Clinico-audio-radiological and operative evaluation of otitis media with effusion

Sharma, Karan; Mehan, Raghav; Arora, Archana

doi:10.4103/0971-7749.161017

Cited by 4 publications

(3 citation statements)

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“…Sharma, Mehan et al, in their study got 52.65% of ear with normal TM, 41.2% cases were having dull and retracted TM and 4.35% were congested and 1.8% were atrophic. 13 In this study among 86 cases of OME, dull and retracted (45%) tympanic membrane was seen to be maximum followed by 21% who had bulging TM, only 2% had bluish TM and 24% of TM appeared normal. Even in study by Sharma et al, clinically, 74% ears had dull and retracted TM, 3% had thin and retracted TM and only 2% ears showed the characteristic air bubbles behind the eardrum, whereas the rest 21% were normal on otoscopy.…”

Section: Appearance Of Tympanic Membrane In Chronic Adenotonsillitis mentioning

confidence: 52%

“…In another study by Sharma et al, had shown Grades II, III, and IV hypertrophy of adenoids seen in 22%, 54.67%, and 23.33% patients, respectively in their study. 13 Thus, 78% patients had either Grade III or Grade IV hypertrophy that is, more than 50% obstruction of the nasopharyngeal airway. This is similar to this study showing grade III (40%) of AH followed by grade IV (33%), grade II constituted 25% of case, grade I (2%) was the least and thus 73% had either grade III or Grade IV.…”

Section: Chronic Adenotonsillar Hypertrophy and Its Relationship Withmentioning

confidence: 99%

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Unmask the silent hearing loss: a study of audiological profile in children with chronic adenotonsillitis

Haridasan

Abhilasha

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Chronic adenotonsillitis results in obstruction of eustachian tube (ET) due to edema, by mechanical obstruction and the upper respiratory tract infection disrupts the mucocilliary action of ET which can lead to otitis media with effusion (OME). This when unresolved can result in persistent hearing loss and this might cause subsequent delay in development of language, social behaviour, learning difficulties which will affect the academic performance. Young children as are unable to voice their hearing loss and sometimes due to inattentiveness of parents to child’s hearing disorder; this might be neglected. The condition remains masked for a long time and hence need to be unmasked for its appropriate management.Methods: It is cross sectional study involving cases of chronic adenotonsillitis from November 2016 to May 2018. After enrolling the patients who met the inclusion criteria, their demographic details, examination findings including the findings of x-ray nasopharynx, pure tone audiometry (PTA) and tympanometry were noted for analysis. Results: Total 100 patients were studied in which history of hearing loss was seen in 23% and parents’ suspicions was in 22% of cases whereas hearing loss was demonstrated in 51% of cases using PTA ranging from 16-70 db in hearing level. Analyses of tympanogram revealed 43% to have either type B or type C tympanogram which are suggestive of OME.Conclusions: Audiological screening for children diagnosed with chronic adenotonsillitis needs to be made mandatory to detect OME, the silent hearing loss as parents as well as children will miss out on it.

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Section: Appearance Of Tympanic Membrane In Chronic Adenotonsillitis mentioning

confidence: 52%

Section: Chronic Adenotonsillar Hypertrophy and Its Relationship Withmentioning

confidence: 99%

Unmask the silent hearing loss: a study of audiological profile in children with chronic adenotonsillitis

Haridasan

Abhilasha

2019

Int J Otorhinolaryngol Head Neck Surg

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“…However, other studies found a higher incidence in boys compared to girls 19 . In the study by Sharma et al, the incidence in boys was significantly higher (62%) compared to girls (38%), and the number of subjects was significantly higher in a total of 300 children examined 20 . Therefore, one cannot conclude with absolute certainty whether there is a statistically significant prevalence in either gender.…”

Section: Discussionmentioning

confidence: 88%

Characteristics of Hearing Recovery in Children with Chronic Otitis Media with Effusion after Ventilation Tube Insertion

Dželalija

2023

ACC

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SUMMARY The objective was to determine the range of hearing improvement (in dB) post ventilation tube insertion in children with chronic otitis media with effusion (COME), and whether there was a difference in hearing improvement between age groups and genders. This study also investigated whether there was a difference in the mean hearing improvement between the left and right ear, how many months passed before recovery of eustachian tube function, and how long the aeration of the middle ear lasted. The children included in the study were between six and twelve years of age, diagnosed with COME by audiological processing (type B tympanometric recording and conductive hearing loss up to 40 dB on pure tone audiometry) and underwent surgical insertion of ventilation tubes in both ears. Patient data included preoperative tympanometric records, preoperative and postoperative tone audiometry findings, tubometry findings 6 and 10 months after insertion of ventilation tubes, age and gender data, and length of time during which the tubes were in place. The mean hearing improvement of the included patients was 24.2 dB on the right ear and 24.5 dB on the left ear. There was no statistically significant difference between the left and right ear or between the genders. Older age groups had a higher mean hearing improvement compared with the younger age group. Younger age groups had a longer expected period of eustachian tube function recovery, and were expected to have ventilation tubes inserted for a longer period of time. Treatment with ventilation tube insertion resulted in significant improvement in hearing in children where previous conservative therapy failed to recover eustachian tube function and improve hearing. Although children of older age groups had greater preoperative hearing impairment, the recovery of both eustachian tube function and hearing improvement was faster, and the mean length of time that the ventilation tubes had to be inserted was shorter.

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Prevalence of Otitis Media with Effusion in Children with Hearing Loss

Parmar

Davessar

Singh

et al. 2018

Indian J Otolaryngol Head Neck Surg

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Clinico-audio-radiological and operative evaluation of otitis media with effusion

Cited by 4 publications

References 1 publication

Unmask the silent hearing loss: a study of audiological profile in children with chronic adenotonsillitis

Unmask the silent hearing loss: a study of audiological profile in children with chronic adenotonsillitis

Characteristics of Hearing Recovery in Children with Chronic Otitis Media with Effusion after Ventilation Tube Insertion

Prevalence of Otitis Media with Effusion in Children with Hearing Loss

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