AudiologyOnline Phone: 800-753-2160


MED-EL SYNCHRONY- December 2019

Is ADHEAR Suitable for Use in Chronic Otitis Media with Effusion?

Amanda O'Donnell, AuD, EMBA

October 1, 2020

Share:

Question

Is ADHEAR suitable for use in chronic otitis media with effusion?

 

Answer

Otitis Media with Effusion (OME) is very common in childhood. In fact, a million children per year have PE tubes placed to manage OME1. One in 15 children get PE tubes before they turn 3. In many cases tubes resolve a lot of the problems. In some cases, however, children continue to struggle. PE tubes extrude, get blocked, ears continue to drain. Such children have chronically fluctuating conductive components, perhaps for years and although they are under the care of an ENT they may struggle with a hearing impact of chronic but uncertain duration. Children with cleft and craniofacial conditions and children with Down Syndrome who may also have narrow ear canals and chronic earwax are particularly prone to these issues. 

Children who are at risk for speech and language or developmental delay need more frequent hearing assessment and prompt management to reduce or prevent an impact on developmental outcomes since the average hearing loss associated with OME in children is 28-dB HL, and for 1 in 5, the loss exceeds 35-dB HL2. The at-risk group includes children with speech-language delays, developmental disabilities, academic delays and children with Down syndrome and other craniofacial anomalies in which OME is highly prevalent.

In children who have chronic OME, hearing impact and who are at risk for an impact on quality of life, school performance, behavior issues and social relationships, audiologic intervention should be considered.  If PE tube surgery is contraindicated or has a history of failure, then the hearing impact must be managed. 

What do we know about other hearing technology options for individuals with chronic conductive hearing losses of uncertain duration?

  • Air conduction hearing aids in these groups are not optimal because the air-bone gap fluctuates and therefore gain adjustments are frequently needed. 
  • Pressure-based bone conduction systems, using softbands or other coupling can be uncomfortable and result in low usage time. 

ADHEAR is uniquely suited to this group since it is non-surgical, pressure-free, and cosmetically appealing.  ADHEAR offers the child consistent sound input throughout the day, due to its stable placement on the mastoid, and does so regardless of fluctuations in the air-bone-gap. ADHEAR is a proven, non-invasive way to handle these chronic conductive losses. 

At MED-EL, we have seen some centers really take to ADHEAR for these groups with chronic conductive hearing losses and fluctuating air-bone-gaps. Interested readers may wish to take Course #34739 on AudiologyOnline. Rachel Sharnetzka, Au.D., of the Lancaster Cleft Palate Clinic joined Lynn Stephenson of MED-EL to review her experiences with the use of ADHEAR for children with conductive hearing loss and craniofacial differences.  

  1. Myringotomy (Ear Tube Insertion) https://www.luriechildrens.org/en/specialties-conditions/myringotomy-ear-tube-insertion/
  2. Rosenfeld RM, Shin JJ, Schwartz SR, et al. Clinical Practice Guideline: Otitis Media with Effusion (Update). Otolaryngol Head Neck Surg. 2016;154(1 Suppl):S1-S41. doi:10.1177/0194599815623467


amanda o donnell

Amanda O'Donnell, AuD, EMBA

Business Development and Product Manager

Amanda O’Donnell is the Business Development and Product Manager for Bone Conduction and Middle Ear Systems at MED-EL Corporation.


Related Courses

ADHEAR - A Revolution in Bone Conduction Technology
Presented by Amanda O'Donnell, AuD
Recorded Webinar
MED-EL

Presenter

Amanda O'Donnell, AuD
Course: #30549Level: Intermediate1 Hour
  'I found the presentation pace excellent and matched the handouts perfectly'   Read Reviews
ADHEAR, MED-EL’s revolutionary bone conduction system, is comprised of an audio processor and adhesive adapter. ADHEAR does not apply pressure to the head, and is designed for all-day comfort, ease of use, and reliable, optimal positioning on the mastoid for consistent access to sound.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

ADHEAR: Fitting ADHEAR on your Patients
Presented by Amanda O'Donnell, AuD
Recorded Webinar
MED-EL

Presenter

Amanda O'Donnell, AuD
Course: #30604Level: Intermediate1 Hour
  'The information was pResented in a easy to understand format'   Read Reviews
ADHEAR, MED-EL’s revolutionary bone conduction system, is comprised of an audio processor and an adhesive adapter. This course will describe the fitting, fine tuning, and orientation process for the ADHEAR system.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

ADHEAR System by MED-EL: An Overview of the Research and Clinical Experiences From the Field
Presented by Amanda O'Donnell, AuD, Uta Stewart, AuD, Charlotte Douglas, AuD
Recorded Webinar
MED-EL

Presenters

Amanda O'Donnell, AuDUta Stewart, AuDCharlotte Douglas, AuD
Course: #33514Level: Intermediate1 Hour
  'Good variety of information - manufacturer, research, clinical/practical'   Read Reviews
This panel session presents an overview of the emerging clinical research on the ADHEAR System, the world’s first adhesive, pressure-free, non-surgical bone conduction system. Clinical experiences are shared by Charlotte Douglas, an audiologist from Saskatoon, Saskatchewan, Canada.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

The ADHEAR System: From Innovative Solution to Proven Concept
Presented by Lynn Stephenson, PhD, Rachel Sharnetzka, AuD, CCC-A
Recorded Webinar
MED-EL

Presenters

Lynn Stephenson, PhDRachel Sharnetzka, AuD, CCC-A
Course: #34739Level: Intermediate1 Hour
  'Important development for conductive hearing losses'   Read Reviews
A review of the recent literature and clinical case studies of managing patients with Conductive Hearing Loss (CHL) in the clinic. A review of the ADHEAR bone conduction system and supporting research will be provided. Management of patients with chronic Conductive Hearing Loss (CHL), including case studies, will be discussed.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Fitting the BONEBRIDGE: An Active Transcutaneous Bone Conduction Device
Presented by Kim Twitchell
Recorded Webinar
MED-EL

Presenter

Kim Twitchell
Course: #32224Level: Introductory1 Hour
  'Good overview of the device, plus programming and use of the Minitek'   Read Reviews
This course will introduce the learner to the BONEBRIDGE system by MED-EL, an active transcutaneous bone conduction device, and discuss how to program the device for their patients.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More