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Screening en behandeling met trommelvliesbuisjes van jonge kinderen met OME

De resultaten van het KNOOP-3-project

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Huisarts en Wetenschap Aims and scope

Samenvatting

Vraagstelling Is screening op OME van kinderen van 9 maanden, op indicatie gevolgd door plaatsing van trommelvliesbuisjes, effectief ter voorkoming van ongewenste gevolgen van de aandoening op het gebied van gehoor, taalontwikkeling en kwaliteit van leven?

Methode Grootschalig interventieonderzoek in Oost-Nederland.

Resultaten Trommelvliesbuisjes hadden op de korte termijn (6 maanden) invloed op het gehoor; op de lange termijn (12 maanden) was dit effect grotendeels verdwenen. Met betrekking tot de taalontwikkeling en de kwaliteit van leven was er geen relevant verschil tussen de kinderen met trommelvliesbuisjes en de controlegroep (afwachtend beleid).

Beschouwing Een afwachtend beleid bij jonge kinderen met OME die door middel van de Ewing-screening zijn opgespoord, lijkt gerechtvaardigd. Als gevolg daarvan is een gehoorscreening voor OME niet zinvol. Aan de hand van dit onderzoek kunnen geen uitspraken worden gedaan over individuele kinderen, oudere kinderen of kinderen die via een andere weg zijn gediagnosticeerd. Mogelijk zijn er subgroepen die wel baat hebben bij een behandeling met trommelvliesbuisjes, zoals kinderen met een ernstig gehoorverlies of kinderen met klachten van de bovenste-luchtwegen.

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Authors and Affiliations

  1. www.bsl.nl/shop/huisarts-en-wetenschap-0018-7070.html

    Maroeska Rovers

Authors
  1. Maroeska Rovers
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  2. Eloy van de Lisdonk
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  3. Margriet Hartman
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  4. Koen Ingels
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  5. Gert-Jan van der Wilt
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  6. Gerhard Zielhuis
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Corresponding author

Correspondence to Maroeska Rovers.

Additional information

Rovers MM, Van de Lisdonk, EH, Hartman M, Ingels K, Van der Wilt GJ, Zielhuis GA. Otitis media with effusion in infants: is screening and treatment with ventilation tubes necessary? The results of the KNOOP-3 project. Huisarts Wet 2001;44(6):243-7.

Introduction Whether screening and treatment with ventilation tubes in infants with persistent Otitis Media with Effusion (OME) is justified or not, largely depends on the effect of these tubes on hearing, language development and quality of life.

Methods A multi-centre randomised clinical trial on screen-detected children with persistent OME.

Results Ventilation tubes improved the hearing level, but did not have any substantial incremental effect on language development and quality of life.

Conclusions A watchful waiting approach appears to be justified in these young children and consequently, screening programmes for conductive hearing loss in infants become redundant. However, grommets should not be abandoned in all cases, because too little is known about their effects in specific subgroups and because of wide individual variability.

Gegevens auteurs op pag. 247.

Correspondentie: dr. M.M. Rovers, Afdeling Keel-, Neus- en Oorheelkunde, Universitair Medisch Centrum St. Radboud, Postbus 9101, 6500 HB Nijmegen;

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Rovers, M., van de Lisdonk, E., Hartman, M. et al. Screening en behandeling met trommelvliesbuisjes van jonge kinderen met OME. HUWE 44, 497–501 (2001). https://doi.org/10.1007/BF03082547

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  • DOI: https://doi.org/10.1007/BF03082547

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