Otitis media with effusion in Nigerian children with cleft palate: incidence and risk factors

Edetanlen, Ekaniyere Benlance; Saheeb, B D

doi:10.1016/j.bjoms.2018.11.015

Cited by 14 publications

(11 citation statements)

References 16 publications

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“…Baggi et al 41 and Nwosu et al 27 found that OME was significantly associated with age (see Table 3). Cleft palate as a risk factor was confirmed by a cohort study in Nigeria 42 (odds ratio: 5.2, 95% CI: 1.4‐18.6, P = .02). A significant association was also found for type 2 diabetes mellitus, 43 low CD4 cell count in Human Immunodeficiency Virus (HIV) infected adults 44 ( P = .03 for both) and allergic rhinitis in the age group of children <5 years 45 ( P < .001).…”

Section: Resultsmentioning

confidence: 77%

“…Qualitative analysis however revealed no association with sex. 39,41,42 Interestingly, sickle cell disease was also not associated with OME. 35,47,48 This finding is important in a setting where sickle cell anemia is still quite common, 66 with patients being prone to ear infections and variable levels of hearing loss.…”

Section: Discussionmentioning

confidence: 97%

“…Reasons for this include a greater susceptibility to infection in children, the abundant quantity of nasopharyngeal lymphoid tissue, postural factors and suboptimal Eustachian tube function 14 . One cohort study 42 confirmed cleft palate as a risk factor for OME (OR: 5.2, 95% CI: 1.4‐18.6, P = .02) as corroborated by prior studies 59,60 . In univariate analysis age, sex, and size of cleft were significantly associated with OME in patients with cleft palate.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Otitis media with effusion in Africa‐prevalence and associated factors: A systematic review and meta‐analysis

Choffor-Nchinda

Siafa

Nansseu

2020

Laryngoscope Investig Oto

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Section: Resultsmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Otitis media with effusion in Africa‐prevalence and associated factors: A systematic review and meta‐analysis

Choffor-Nchinda

Siafa

Nansseu

2020

Laryngoscope Investig Oto

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“…Most of these studies reported success rate in improving the condition around 50%. [11][12][13][14][15][16][17][18][19][20] One study has compared local steroid with systemic steroids and found no significant difference between the two ways of steroid administration. 15 Other study compared nasal steroid with antibiotic on one side with antibiotic alone on the other.…”

Section: Resultsmentioning

confidence: 99%

Evaluation of intranasal mometasone furate in the treatment of children with otitis media with effusion

Galil¹,

Ahmed²,

Wahab³

2019

Egyptian Journal of Neck Surgery and Otorhinolaryngology

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Introduction:Otitis media with effusion (OME) is the most common cause of acquired hearing loss in children. Conventional medical therapy has been tried for OME including antibiotics, decongestants, antihistamines, local and systemic steroids. The results of these trials are quite controversial. Intranasal mometasone furate is a powerful anti-inflammatory that has been thought to benefit in the treatment of OME. Objective: To evaluate the possible role of mometasone furate in the treatment of children with OME. Patients and methods: Sixty children having OME with significant hearing loss were included in the study. They were divided into two groups (A & B) each composed of 30 children. Patients in group A were given intranasal mometasone furate 100mcg/day, 1 puff in each nostril for 6 weeks. Patients in group B were subjected to watchful waiting without any medication for the same period. Clinical and audiological follow up was done after 6 weeks. Results: The overall results showed that there is no significant difference in improvement of OME between the 2 groups. Conclusions: Administration of intranasal mometasone furate for children with OME is not superior to watchful waiting.

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“…Although OME may not present the same medical risk as CSOM, it is often a silent condition that may adversely affect speech and language development, and academic achievement of the affected student (Cai & McPherson, 2017). There is a greater risk of OME and associated hearing loss among children with additional health conditions such as cleft lip/palate (Edetanlen & Saheeb, 2019;Godinho et al, 2018;Goh, Tang, Hashim, Annamalay, & Rahman, 2019).…”

Section: Otitis Mediamentioning

confidence: 99%

Paediatric ear disease and hearing loss in the Solomon Islands

Kaspar¹

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According to the World Health Organisation (WHO), around 90% of the global burden of hearing loss is found in Low-and Middle-Income Countries (LMICs). It is estimated that 75% of childhood hearing loss in LMICs is preventable. Otitis media (OM) and infectious diseases that may be avoided through immunisations are the leading causes of preventable hearing loss in children. Given the wellknown adverse effects of hearing loss in childhood development, the WHO is leading global efforts to address the burden of hearing loss in children through public health measures. Newborn and Infant Hearing Screening (NIHS) and school-based hearing screening programmes are key strategies that should facilitate early identification and intervention for children with hearing disorders. There is very little in the audiology literature on childhood hearing loss in the Pacific Islands. Yet, this region is estimated to have among the highest global burden of OM and disabling hearing loss. The limited literature indicates that OM begins early in life, and may quickly progress to advanced/chronic stages of disease and potentially fatal complications. Ear, Nose and Throat (ENT) and audiology services are virtually non-existent throughout the Pacific Islands, and public health measures such as community ear/hearing screening programmes may be a feasible option until more sophisticated ENT/audiology services become available. The Solomon Islands are a Pacific Island nation that is currently developing the outreach service of the ENT Clinic at the National Referral Hospital in the capital city, Honiara. The present study was developed to assess community engagement and readiness for ear/hearing screening programmes for children, as well as to assess the prevalence of OM and hearing loss among children in Honiara. Should the results of the study indicate that OM and hearing loss are a significant public health issue among children, and that caregivers are supportive of ear/hearing services, the recommendation for routine community-based ear/hearing screening programmes in Honiara will be justified. Parental knowledge and attitudes to childhood hearing loss and hearing services was assessed through semi-structured interviews with 150 parents attending community clinics in Honiara. The highest level of parental knowledge found regarding causes of hearing loss was for OM (94%). Knowledge of routine childhood immunisations (84%) and breast-feeding (76%) as public health measures to reduce/prevent OM were also high. The knowledge of fathers was generally the same or better than that of mothers. Approximately half of participants (56%) agreed that curses may cause childhood hearing loss. There was high parental support for infant hearing screening programmes (96%) and v Publications included in this thesis

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Otitis media with effusion in Nigerian children with cleft palate: incidence and risk factors

Cited by 14 publications

References 16 publications

Otitis media with effusion in Africa‐prevalence and associated factors: A systematic review and meta‐analysis

Otitis media with effusion in Africa‐prevalence and associated factors: A systematic review and meta‐analysis

Evaluation of intranasal mometasone furate in the treatment of children with otitis media with effusion

Paediatric ear disease and hearing loss in the Solomon Islands

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