Wireless kit might be cheap alternative to usual treatment of ‘glue ear’ in kids

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A wireless kit consisting of headphones, a microphone and an app could be a cheap alternative to the usual treatment of temporary deafness commonly found in children, commonly known as “glue ears”. .. BMJ innovation.

By allowing parents to remotely monitor their child’s hearing at home, researchers say, they can often avoid the need for surgery and reduce clinic visits.

Glue ears (Otitis media Occurs when the central part of the ear is filled with a sticky liquid, usually after a cough, cold, or ear infection (with exudate), causing temporary deafness in one or both. ear..

One in ten children attending school in the UK or Europe suffers from hearing loss due to adhesive ears.

Deafness infant According to researchers, it can interfere with language development, language, communication, auditory processing, self-esteem, socialization, listening and learning.

Current solutions are far from ideal. Grommets (T-tubes) are small tubes designed to drain fluid and keep the eardrum open, but must be inserted under general anesthesia.

As a result, about one-third of children who wear them develop infections. Also, in very few cases, the grommet insertion risks puncturing the eardrum and creating permanent scarring.

Hearing aids vary in state and require some auditory appointments to properly adjust the sound level.

Hearing aids that can vibrate the sound directly from the skull to the cochlea (inner ear bone) are also very effective at bypassing the eardrum and middle ear. But they are expensive.

However, bone conduction headphones sold to cyclists are much cheaper because they can direct the sound from your cell phone directly to the cochlea without blocking the important sounds from the traffic.

Can researchers combine a commercially available bone conduction kit with a wireless headset and microphone with the free Hear Glue Ear app to help kids and their parents effectively manage their glue ears at home? I wanted to find out.

Kits and apps for parents of 26 children who have been diagnosed with exudative middle ear and / or are scheduled to insert grommets in the area during the first wave of the 2020 COVID-19 pandemic in the United Kingdom Details have been sent.

Within three weeks of receiving the kit, they completed a quality of life questionnaire for otitis media and assessed the impact of ear problems on children with and without the kit. Progress was monitored over the next three months through remote virtual or telephone consultations.

Children between the ages of 3 and 11 accounted for 82% of the children on the local surgical list for grommet insertion. Their average level of deafness was measured as mild.

20 families immediately set up the kit successfully. The other four were waiting for the call. After initial setup, four families needed additional assistance to use the kit later.

In the three months before the kit was offered, 19 pairs of parents said their children had poor or very poor hearing. No parent reported this while using the kit. Twenty-four reported “normal” or “slightly lower than normal.”

Twenty-three parents reported that their children were “often” or “always” deaf in groups before the kit arrived. In contrast, 22 of 26 said they rarely or had no deafness in the group when using the kit.

Two-thirds (17) used the app at home, 8% (2) used it for traveling by car, and 26% (7) never used it. Fifteen (58%) of the children took the kit to school or nursery school.

One family commented that the school took the child’s hearing more seriously as a result. One parent said the headset is a visual clue to others that the child needs support. However, the three schools mentioned needed more support or more resources to use the kit at school.

By the end of 2020, no children had grommets inserted. The three families said they would continue to use the kit instead of inserting grommets.

All families chose to keep the kit at the end of the study, even if their child’s hearing improved. Most people think that remote management is acceptable child I was benefiting.

The researchers admit that the study was short-lived, did not include a control group, and involved only a small number of children.

However, they point out that remote management of the exudative middle ear in this way has many advantages. Reduce travel to clinics with small children.To enable Children To listen to online learning more clearly.

“The innovative use of bone conduction headphones, microphones and the Hear Glue Ear app sent to patients through the post is for managing otolaryngology and the resulting deafness, especially when family members have restricted access. It’s a novel, new and effective approach to otolaryngology or ENT services, such as during the COVID-19 outbreak, “the researchers write.

They say that larger studies are needed to assess cost-effectiveness and clinical efficacy on a large scale.However, they add that this option may often avoid the need for grommets. Glue earsAllows early provision of mildly fluctuating cases Hearing support.

Oral steroids are not effective for most children with glue ears

For more information:
Early Innovation Report: Bone Conduction Hearing Kit for Kids with Adhesive Ears, BMJ innovation,… bmjinnov-2021-000676

Quote: Wireless Kit is a “glue” of a child (October 4, 2021) obtained on October 4, 2021 from https: // It may be a cheaper alternative to the usual treatment of “drug ears” as usual .html

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Wireless kit might be cheap alternative to usual treatment of ‘glue ear’ in kids Source link Wireless kit might be cheap alternative to usual treatment of ‘glue ear’ in kids

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