Health
Middle ear fluid commonly found in children wearing a ventilator-ScienceDaily
Infants and toddlers who require a tracheostomy (a tube surgically inserted into the trachea to relieve breathing problems) are at increased risk of water buildup behind the tympanic membrane while wearing a ventilator. increase. This is, International Journal of Pediatric Otorhinolaryngology, By UT Southwestern Head and Neck Surgeon. This accumulation of water, called middle ear exudate, can put you at risk for ear infections, deafness, speech and delayed language development.
“Most of the time these children are cared for are focused on more pressing lung and heart concerns,” said Stephen R, an assistant professor of otolaryngology and research leader at UTSW. . Chorney, MD, MPH states. And a pediatric otolaryngologist for child health. “But our study needs to be more trivial as it can affect communication skills and developmental milestones in vulnerable children, such as ear exudates. Suggests. “
Many infants requiring a tracheostomy gave birth prematurely in the underdeveloped lungs or narrow airways. In such cases, the doctor may attach a ventilator (a type of life support system to help the child breathe) to the tracheostomy tube.
Middle ear exudate (MEE) is a common problem for all infants. One in ten children have ear tubes that help remove this water, treat infections, and reduce deafness. Based on their own observations, Dr. Chorney and his colleagues suspected that children with a ventilator who depended on a tracheostomy might be at increased risk of MEE.
A new study followed 94 children who underwent a tracheostomy before the age of 2 at the Dallas Children’s Medical Center between 2015 and 2020. On average, children underwent a tracheostomy at age 5 months and then had regular hearing tests to confirm the presence of MEE. In the two years after tracheostomy, 74% of children requiring mechanical ventilation developed at least one MEE, whereas only 31% of children without mechanical ventilation developed MEE. .. Ventilators predicted the presence of MEE when managing age, the diagnosis of craniofacial syndrome, and the results of neonatal hearing tests. In addition, of all children who had a tracheostomy, 80% of MEE lasted for at least several months between multiple hearing tests.
“This information gives us an objective reference point when communicating with our parents,” said Dr. Chorney. “We know that this is a common phenomenon and some of these children may consider the Eustachian tube.”
Some children undergoing a tracheostomy with mechanical support may not be a good candidate for this procedure because general anesthesia is required to place the ear tube. The new data will help clinicians weigh the risks and benefits. In a future study, Dr. Chorney wants to investigate the impact of MEE on the hearing and communication of this population.
“We hope that more attention to MEE screening and coping with these children will lead to positive results in language development and language development,” he said. “But we need more data about that.”
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material Provided by UT Southwestern Medical Center.. Note: Content can be edited in style and length.
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