Hopp til innhold
NHI.no
Annonse
Informasjon

Øredren - informasjon etter utført inngrep

Øredren innsettes i trommehinnen for å bidra til drenasje av mellomøret og for å få "luftet" mellomøret. Her er råd til foreldre til et barn som har gjennomgått dette inngrepet.

Illustrasjonsbilde

Sist oppdatert:

6. mai 2021

Innhold i artikkelen

Øredren - informasjon etter utført inngrep

Væske i mellomøret er en tilstand der mellomøret, som normalt er luftfylt, er fylt opp med væske uten at det foreligger noen aktiv ørebetennelse. Væsken er seig eller slimete, men det er ingen bakterieinfeksjon, kun en irritasjon.

Annonse

De fleste småbarn har perioder med væske i mellomøret, for eksempel i forbindelse med forkjølelser eller etter en ørebetennelse. I noen tilfeller blir væsken stående i ukes- og månedsvis, noe som blant annet fører til midlertidig nedsatt hørsel og hemmet språkutvikling. Da kan det være aktuelt å sette inn dren til mellomøret gjennom trommehinnen for å få tørrlagt mellomøret.

Her er noen råd om hvordan dere bør forholde dere etter et slikt inngrep.

Vil du vite mer

Dette dokumentet er basert på det profesjonelle dokumentet Mellomørebetennelse, serøs . Referanselisten for dette dokumentet vises nedenfor

  1. Perera R, Glasziou PP, Heneghan CJ, et al. Autoinflation for hearing loss associated with otitis media with effusion. Cochrane Database of Syst. Rev 2013; 5: PMID: 23728660 PubMed
  2. Atkinson H, Wallis S, Coatesworth AP. Otitis media with effusion. Postgrad Med. 2015;127(4):381-385. PMID: 25913597. PubMed
  3. Simpson SA, Thomas CL, van der Linden M, MacMillan H, van der Wouden JC, Butler CC. Identification of children in the first four years of life for early treatment for otitis media with effusion. Cochrane Database of Systematic Reviews 2007, Issue 1. Art. No.: CD004163. PMID: 17253499 PubMed
  4. Helsedirektoratet (2021). Nasjonal faglig retningslinje for antibiotika i primærhelsetjenesten nettdokument. Oslo: Helsedirektoratet (sist faglig oppdatert 16. november 2021, lest 14. mai 2024
  5. van Balen FAM, de Melker RA. Persistent otitis media with effusion: Can it be predicted? A family practice follow-up study in children aged 6 months to 6 years. J Fam Pract 2000; 49:605-611. PubMed
  6. Williamson I, Vennik J, Harnden A, et al. Effect of nasal balloon autoinflation in children with otitis media with effusion in primary care: an open randomized controlled trial. CMAJ 2015. PMID: 26216608 PubMed
  7. Venekamp RP, Burton MJ, van Dongen TMA, van der Heijden GJ, van Zon A, Schilder AGM. Antibiotics for otitis media with effusion in children. Cochrane Database of Systematic Reviews 2016, Issue 6. Art. No.: CD009163. PMID: 27290722 PubMed
  8. Williamson I, Benge S, Barton S, et al. Topical intranasal corticosteroids in 4-11 year old children with persistent bilateral otitis media with effusion in primary care: double blind randomised placebo controlled trial. BMJ 2010; 340: b4984 PMID: 20015903 PubMed
  9. Simpson SA, Lewis R, van der Voort J, Butler CC. Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children. Cochrane Database of Systematic Reviews 2011, Issue 5. Art. No.: CD001935. PMID: 21563132 PubMed
  10. Griffin G, Flynn CA. Antihistamines and/or decongestants for otitis media with effusion (OME) in children. Cochrane Database of Systematic Reviews 2011, Issue 9. Art. No.: CD003423. PMID: 21901683 PubMed
  11. Venekamp RP, Javed F, van Dongen TM, Waddell A, Schilder AG. Interventions for children with ear discharge occurring at least two weeks following grommet (ventilation tube) insertion. Cochrane Database Syst Rev 2016; 11: CD011684. pmid:27854381 PubMed
  12. Steel D, Adam GP, Di M, et al. Tympanostomy tubes in children with otitis media. Comparative Effectiveness Review No. 185. Rockville (MD): Agency for Healthcare Research and Quality (US); 2017 May. Report No.: 17-EHC003-EF (Systematic Review) PMID: 28817250 PubMed
  13. Berkman ND, Wallace IF, Steiner MJ, et al. Otitis media with effusion: Comparative effectiveness of treatments. AHRQ Comparative Effectiveness Review. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 May. Report No.: 13-EHC091-EF. PMID: 23762917 PubMed
  14. Browning GG, Rovers MM, Williamson I, Lous J, Burton MJ. Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children. Cochrane Database of Systematic Reviews 2010, Issue 10. PMID: 20927726 PubMed
  15. Paradise JL, Feldman HM, Campbell TF, et al. Tympanostomy tubes and developmental outcomes at 9 to 11 years of age. N Engl J Med 2007; 356: 248-61. PMID: 17229952 PubMed
  16. Paradise JL, Campbell TF, Dollaghan CA, et al. Developmental outcomes after early or delayed insertion of tympanostomy tubes. N Engl J Med 2005; 353: 576-86. PMID: 16093466 PubMed
  17. Rovers MM, Black N, Browning GG, Maw R, Zielhuis GA, Haggard MP. Grommets in otitis media with effusion: an individual patient data meta-analysis. Arch Dis Child 2005; 90: 480-85. PubMed
  18. Venekamp RP, Mick P, Schilder AG, Nunez DA. Grommets (ventilation tubes) for recurrent acute otitis media in children. Cochrane Database Syst Rev. 2018 May 9;5(5):CD012017. PMID: 29741289 PubMed
  19. Hoberman A, Preciado D, Paradise JL et al. Tympanostomy Tubes or Medical Management for Recurrent Acute Otitis Media. N Engl J Med. 2021 May 13;384(19):1789-1799. PMID: 33979487. PubMed
  20. Moualed D, Masterson L, Kumar S, Donnelly N. Water precautions for prevention of infection in children with ventilation tubes (grommets). Cochrane Database of Syst. Rev. 2016, Issue 1. Art. No.: CD010375. PMID: 26816299 PubMed
  21. Boonacker CW, Rovers MM, Browning GG, et al. Adenoidectomy with or without grommets for children with otitis media: an individual patient data meta-analysis. Health Technol Assess. 2014 Jan;18(5):1-118. PubMed
  22. Gouma P, Mallis A, Daniilidis V, et al. Behavioural trends in young children with conductive hearing loss: a case-control study. Eur Arch of Otorhinolaryngol 2011; 268: 63-6. PMID: 20665042 PubMed
Annonse
Annonse