Prospective assessment of auditory and cognitive performance in children undergoing ear surgeries: A comparative study

Day of Evaluation and Admission:-

Patient taken up for:-

History

Examination - Ear examination and Tuning fork test

Patient sent to Audiologist for:

1. P.T.A

2. Speech Audiometry

3. Impedance

Patient and caregiver both sent to Voice clinic for:

1. Multi-dimensional voice program analysis (MDVP)

Patient will be administered

1. Hindi mental state examination questionnaire (HMSE)11

2. Glasgow benefit inventory scale

Objective cognitive function tests - 1) Trail making                                                     2) Color Wood Stroop task

Will be given the form, be asked to fill it and bring on the day of operation

Caregivers Administered – 1. Caregiver’s burden questionnaire

2. Samples taken for Serum cortisol level

Day of Surgery

Collection of      – Audiological reports

– Questionnaire and task sheets

Postoperatively, all patients will be given intravenous/oral antibiotics, analgesics and antihistaminic for 14 days

Follow up advice will be given after 3 months to the patient as well as to the caregivers

3rd Month Post Surgery

Patient sent to Audiologist for:

1. P.T.A

2. Speech Audiometry

3. Impedance

Patient and caregiver both sent to Voice clinic for:

1. Multi-dimensional voice program analysis (MDVP)

Patient will be administered

1. Hindi mental state examination questionnaire (HMSE)11

2. Glasgow benefit inventory scale

Objective cognitive function tests - 1) Trail making

2. Color Wood Stroop task

Will be given the form, be asked to fill it and bring on the day of operation

Caregivers Administered –

1. Caregiver’s burden questionnaire

2. Samples taken for Serum cortisol level

Total duration of intervention - 3 months