ENT WHSSC D24 Ear-Cochlear Can only be undertaken in line with the WHSSC Implants Policy on Cochlear Implants. An IPFR is required for all other circumstances. ENT Health Board D03.3 Ear -Correction of Can only be undertaken in line with the WHSSC *also under Plastic prominent ears Policy on Facial Surgery. Surgery (Pinnaplasty/ Otoplasty) An IPFR is required for all other circumstances. Health Board D15.1 Grommets Drainage Insertion of grommets is one of the five surgical ENT of middle ear in procedures that the Department of Health Otitis Media with monitors as indicators of excess surgical activity. Effusion (OME) NICE guidelines on the surgical management of otitis media with effusion in children makes recommendations specifically on the surgical management of OME in children under the age of 12. The guidelines state that a period of observation of the hearing loss over 3 months (with accurate audiometry), and its impact on the child's development, is recommended in order to determine whether resolution occurs or if further treatment is needed Persistence of hearing loss with adverse effects on the child will require further action, which may include surgery. Children with persistent bilateral OME documented over a period of 3 months with a hearing level in the better ear of 25–30 dBHL or worse averaged at 0.5, 1, 2 and 4 kHz (or equivalent dBA where dBHL not available) should be considered for surgical intervention. In children with Down's syndrome, hearing aids should normally be offered and OME with hearing loss. In children with cleft palate:
ENT WHSSC D24 Ear-Cochlear Implants Can only be undertaken in line with the WHSSC Policy on Cochlear Implants. An IPFR is required for all other circumstances. ENT *also under Plastic Surgery Health Board D03.3 Ear -Correction of prominent ears (Pinnaplasty/ Otoplasty) Can only be undertaken in line with the WHSSC Policy on Facial Surgery. An IPFR is required for all other circumstances. ENT Health Board D15.1 Grommets Drainage of middle ear in Otitis Media with Effusion (OME) Insertion of grommets is one of the five surgical procedures that the Department of Health monitors as indicators of excess surgical activity. NICE guidelines on the surgical management of otitis media with effusion in children makes recommendations specifically on the surgical management of OME in children under the age of 12. The guidelines state that a period of observation of the hearing loss over 3 months (with accurate audiometry), and its impact on the child's development, is recommended in order to determine whether resolution occurs or if further treatment is needed Persistence of hearing loss with adverse effects on the child will require further action, which may include surgery. Children with persistent bilateral OME documented over a period of 3 months with a hearing level in the better ear of 25–30 dBHL or worse averaged at 0.5, 1, 2 and 4 kHz (or equivalent dBA where dBHL not available) should be considered for surgical intervention. In children with Down's syndrome, hearing aids should normally be offered and OME with hearing loss. In children with cleft palate:
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