Bhat Vadisha, Paraekulam Mani Ivan, Aroor Rajeshwary, Saldanha Marina, Goutham M K, Pratap Deepika
Department of ENT, KS Hegde, Mangalore, Karnataka, India.
J Otol. 2019 Sep;14(3):106-110. doi: 10.1016/j.joto.2018.12.001. Epub 2018 Dec 15.
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.
分泌性中耳炎的临床症状很少被告知该病最常见的幼儿监护人。这往往导致学业成绩不佳和社交互动困难。本研究的目的是确定腺样体肥大患者中存在的无症状分泌性中耳炎病例。
在印度卡纳塔克邦的K.S.赫德法官医院进行的一项横断面研究中，我们评估了2016年8月至2017年12月期间100名3岁以上的患者。选择腺样体鼻咽比大于0.5的患者进行研究。主诉耳部症状的个体不纳入研究。清除其他病理性耳部疾病的患者接受纯音听力计和鼓室图的听力学评估，以评估中耳状态和听力损失。
研究显示，总共36%接受评估的患者患有无症状分泌性中耳炎。在呈现双侧B型鼓室图的患者中，40%有超过25dB的显著传导性听力损失。
对所有腺样体肥大患者进行诸如阻抗测听等客观测试将有助于诊断中耳积液，以便能够及时进行干预并避免可能的并发症。
