ABSTRACT
@#BACKGROUND. Over 5% of the world’s population or 466 million people have disabling hearing loss (432 million adults and 34 million children). Profound sensorineural hearing loss and deafness can be treated successfully with a cochlear implant. A cochlear implant (CI) stimulates the auditory nerve, bypassing the defective cochlea, and provides auditory information to the developing brain, thus improving oral language. Children, who receive an early diagnosis of deafness and proper speech rehabilitation, and undergo early cochlear implantation, are able to develop auditory and linguistic skills at par with their hearing peers. METHOD. 6 deaf patients who underwent unilateral Cochlear Implantation at the NCMCH from January 2017 to June 2018 were included in the study. Participants were divided into 3 groups on the basis of age at which participants underwent implantation. RESULTS. Pre-op average MAIS was 1,6/40, Category of Auditory Performance (CAP) - 0,77 and SIR - 0,7/5 in all implanted age groups. Score increased over time to attain average score MAIS -29.6/40, CAP- 3.3/7 SIR-2.7/5 in all implanted groups at one year after implantation. CONCLUSION. There is a need for more research on patient age and gender composition, and outcomes of cochlear implantation and hearing devices in this study population. A robust set of study measures would provide statistical significance. Parent-child relationships affect hearing and speech therapy results, so there’s a need to improve parents’ knowledge regarding these therapies.
ABSTRACT
@#BACKGROUND. Otitis media (OM) is any inflammation of the middle ear. It is very common in children. The purpose of Survey is to analyzing result that insertion of tympanostopmy tube treatment for children who had otitis media. METHOD. The study covers total 482 tympanostomy surgery cases conducted, between 2013-2015, at ENT Surgery Department, National Center for Child and Maternal Health. Titanium tube had been placed for the patients with either adhesive otitis media and otitis media with effusion. In order to evaluate surgery results, follow up examinations were carried out in 2 weeks, 1, 3 and 6 months using otoscopy, audiometer, ABR and ASSR test. RESULTS. Most of the children (82.4%) in whom a ventilating tube have been placed in tympanic membrane had exudative otitis and the remaining (17.6%) children had adhesive otitis. In means of age group, children with 0-2 years, 3-4 years, 5-6 years, 7 and more were, 39.9% (n=173), 42.7% (n=206), 15.6% (n=75) and 5.8% (n=28) respectively. After the tympanostomy surgery tympanic membrane color gets better, turns pearl grey, fluctuation improves, membrane cavity pressure lowers to -50daPa and hearing status ranged 20.4-5.4dB which allows the patient to continue normal speech development. CONCLUSION. Among 482 patients whom involved surgical procedure of Insertion of tympanostomy tube treatment last 3 years in Department of Pediatric Otolaryngologists in Maternal and Child Health of Mongolia and otitis media with effusion and adhesive otitis media type were occurred 30% to 40% from above cases. After tube placement tympanic membrane movement improved and color of tympanic membrane is getting pearl-grey and middle ear pressure decreasing until to 50daPa and children hearing range changed 20.4 to 5.4 db. So we could prevent these children suffer speech disorder .