The effect of adenoid hypertrophy on tympanometric findings in children without hearing loss

Günel, Ceren; Ermişler, B; Hs, Başak

doi:10.5606/kbbihtisas.2014.50024

Cited by 19 publications

(18 citation statements)

References 16 publications

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“…About 17.9% of the ears with otitis media with effusion were confirmed by myringotomy. 3 This prospective study included 71 children aged 3-10 years old Rizgary Teaching Hospital for adenotonsillectomy attending between august 2013-2014. Questions about upper airway obstruction symptoms were directed to parents and patients.…”

Section: Discussionmentioning

confidence: 99%

“…1 Untreated otitis media with effusion may result in series of consequences in the form of poor speech and intellectual development and permanent anatomical distortions within the middle ear cavity. 3 Otoscopy shows dull tympanic membrane or air fluid level seen on the tympanic membrane. Tympanometry provides an effective screening test for the detection of negative middle ear pressure.…”

Section: Introductionmentioning

confidence: 99%

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Tympanometric changes following adenoidectomy in children with adenoid hypertrophy

Rajashekhar

Shinde

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Adenoid Hypertrophy is the commonest disorder in children. The size of adenoids varies from child to child and also in the same individual as he grows and attains maximum size between age of 3 to 7 years. Adenoid hypertrophy plays a significant role in the pathogenesis of otitis media with effusion. Our objective was to study the tympanogram changes following adenoidectomy. i.e to find out the effect of adenoidectomy on Otitis Media with Effusion.Methods: Patients showing >50% of airway obstruction by the adenoids were included in the study. 20 patients with adenoid hypertrophy underwent adenoidectomy. Pre-operative and postoperative tympanograms of 40 ears were studied. Results: Type A curve (normal) was found in 12 ears. Type B Flat tympanogram – 12 ears s/o Gross Serous Otitis Media. Type C tympanogram – 8 ears s/o uncomplicated eustachian tube obstruction. 5 ears showed tympanogram s/o Eustachian tube block without significant collection of middle ear fluid. 3 ears showed tympanogram s/o uncomplicated eustachian tube obstruction. Post adenoidectomy, 32 ears showed normal tympanogram. 8 ears showed tympanogram s/o negative middle ear pressure with normal compliance.Conclusions: Our study shows high prevalence of Otitis Media with Effusion in patients with adenoid hypertrophy. Otitis Media with Effusion is treated by adenoidectomy in most of the patients which is confirmed by post adenoidectomy tympanogram. Also, problem of decreased attention in school due to reduced hearing secondary to OME can be corrected by adenoidectomy. Hence, all patients should undergo pre and post-adenoidectomy tympanometry to know the compliance and pressure changes in the middle ear.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Tympanometric changes following adenoidectomy in children with adenoid hypertrophy

Rajashekhar

Shinde

2018

Int J Otorhinolaryngol Head Neck Surg

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“…So, they suggested that tympanometry can make a more accurate diagnosis of pediatric OME in AH children with or without parental suspicion of HI. 21 Therefore, tympanometry should be used as a routine examination of the middle ear in children with AH. In Nwosu et al, showed higher proportion of type B tympanogram than type C. So, they associated that middle ear effusion occurs more than ET dysfunction in patient with AH, which is more associated with severe HI.…”

Section: Tympanometry In Chronic Adenotonsillitismentioning

confidence: 99%

“…22 Guenel et al, mentioned Signs and symptoms of OME are usually occult. 21 Some children with AH have OME in spite of having no complaint of hearing loss. Sometimes parents are not aware of their children's symptoms of hearing loss.…”

Section: Tympanometry In Chronic Adenotonsillitismentioning

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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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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“…Diagnosis of otitis media with effusion can be made by clinical examination of the tympanic membrane and objectively with pure tone audiometry and impedance audiometry. The presence of a “B” type tympanogram remains the most reliable non-invasive investigation for otitis media with effusion (Yellon et al., 1995a; Gunel et al., 2014).…”

Section: Introductionmentioning

confidence: 99%

Association of asymptomatic otitis media with effusion in patients with adenoid hypertrophy

et al. 2019

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Objective Clinical symptoms of otitis media with effusion are rarely brought forward to the guardians of young children who the disease is most prevalent in. This often leads to poor scholastic performances and difficult social interactions. The objective of this study was to identify asymptomatic cases of otitis media with effusion present in individuals with adenoid hypertrophy. Material and Methods In a cross sectional study advocated in Justice K.S.Hegde Hospital, Karnataka India we evaluated one hundred patients above the age of three from August 2016 to December 2017. Candidates who presented with an adenoid nasopharyngeal ratio of more than 0.5 were selected for the study. Individuals who complained of otological symptoms were not considered for the study. Patients cleared of other pathological otological conditions were underwent audiological evaluation with pure tone audiometry and tympanometry for evaluating the middle ear status and hearing loss. Results The study showed a total of 36% of patients evaluated presented with asymptomatic otitis media with effusion. In candidates who presented with a bilateral B tympanogram, 40% had significant conductive hearing loss of more than 25dB. Conclusion An objective test such as impedance audiometry in all patients with adenoid hypertrophy would aid in the diagnosis of fluid in the middle ear, so that timely intervention can be done and possible complications be averted.

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The effect of adenoid hypertrophy on tympanometric findings in children without hearing loss

Cited by 19 publications

References 16 publications

Tympanometric changes following adenoidectomy in children with adenoid hypertrophy

Tympanometric changes following adenoidectomy in children with adenoid hypertrophy

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

Association of asymptomatic otitis media with effusion in patients with adenoid hypertrophy

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