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The screening and epidemiology of middle-ear disease in a population of primary school entrants

Published online by Cambridge University Press:  29 June 2007

Christopher P. Hallett
Christopher P. Hallett
Affiliation:
Community Physician (Child Health), Bury Area Health Authority.
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Abstract

The purpose of this paper is to demonstrate that the epidemiology of middle-ear pathology in primary school entrants is such that any screening procedue based upon a ‘once and for all’ test on a single cohort of children is unlikely to identify those children most in need of intervention and likely to lead to unnecessary over referrals both to a Community Audiology Clinic or a Specialist Unit. Further evidence is produced to show the value of serial tympanometry as a screening tool generally and the use of the tympanometer 85AR specifically. Agreement is also measured between three variables in middle-ear pathology, namely clinical appearance and mobility of the tympanic memebrane and the associated Tympanogram Type. The relative merits of clinical examination as a screen are discussed. A population of children from three primary school was studies on four separate occasions during 1980. 553 five-year-old children were tested overall.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 96 , Issue 10 , October 1982 , pp. 899 - 914
Copyright
Copyright © JLO (1984) Limited 1982

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References

REFERENCES

Beery, C., Bluestone, C. D. and Cantekin, E. I. (1976) Otological History, Audiometry and Tympanometry as a Case Finding Procedure for School Screening. Laryngoscope, 85.Google Scholar
Brooks, D. N. (1977) Auditory Screening—Time for Reappraisal. Public Health, London, 91: 282–288.CrossRefGoogle ScholarPubMed
Brooks, D. N. (1978) Impedance Screening for schoolchildren, In Harford, Earl R, Bess, Fred H, Bluestone, Charles D and Klein, Jerome O, Eds. Impedance Screening for middle ear disease in children. Grune and Stratton, Inc. 173–180.Google Scholar
Brooks, D. N. (1978b) Acoustic Impedance Testing for Screening Auditory Function in School-children. Maico Audiological Library Series, Volume XV, Report 9.Google Scholar
Feinmesser, M., Tell, L and Levi, , (1977) Screening for Hearing Impairment in Early Childhood. Otorhinolaryngology. 39: 227–232.Google ScholarPubMed
Fiellau-Nikolajsen, M., Lous, J., Vang-Pederson, S. and Schousboe, H. H., (1977) Tympanometry in Three Year Old Children I. A Regional Prevalence Study on the Distribution of Tympanic Results in a Non-Selected Population. Scandinavian Audiology, 6: 199–204.CrossRefGoogle Scholar
Fisch, L. (1981) Development of School Screening Audiometry. British Journal of Audiology, 15: 87–95.CrossRefGoogle ScholarPubMed
Frankenburg, W. K. (1974): Selection of Diseases and Tests in Pediatric Screening. Pediatrics, 54: 612–616.CrossRefGoogle ScholarPubMed
Jerger, J. (1970) Clinical Experience with Impedance Audiometry. Archives of Otolaryngology, 92: 311–324.CrossRefGoogle ScholarPubMed
Khan, A., Kirkwood, Eve M. and Lewis, Catrion A, (1981) Immunological Aspects of Secretory Otitis Media in Children. Journal of Laryngology and Otology, 95: 121–123.CrossRefGoogle ScholarPubMed
Klein, J. O. (1978) Epidemiology of Otitis Media, In Harford, R., Bess, H., Bluestone, D. and Klein, O. Eds. Impedance Screening for middle ear disease in children. Grune and Stratton, Inc, 11–16.Google Scholar
Lescouflair, G. (1975) Critical View on Audiometnc Screening in School. Archives of Otolaryngology, Vol 101.Google ScholarPubMed
Lidén, G. (1978) Methods for Identification of Middle Ear Disease, In Harfold, R., Bess, H., Bluestone, D. and Klein, O. Eds. Impedance Screening for middle ear disease in children. Grune and Stratton, Inc, 23–33.Google Scholar
Paradise, J. L. and Smith, C. G. (1978) Impedance Screening for Pre-School Children—State of the Art, In Harfold, R., Bess, H., Bluestone, C. D., Klein, O, Eds. Impedance Screening for middle ear disease in children. Grune and Stratton, Inc, 113–123.Google Scholar
Tos, M. (1980) Spontaneous Improvement of Secretory Otitis and Impedance Screening. Archives of Otolaryngology, Vol 106.Google ScholarPubMed
Urban, Beth. (1978) Impedance in a School Screening Programme in Harfold, R., Bess, H., Bluestone, D. and Klein, O., Eds. Impedance Screening for middle ear disease in children. Grune and Stratton, Inc, 181–187.Google Scholar