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Prosedur sederhana menggunakan balon hidung dapat membantu mengobati gangguan pendengaran pada anak-anak

Date:

July 27, 2015

Source:

Canadian Medical Association Journal

Summary:

Untuk anak-anak dengan masalah telinga tengah secara umum , prosedur sederhana dengan balon hidung dapat mengurangi dampak gangguan pendengaran dan menghindari penggunaan yang tidak perlu dan antibiotic yang tidak efektif  , menurut uji coba terkontrol secara acak .

............... Hal ini sangat umum bagi anak-anak untuk mengembangkan otitis media dengan efusi , juga dikenal sebagai " lem telinga , " di mana telinga tengah mengisi dengan cairan kental yang dapat mempengaruhi perkembangan pendengaran . Sering tidak ada gejala , dan orang tua sering mencari bantuan medis hanya ketika kesulitan mendengar terjadi 

" Sayangnya , semua perawatan medis yang tersedia untuk otitis media dengan efusi seperti antibiotik , antihistamin , dekongestan dan steroid intranasal tidak efektif dan memiliki efek yang tidak diinginkan , dan karena itu tidak dapat direkomendasikan , " tulis Dr. Ian Williamson , Primary Care dan population  Sciences, University of Southampton , Southampton , Inggris , dengan rekan penulis .

Pada tahun 2004 di Amerika Serikat , ada 2,2 juta episode didiagnosis otitis media dengan efusi , dengan biaya sekitar $ 4 miliar..........more

Simple procedure
using a nasal balloon can help treat hearing loss in children

Date:

July 27, 2015

Source:

Canadian Medical Association Journal

Summary:

For children with a common middle-ear problem, a simple procedure with a
nasal balloon can reduce the impact of hearing loss and avoid unnecessary and
ineffective use of antibiotics, according to a randomized controlled trial.

.................

For children with a common middle-ear problem, a simple procedure with a
nasal balloon can reduce the impact of hearing loss and avoid unnecessary and
ineffective use of antibiotics, according to a randomized controlled trial
published inCMAJ (Canadian Medical Association Journal).

It is very common for young children to develop otitis media with effusion,
also known as "glue ear," in which the middle ear fills with thick
fluid that can affect hearing development. There are frequently no symptoms,
and parents often seek medical help only when hearing difficulties occur.

"Unfortunately, all available medical treatments for otitis media with
effusion such as antibiotics, antihistamines, decongestants and intranasal
steroids are ineffective and have unwanted effects, and therefore cannot be
recommended," writes Dr. Ian Williamson, Primary Care and Population
Sciences, University of Southampton, Southampton, United Kingdom, with
coauthors.

In 2004 in the United States, there were 2.2 million diagnosed episodes of
otitis media with effusion, costing an estimated $4 billion.

Researchers from the United Kingdom undertook an open randomized controlled
trial to determine if autoinflation with a nasal balloon could be used on a
large scale to benefit children in primary care settings. The child blows
through each nostril into a nozzle to inflate the balloon. The effectiveness of
this procedure has been shown only in small trials in hospitals.

This latest trial involved 320 children aged 4 to 11 years from 43 family
practices in the UK who had recent histories of otitis media and effusion with
confirmed fluid in one or both ears. The children were randomly assigned to
either a control group that received standard care or a group that received
standard care with autoinflation three times a day for 1 to 3 months. The
children receiving autoinflation were more likely than those in the control
group to have normal middle-ear pressure at both 1 month (47.3% and 35.6%,
respectively) and 3 months (49.6% and 38.3%, respectively) and have fewer days
with symptoms.

"Autoinflation is a simple, low-cost procedure that can be taught to
young children in a primary care setting with a reasonable expectation of
compliance," write the authors. "We have found use of autoinflation
in young, school-aged children with otitis media with effusion to be feasible,
safe and effective in clearing effusions, and in improving important ear
symptoms, concerns and related quality of life over a 3-month watch-and-wait
period."

They suggest that this treatment should be used more widely in children
over age 4 to manage otitis media with effusion and help treat the associated
hearing loss.

In a related commentary, Drs. Chris Del Mar and Tammy Hoffman, Centre for
Research in Evidence-Based Practice, Bond University, Gold Coast, Queensland,
Australia, write "At last, there is something effective to offer children
with glue ear other than surgery." Surgery to insert drainage tubes can
help a select minority of children.

"Autoinflation is one of a number of effective nondrug interventions
typically underrepresented in research and clinical practice," state the
authors.

The authors note that there are barriers to using nondrug therapies widely
in clinical practice. In the case of autoinflation, doctors need to know about
the technique's effectiveness, and how it is done, and must be able to instruct
patients and families in how to use it.







Story Source:

The above post is reprinted from materials provided byCanadian
Medical Association Journal. Note: Materials may be edited
for content and length.







Journal Reference:

1.   
Ian Williamson, Jane Vennik, Anthony Harnden, Merryn Voysey, Rafael Perera,
Sadie Kelly, Guiqing Yao, James Raftery, David Mant, Paul Little. Effect
of nasal balloon autoinflation in children with otitis media with effusion in
primary care: an open randomized controlled trial. CMAJ, July
2015 DOI:10.1503/cmaj.141608

http://www.sciencedaily.com/releases/2015/07/150727130808.htm

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