Preventative Otology — Preventing Ear Disease and Hearing Loss in the Paediatric Population

  • Harvey Coates
  • Shyan Vijayasekaran


Preventative otology is the utilization of public health, medical or surgical management to prevent or reduce the manifestations of otologic disease and hearing loss. Otologic disease affects hearing and generally manifests a conductive hearing loss, but if left untreated where the development of secondary complications is possible, may lead to a permanent sensorineural hearing loss. Sensorineural hearing loss may also be present without otologic disease and may be congenital or acquired.


Hearing Loss Otitis Medium Acute Otitis Medium Conductive Hearing Loss Ventilation Tube 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Wald ER, Dashetsky B, Byers C, et al. Frequency and severity of infection in daycare. J. Pediatrics 1988; 112: 540–6.CrossRefGoogle Scholar
  2. 2.
    Cryns K, Orzan E, Murgia A, et al. A genotype-phenotype correlation for GJB2 (connexin 26) deafness. J Med Genet 2004; (3): 147–154.CrossRefGoogle Scholar
  3. 3.
    Lehmann D, Pomat WS, Riley ID, Alpers MP. Studies of maternal immunisation with pneumococcal polysaccharide vaccine in Papua New Guinea. Vaccine 2003; 21 (24): 3446–50.PubMedCrossRefGoogle Scholar
  4. 4.
    Yoshinaga-Itano C, Sedney AL, Coulter DK, Mehl AL. Language of early- and late- identified children with hearing loss. Pediatrics 1996; 102: 1161–1171.CrossRefGoogle Scholar
  5. 5.
    Heikkinen T, et al. Prevalence of various respiratory viruses in the middle ear during acute otitis media. NEJM 1999; 340: 260–264.PubMedCrossRefGoogle Scholar
  6. 6.
    Eskola J, Kilpi T, Palmu A, et al. Efficacy of pneumococcal conjugate vaccine against acute otitis media. N Engl J Med 2001; 344: 403–9.PubMedCrossRefGoogle Scholar
  7. 7.
    Wu Wei-Jng., Sha Su-Hua., Schacht Jochen. Recent advances in understanding ami-noglycoside ototoxicity and its prevention Audiology & Neuro-Otology 2002; 7 (3): 171–174Google Scholar
  8. 8.
    Gates GA, Avery CA, Prihoda TJ, et al. Effectiveness of adenoidectomy and tym-panostomy tubes in the treatment of chronic otitis media with effusion. N Engl J Med 1987; 317: 1444–51.PubMedCrossRefGoogle Scholar
  9. 9.
    Paradise Jack L., Feldman Heidi M., et al. Effect of early or delayed insertion of tym-panostomy tubes for persistent otitis media on developmental outcomes at the age of three years. New England Journal of Medicine 2001; 344 (16): 1179–1187.PubMedCrossRefGoogle Scholar
  10. 10.
    Timmerman AA, Anteunis LJ, Meesters CM. Response-shift bias and parent-reported quality of life in children with otitis media. Archives of Otolaryngology-Head & Neck Surgery 2003; 129 (9): 987–991.Google Scholar
  11. 11.
    Richards M, Giannoni C. Quality of life outcomes after surgical intervention for otitis media. Archives of Otolaryngology—Head & Neck Surgery 2002; 128 (7): 76–782.Google Scholar
  12. 12.
    Casselbrant ML, Kaleida PH, Rockette HE, et al. Efficacy of antimicrobial prophylaxis and of tympanostomy-tube insertion for prevention of recurrent acute otitis media results of a randomised clinical trial. Pediatr Infect. Dis J 1992; 11: 278–86.PubMedCrossRefGoogle Scholar
  13. 13.
    Gonzales C, Arnold JE, Woody EA, et al. Prevention of recurrent acute otitis media: chemoprophylaxis versus tympanostomy tubes. Laryngoscope 1986; 96: 1330–4.Google Scholar
  14. 14.
    Gates GA, Avery CS, Prihoda TJ, Cooper JC. Effectiveness of adenoidectomy and tympanostomy tubes in the treatment of chronic otitis media with effusion. N Engl J Medi 1987; 317: 1444–51.CrossRefGoogle Scholar
  15. 15.
    Paradise JL, Bluestone CD, Rogers KD, et al. Efficacy of adenoidectomy for recurrent otitis media in children previously treated with tympanostomy tube placement. JAMA 1990; 263: 2066–73.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 2004

Authors and Affiliations

  • Harvey Coates
    • 1
  • Shyan Vijayasekaran
    • 2
  1. 1.Paediatric OtorhinolaryngologyUniversity of Western AustraliaAustralia
  2. 2.Paediatric OtorhinolaryngologyPrincess Margaret Hospital for Children Western AustraliaAustralia

Personalised recommendations