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

作     者：Vadisha Bhat Ivan Paraekulam Mani Rajeshwary Aroor Marina Saldanha M.K. Goutham Deepika Pratap 

作者机构：Department of ENT KS Hegde 

出 版 物：《Journal of Otology》 (中华耳科学杂志（英文版）)

年 卷 期：2019年第14卷第3期

页      面：106-110页

核心收录：

学科分类：10[医学] 

基　　金：There is also no financial disclosure as all cases needed mandatory pure tone audiometric evaluation with impedance 

主　　题：OME Adenoid hypertrophy Otitis media with effusion Hearing loss in children Glue ear 

摘      要：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 *** 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.