Re: report on delayed tube placement-ears

[Guest guest]

Thanks for sharing. The words that caught my attention were that delaying

didn't cause any harm in " otherwise normal children. " I still thik kiddos with

multiple sensory issues (or a syndrome Dx where this has a high likely-hood)

benefit from this intervention early.

(mom to Evan, 18 months, PE Tubes at 12 months--would have been sooner

had the surgery not been cancelled due to illness)

mdlinda@... wrote:

From the New England Journal of Medicine

Delaying Tympanostomy Tubes Not Associated with Developmental Harm

Delaying insertion of tympanostomy tubes in children with persistent

middle-ear effusion does not affect their cognitive development measured at age

9 to

11, according to a randomized study in the New England Journal of Medicine.

The study included almost 400 children who had persistent middle-ear effusion

before age 3. Most had also scored abnormally on at least one hearing test.

Tympanostomy tubes were inserted promptly after criteria for persistent

effusion were met in about half of the children; for the other children,

insertion

was delayed for 6 or 9 months. At age 9 to 11, the groups scored no

differently on evaluations of literacy, attention, academic achievement, or

social

skills. Previous reports from the same study found that prompt tube insertion

did not improve developmental measures at ages 3, 4, or 6.

An editorialist concludes that there is now " convincing evidence that

persistent middle-ear effusion in otherwise normal children does not cause

developmental impairments. "

_NEJM article_

(http://click2.nejm.org/cts/click?q=227;155942;4SBp59Y28hPmIb8l+pvMsrgu5942hYxEa\

T9oVHka0yQ=) (Free abstract; full text requires

subscription)

_NEJM editorial_

(http://click2.nejm.org/cts/click?q=227;155942;4SBp59Y28hPmIb8l+pvMstAYR6jxfggZa\

T9oVHka0yQ=) (Subscription required)

_2004 joint guidelines on otitis media with effusion_

(http://click2.nejm.org/cts/click?q=227;155942;4SBp59Y28hPmIb8l+pvMsmpQVRaf7YSDa\

T9oVHka0yQ=) (Free)

[Guest guest]

well it could help soem u never no

>

> Thanks for sharing. The words that caught my attention were that

> delaying didn't cause any harm in " otherwise normal children. " I still thik

> kiddos with multiple sensory issues (or a syndrome Dx where this has a high

> likely-hood) benefit from this intervention early.

>

> (mom to Evan, 18 months, PE Tubes at 12 months--would have been

> sooner had the surgery not been cancelled due to illness)

>

> mdlinda@... <mdlinda%40aol.com> wrote:

>

> From the New England Journal of Medicine

>

> Delaying Tympanostomy Tubes Not Associated with Developmental Harm

>

> Delaying insertion of tympanostomy tubes in children with persistent

> middle-ear effusion does not affect their cognitive development measured

> at age 9 to

> 11, according to a randomized study in the New England Journal of

> Medicine.

> The study included almost 400 children who had persistent middle-ear

> effusion

> before age 3. Most had also scored abnormally on at least one hearing

> test.

> Tympanostomy tubes were inserted promptly after criteria for persistent

> effusion were met in about half of the children; for the other children,

> insertion

> was delayed for 6 or 9 months. At age 9 to 11, the groups scored no

> differently on evaluations of literacy, attention, academic achievement,

> or social

> skills. Previous reports from the same study found that prompt tube

> insertion

> did not improve developmental measures at ages 3, 4, or 6.

> An editorialist concludes that there is now " convincing evidence that

> persistent middle-ear effusion in otherwise normal children does not cause

>

> developmental impairments. "

> _NEJM article_

> (

>

http://click2.nejm.org/cts/click?q=227;155942;4SBp59Y28hPmIb8l+pvMsrgu5942hYxEaT\

9oVHka0yQ=)

> (Free abstract; full text requires

> subscription)

> _NEJM editorial_

> (

>

http://click2.nejm.org/cts/click?q=227;155942;4SBp59Y28hPmIb8l+pvMstAYR6jxfggZaT\

9oVHka0yQ=)

> (Subscription required)

> _2004 joint guidelines on otitis media with effusion_

> (

>

http://click2.nejm.org/cts/click?q=227;155942;4SBp59Y28hPmIb8l+pvMsmpQVRaf7YSDaT\

9oVHka0yQ=)

> (Free)

>

>