ears. Subsequently, blinded audiologists made qualitative judgements that a functional improvement in hearing had occurred after tissue spear use in 28.4 per cent of ears. CONCLUSION: Tissue spears can improve hearing thresholds in a significant proportion of children with otorrhoea. However, the duration of the effect is unknown.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Otitis Media Supurativa / Procedimientos Quirúrgicos Otológicos / Nativos de Hawái y Otras Islas del Pacífico / Conducto Auditivo Externo / Audición Tipo de estudio: Observational_studies / Qualitative_research Límite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: J Laryngol Otol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Otitis Media Supurativa / Procedimientos Quirúrgicos Otológicos / Nativos de Hawái y Otras Islas del Pacífico / Conducto Auditivo Externo / Audición Tipo de estudio: Observational_studies / Qualitative_research Límite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: J Laryngol Otol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido