Frequency of Serous Otitis Media in Children without Otolaryngological Symptoms

Koçyiğit, Murat; Örtekin, Safiye Giran; Çakabay, Taliye; Özkaya, Güven; Bezgin, Selin Üstün; Adalı, Mustafa Kemal

doi:10.1055/s-0036-1584362

Cited by 10 publications

(16 citation statements)

References 20 publications

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“…Majority was in the age group of 5-7 years and the mean age was 7.5 years. Similar results were seen in the study conducted by Kocyigit et al 7 Slight male preponderance was noticed in the study. This was in accordance with the observations of Khan et al 8 36% of children presented with features of associated tonsillitis.…”

Section: Discussionsupporting

confidence: 92%

A clinical study to determine the effects of adenoidectomy in cases of secretory otitis media in school going children

Sridhar

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Secretory otitis media (SOM) is common otological symptom in children. If left untreated it leads to hearing and speech impairment. Surgical management is effective in serious cases. The present study was done with the objective to assess the effect of adenoidectomy by pure tone and impedance audiometry in cases of SOM with hypertrophied adenoids.Methods: This study comprised 50 cases, who were aged 5-12 years and diagnosed as SOM with adenoid hypertrophy. It was carried out for a period one and half years from December 2015 to July 2017 at Mamata Medical College and Research Hospital, Khammam, Telangana. After detailed history and clinical examination, investigations such as pure tone audiogram, impedance audiometry, X-ray nasopharynx and diagnostic nasal endoscopy were carried out to confirm the diagnosis. All patients were posted for adenoidectomy and when indication was present tonsillectomy was also done. They were followed up at 1st, 3rd and 6th month for pure tone audiometry and impedance was done at 6th month of surgery.Results: In this study, maximum number (60%) of cases belonged to 5-7 years age group, with slight male preponderance (56%). On pure tone audiometry 68% had 16-25 dB and 32% had 26-40 dB hearing loss and average being 24.95 dB. On impedance only 14% had peak preoperatively. Postoperatively, no peak/peak conversion was seen in 33% of cases and mean A-B gap improvement at 1st, 3rd and 6th month was 13 dB, 13.2 dB and 12.7 dB respectively (p value is 0.0001,<5%) when compared to preoperative findings.Conclusion: Adenoidectomy is effective in the management of middle ear infection in children having hypertrophied adenoids.

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Section: Discussionsupporting

confidence: 92%

A clinical study to determine the effects of adenoidectomy in cases of secretory otitis media in school going children

Sridhar

2018

Int J Otorhinolaryngol Head Neck Surg

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“…4 The prevalence of OME has been found to be between 10% to 40% in several studies. 5 6 7 However, in the present study, it was found in 6.9% of the cases. However, none of these patients had any complaints about their ears, which we think is the reason why we found a lower result.…”

Section: Discussioncontrasting

confidence: 77%

“…8 9 In addition, OME not treated for a long period has such risks as language and speech disorders and learning difficulties due to hearing loss in children. 7 9 It is significant that pediatric patients should be evaluated by pediatricians for these reasons. Furthermore, it is essential to receive a reliable medical history from the caretaker, and to inform him/her about the disease and the possible sequelae.…”

Section: Discussionmentioning

confidence: 99%

Otologic Findings Based on no Complaints in a Pediatric Examination

Demir

Topal²,

Atsal

et al. 2018

Int Arch Otorhinolaryngol

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Introduction the otological evaluation is highly significant in those branches of medicine in which the general evaluation of the patient is conducted by general practitioners and pediatricians. Objectives To investigate the otologic findings and their incidences in the sample, which consisted of patients who presented to the pediatric outpatient clinic with nonotologic complaints. Methods Patients, aged between 2 and 16 years, who had neither otorhinolaryngological complaints nor history of surgery by the otolaryngology (ear, nose and throat, ENT) department were included in the present study. The findings detected in the external auditory system and in the tympanic membranes as well as the otorhinolaryngologists' otologic examination findings of the referred patients were recorded from the files of each patient along with the applied medical and surgical treatments, and diagnostic investigations. Results Of a total of 973 patients evaluated, 129 (13.2%) were referred to the ENT outpatient clinic due to any otologic pathology. In the otorhinolaryngological examinations, false positivity was detected in 12 (1.2%) patients, and pathological findings were detected in 117 (12%) patients who received the following diagnoses: 68 (6.9%) had otitis media with effusion(OME); 37 (3.8%) had cerumen impactions; 8 (0.8%) had acute otitis media (AOM); 2 (0.2%) had ticks in the external auditory canal; 2 (0.2%) had a retraction pocket in tympanic membrane; 1 (0.1%) had unilateral central dry perforation of the tympanic membrane; and 1(0.1%) had congenital cholesteatoma. Conclusion Any complications and sequelae that may develop due to any pathologies and predominantly infections can be prevented by an early diagnosis, which can be made by means of a simple examination, performed merely with an otoscope. Pediatricians and general practitioners should be in close contact with otorhinolaryngologists regarding the pathologies they identify.

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“…Bir diğer etken prematüre doğum ve düşük doğum ağırlığıdır. Hastalığın yaş olarak en sık 6-11 ay arasında saptandığı fark edilmiştir (11,12) . Çalışmamızda otit tanısı alan hastaların 4061'inde (%16.…”

Section: Discussionunclassified