Asymptomatic Otitis Media With Effusion in Children With Adenoid Enlargement

Sogebi, Olusola Ayodele; Oyewole, Emmanuel Abayomi; Ogunbanwo, Olatundun

doi:10.1016/j.jnma.2020.08.005

Cited by 15 publications

(11 citation statements)

References 20 publications

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“…Adenoid hypertrophy is one of the common clinical manifestations of secretory otitis media, which can entail nasopharyngeal secretion regurgitation in children, aggravating the auditory diseases and increasing the inflammatory mediators in children's body and cell number. Moreover, it raises the risk of local inflammation in children [ 10 ]. The clinical treatment for secretory otitis media includes two surgical and nonsurgical treatment options.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of Endoscopic Tympanic Membrane Catheterization Plus Ofloxacin Ear Drops in the Treatment of Secretory Otitis Media in Infants and Toddlers

Zhao

Chen

2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To investigate the efficacy and safety of endoscopic tympanic membrane catheterization and ofloxacin ear drops in the treatment of secretory otitis media in infants and toddlers. Methods. A total of 80 children suffering from secretory otitis media who underwent treatment in our hospital from July 2018 to April 2020 were divided into the control group (n = 40) and experimental group (n = 40) by randomization. The control group was treated with endoscopic tympanic membrane catheterization alone, while the experimental group was treated with ofloxacin ear drops based on the same treatment as the control group. The treatment effect, air conduction hearing level, clearance rate of pathogenic bacteria secreted by the ear canal, recurrence rate, and adverse reactions were compared between the two groups. Results. The treatment in the experimental group led to a significantly better outcome than that in the control group ( P < 0.05 ). After treatment, a substantially improved air conduction hearing level in the experimental group was observed ( P < 0.001 ). A chi-square test showed a significantly higher clearance rate of pathogenic bacteria secreted from the ear canal of the children in the experimental group compared to that of the control group ( P < 0.05 ). The treatment in the experimental group resulted in a lower recurrence rate and adverse reaction rate as compared to the control group ( P < 0.05 ). Conclusion. Concurrent endoscopic tympanic membrane catheterization and ofloxacin ear drops showed excellent efficacy in the treatment of secretory otitis media in infants and toddlers. The therapy offers promising solutions for the improvement of hearing level, increase of clearance rate of pathogenic bacteria secreted from the ear canal, and decrease of disease recurrence and adverse reactions during treatment.

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Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of Endoscopic Tympanic Membrane Catheterization Plus Ofloxacin Ear Drops in the Treatment of Secretory Otitis Media in Infants and Toddlers

Zhao

Chen

2022

Evidence-Based Complementary and Alternative Medicine

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“…Tonsillar enlargement was linked to 63.9% of overall cases [14]. Following from tympanometry datasets, 29.2% of all patient ears were confirmed for OME, with 30.5% of these being unilateral, while 19.4% occurred within the right ear, 11.1% being left ear, and 13.9% were bilateral OME cases [14]. In addition, 29.6% of cases exhibited no bilateral acoustic reflexes, while 42.1% of participants had normal hearing, and the remainder of this cohort experienced differing types of hearing.…”

Section: Association Of Ome and Ahmentioning

confidence: 99%

“…Furthermore, 62.0% of enrolled children were males, weighing 7.8 -31.0 Kg. Tonsillar enlargement was linked to 63.9% of overall cases [14]. Following from tympanometry datasets, 29.2% of all patient ears were confirmed for OME, with 30.5% of these being unilateral, while 19.4% occurred within the right ear, 11.1% being left ear, and 13.9% were bilateral OME cases [14].…”

Section: Association Of Ome and Ahmentioning

confidence: 99%

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The Correlation Between Otitis Media With Effusion and Adenoid Hypertrophy Among Pediatric ‎Patients: A Systematic Review‎

Mashat¹,

Tran²,

Urgessa³

et al. 2022

Cureus

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Otitis media with effusion (OME) affects approximately 80% of children due to the middle ear being flooded with fluids, though with no microbial infection manifestations. Multiple issues can drive recurring pediatric OME, such as environment-based issues, previous medical issues, inherited vulnerability from family, contact time at childcare institutes, passive smoking, and more than three siblings together with atopy or allergic rhinitis. If OME is not promptly addressed, this could eventually result in hearing impairment or loss, with consequent negative repercussions on the child's communicative and behavioral patterns. OME diagnosis within the clinic is possible, with hearing capacity being assessed pre-and post-therapy. Adenoid hypertrophy (AH) represents a typical causative factor for middle-ear conditions, stemming from mechanical or anatomical issues. Consequently, adenoid size is paramount when determining tympanometry types and ear fluids. This systematic review investigated PubMed, Medline, Cochrane Library, and Science Direct databases in order to retrieve knowledge related to this issue, adopting inclusion and exclusion criteria and maintaining review quality through the employment of the Assessment of Multiple Systematic Reviews (AMSTAR), the Newcastle-Ottawa tool, and the Axis scale. This systematic review analyzed a previous review article, six observation-based investigations, and three cross-sectional investigations. Previous randomized controlled trials (RCTs) were not found within previous literature, suggesting such scarcity in this research niche and thus warranting future RCT investigations based on this compelling research niche.

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“…Otitis media with effusion (OME) is defined as the presence of fluid in the middle ear without signs or symptoms of acute ear infection ( 1 ). OME is a common and frequently occurring disease in children, which not only carries a huge economic burden, but also affects children’s speech development, learning process, and daily life.…”

Section: Introductionmentioning

confidence: 99%

Comparing of anteroinferior and posteroinferior tympanostomy tube insertion: a cohort study

Ma¹,

Liu²,

Lv³

et al. 2022

Transl Pediatr

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Background: Tympanostomy tube insertion (TTI) is one of the primary treatments for Otitis media with effusion (OME) in children, a common condition in children. However, there is still no conclusion on the better choice of tube position, and no relevant research has been found in the literature. This study analyzed the results of the two commonly selected tube insert positions, anteroinferior quadrant (AQ) and posteroinferior quadrant (PQ), in order to determine which is the better choice.Methods: Children with bilateral OME who received TTI in Beijing Tongren Hospital from May 2020 to January 2021 were selected as subjects. one side on AQ and the other side on PQ randomly. Follow-up visits were arranged at 1 week, 1 month, 6 months and 12 months after surgery. The results of audiology and the tube status of the two positions were recorded and compared statistically.Results: A total of 90 patients with bilateral OME were selected. There was no difference in preoperative hearing between the 2 groups. The AQ group's average air conduction threshold was significantly higher than that of the PQ group 1 week after surgery. Although there was no significant difference in tube fall-off rate between the two groups within 6 months, it was significantly higher in AQ group than that in PQ group at 12 months after surgery.Conclusions: Compared to TTI on AQ, TTI on PQ is more stable and better improves hearing, and the operation is also more convenient for surgeons. This study provides reference for a better position of TTI in OME therapy.

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Asymptomatic Otitis Media With Effusion in Children With Adenoid Enlargement

Cited by 15 publications

References 20 publications

Efficacy and Safety of Endoscopic Tympanic Membrane Catheterization Plus Ofloxacin Ear Drops in the Treatment of Secretory Otitis Media in Infants and Toddlers

Efficacy and Safety of Endoscopic Tympanic Membrane Catheterization Plus Ofloxacin Ear Drops in the Treatment of Secretory Otitis Media in Infants and Toddlers

The Correlation Between Otitis Media With Effusion and Adenoid Hypertrophy Among Pediatric ‎Patients: A Systematic Review‎

Comparing of anteroinferior and posteroinferior tympanostomy tube insertion: a cohort study

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