Demir Emine, Topal Sevgi, Atsal Gorkem, Erdil Mehmet, Coskun Zerrin Ozergin, Dursun Engin
Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey.
Department of Pediatrics, Agri State Hospital, Agri, Turkey.
Int Arch Otorhinolaryngol. 2019 Jan;23(1):36-40. doi: 10.1055/s-0038-1667007. Epub 2018 Jul 25.
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. To investigate the otologic findings and their incidences in the sample, which consisted of patients who presented to the pediatric outpatient clinic with non-otologic complaints. 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. 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. 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.
在由全科医生和儿科医生对患者进行全面评估的医学分支中，耳科评估具有重要意义。为了调查样本中的耳科检查结果及其发生率，该样本由因非耳科主诉前往儿科门诊就诊的患者组成。本研究纳入了年龄在2至16岁之间、既无耳鼻喉科主诉也无耳鼻喉科（耳、鼻、喉，ENT）手术史的患者。从每位患者的病历中记录在外耳道和鼓膜中检测到的结果，以及转诊患者的耳鼻喉科医生的耳科检查结果，同时记录所采用的药物和手术治疗以及诊断检查。在总共评估的973名患者中，有129名（13.2%）因任何耳科病理情况被转诊至耳鼻喉科门诊。在耳鼻喉科检查中，12名（1.2%）患者检测到假阳性，117名（12%）患者检测到病理结果，这些患者被诊断为：68名（6.9%）患有分泌性中耳炎（OME）；37名（3.8%）患有耵聍栓塞；8名（0.8%）患有急性中耳炎（AOM）；2名（0.2%）在外耳道有蜱虫；2名（0.2%）鼓膜有内陷袋；1名（0.1%）有鼓膜单侧中央干性穿孔；1名（0.1%）有先天性胆脂瘤。通过仅用耳镜进行的简单检查即可早期诊断，从而预防因任何病理情况，主要是感染可能引发的任何并发症和后遗症。儿科医生和全科医生应就他们所发现的病理情况与耳鼻喉科医生保持密切联系。
