Objective: To describe the use of the Gonstead Technique in the management of a child with symptoms of otitis media with effusion, including conductive hearing loss and feelings of ear pressure.
Clinical Features: The 10-year-old female had a history of ear infections as an infant, and serous otitis media with hearing loss when 5 years of age for which she had undergone bilateral myringotomies with tubal placement. Complaints of hearing difficulties of one-year duration at time of presentation to the chiropractic office. Pure tone audiometry showed a mild hearing loss.
Intervention and Outcomes: Adjustments of vertebral subluxations using Gonstead Technique resulted in normalized audiology testing, elimination of ear discomfort, and sustained hearing ability.
Conclusions: The successful chiropractic care of a child with hearing loss associated with otitis media is described. Research has shown a relationship between otitis media, eustachian tube dysfunction, and vertebral subluxation. This study provides supporting evidence that children with similar complaints may benefit from chiropractic care.
Author keywords: Chiropractic, otitis media, effusion, hearing loss, Gonstead, vertebral subluxation, tympanostomy, eustachian tube, adjustment, spinal manipulation
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