Does maxillary expansion improve hearing loss due to otitis media with effusion?

Abstract

Past studies emphasized that maxillary expansion had a positive effect on impaired hearing due to otitis media with effusion (OME). The goal of this study was to compare the improvement of hearing loss degrees of patients treated with rapid maxillary expansion (RME) and patients watched for spontaneous resolution. This study was conducted with audiometric and tympanometric records of 22 patients with OME. Twelve patients had OME and needed RME and 10 patients had OME and were observed for spontaneous resolution. In-group 1, records were taken before expansion (T0), just after RME (T1), after the retention period (T2), and 6 months after expansion (T3). In-group 2, T0 and T2 records were taken. In-group 1, hearing levels improved and air-bone gaps (ABG) decreased significantly after RME (p<0.05). This improvement showed a relapse with T2 and T3 records. In-group 2, no significant change was observed in hearing levels but ABG levels decreased significantly (p<0.05). The extent of healing level was not significantly different between the maxillary expansion and control groups when T2-T0 records were compared. The results of this study indicated that RME improved hearing levels and decreased ABG after expansion in children with OME; however, a relapse occurred after the retention. ABG levels in both groups exhibited similar decreases after retention.

Keywords

• hearing loss
• maxillary expansion
• otitis media with effusion

References

1. Basciftci F, Mutlu N, Karaman A, Malkoc S, Küçükkolbasi H., 2002. Does the timing and method of rapid maxillary expansion have an effect on the changes in nasal dimensions? Angle Orthod.72(2):118-123.
2. Berkman ND, Wallace IF, Steiner MJ, Harrison M, Greenblatt AM, Lohr KN, Kimple A, Yuen A., 2013. Otitis media with effusion: comparative effectiveness of treatments.[Internet] Rockville, MD: Agency for Healthcare Research and Quality (US); Report No.: 13-EHC091-EF.
3. Bluestone CD., 2004. Studies in otitis media: children's hospital of Pittsburgh–University of Pittsburgh progress report—2004. Laryngoscope. 114(S105):1-26.
4. Buck LM, Dalci O, Darendeliler MA, Papageorgiou SN, Papadopoulou AK.,2017. Volumetric upper airway changes after rapid maxillary expansion: a systematic review and meta-analysis. Eur J Orthod. 1;39(5):463-473.
5. Ceylan I, Oktay H, Demirci M.,1996. The effect of rapid maxillary expansion on conductive hearing loss. Angle Orthod. 66(4):301-308.
6. Cozza P, Di Girolamo S, Ballanti F, Panfilio F., 2007. Orthodontist-otorhinolaryngologist: an interdisciplinary approach to solve otitis media. Eur J Paediatr Dent. 8(2):83-88.
7. Fingeroth A., 1990. Orthodontic-orthopedics as related to respiration and conductive hearing loss. J Clin Pediatr Dent. 15(2):83-89.
8. Flynn T, Möller C, Jönsson R, Lohmander A., 2009. The high prevalence of otitis media with effusion in children with cleft lip and palate as compared to children without clefts. Int J Pediatr Otorhinolaryngol. 73(10):1441-1446.

9. Gan R, Rowe A, Benton C, Daniel M.,2016. Management of hearing loss in children. Paediatrics and Child Health. 26(1):15-20.
10. Gerardo lazo-sáenz J, Galván-Aguilera AA, Martínez-Ordaz VA, Velasco-Rodríguez VM, Nieves-Rentería A, Rincón-CastañEda C., 2005.Eustachian tube dysfunction in allergic rhinitis. Otolaryngol Head Neck Surg. 132(4):626-629.
11. Haggard MP, Gannon MM, Birkin JA, Bennett KE, Nicholls EE, Spencer H et al ( MRC Multicentre Otitis Media Study Group)., 2012. Adjuvant adenoidectomy in persistent bilateral otitis media with effusion: hearing and revision surgery outcomes through 2 years in the TARGET randomised trial. Clin Otolaryngol.37(2):107-116.
12. Hershey HG, Stewart BL, Warren DW., 1976. Changes in nasal airway resistance associated with rapid maxillary expansion. Am J Orthod. 69(3):274-284.
13. Kilic N, Kiki A, Oktay H, Selimoglu E.,2008. Effects of rapid maxillary expansion on conductive hearing loss. Angle Orthod. 78(3):409-414.
14. Kiliç N, Yörük Ö, Kiliç SC, Çatal G, Kurt S.,2016. Rapid maxillary expansion versus middle ear tube placement: Comparison of hearing improvements in children with resistance otitis media with effusion. Angle Orthod. 86(5):761-767.
15. Kuo CL, Tsao YH, Cheng HM, Lien CF, Hsu CH, Huang CY, Shiao AS.,2014. Grommets for otitis media with effusion in children with cleft palate: a systematic review. Pediatrics. 134(5):983-994.
16. Laptook T.,1981. Conductive hearing loss and rapid maxillary expansion: report of a case. Am J Orthod. 80(3):325-331.
17. McNamara JA, Brudon WL.,1993. Orthodontic and orthopedic treatment in the mixed dentition. Needham Press.
18. Peyvandi A, Jamilian A, Moradi E.,2014. Relationship between conductive hearing loss and maxillary constriction. J Laryngol Otol.128(09):765-767.
19. Rosenfeld RM, Culpepper L, Doyle KJ, Grundfast KM, Hoberman A, Kenna MA, Lieberthal AS, Mahoney M, Wahl RA, Woods CR Jr, Yawn B; American Academy of Pediatrics Subcommittee on Otitis Media with Effusion; American Academy of Family Physicians; American Academy of Otolaryngology--Head and Neck Surgery., 2004. Clinical practice guideline: Otitis media with effusion. Otolaryngol Head Neck Surg. 130(5 Suppl):S95-118.
20. Rosenfeld RM, Schwartz SR, Pynnonen MA, Tunkel DE, Hussey HM, Fichera JS, Grimes AM, Hackell JM, Harrison MF, Haskell H, Haynes DS, Kim TW, Lafreniere DC, LeBlanc K, Mackey WL, Netterville JL, Pipan ME, Raol NP, Schellhase KG., 2013. Clinical practice guideline: Tympanostomy tubes in children. Otolaryngol Head Neck Surg. 149(1 Suppl):S1-35.
21. Rosenfeld RM, Shin JJ, Schwartz SR, Coggins R, Gagnon L, Hackell JM, Hoelting D, Hunter LL, Kummer AW, Payne SC, Poe DS, Veling M, Vila PM, Walsh SA, Corrigan MD., 2016. Clinical Practice Guideline Otitis Media with Effusion Executive Summary (Update). Otolaryngol Head Neck Sur. 154(2):201-214.
22. Ross MA.,1971. Functional anatomy of the tensor palati: its relevance in cleft palate surgery. Arch Otolaryngol. 93(1):1-8.
23. Taspinar F, Üçüncü H, Bishara SE., 2003. Rapid maxillary expansion and conductive hearing loss. Angle Orthod.73(6):669-673.
24. Timms D.,1997. Effect of rapid maxillary expansion on hearing loss. Angle Orthod. 67(4):244-246.
25. Venekamp R.P., Burton M.J., van Dongen T.M., van der Heijden G.J., van Zon A., Schilder A.G., 2016. Antibiotics for otitis media with effusion in children. Cochrane Database Syst Rev. 12(6):CD009163.
26. Villano A, Grampi B, Fiorentini R, Gandini P., 2006. Correlations between rapid maxillary expansion (RME) and the auditory apparatus. Angle Orthod. 76(5):752-758.
27. Zhang Q-f, Guo J, Li G-f, Zou S, Zhao Z., 2010. A potential therapeutic method for conductive hearing loss in growing children-orthodontic expansion treatment. Med hypotheses. 74(1):99-101.