Parmar Suchina, Davessar Jai Lal, Singh Gurbax, Arora Nitin, Kansal Latika, Singh Jyoti
Department of ENT, Guru Gobind Singh Medical College and Hospital, punjab, India.
Indian J Otolaryngol Head Neck Surg. 2019 Nov;71(Suppl 2):1276-1281. doi: 10.1007/s12070-018-1310-y. Epub 2018 Mar 26.
Otitis media is an inflammation of the middle ear cleft, with or without intact tympanic membrane. Otitis media is known to be one of the most common childhood infections. Middle ear effusions have been recognized to grab increasing attention because of the problems they pose in both the diagnosis and the treatment, and because of the fear that effusion is the cause of learning difficulties, irreversible middle ear disease, or both. To study prevalence of otitis media with effusion in children with hearing loss. Materials and methods: This prospective study was conducted on children with hearing loss ageing between 3 and 15 years presenting to ENT OPD of GURU GOBIND SINGH MEDICAL COLLEGE FARIDKOT with complaint of hearing loss from January 2015 to June 2016. Total of 125 children were taken in study. Detailed history and complete ENT examination was done along with pure tone audiometery and impedence audiometery. Most common complaints of patient were otalgia on ototscopic examination majority of patients had congested tympanic membranes. Otitis media with effusion was most common cause of hearing loss. Majority of children diagnosed with otitis media with effusion were in age group of 6-8 years of age. Patients with mild hearing loss due to otitis media with effusion, on pure tone audiometery was more as compared to moderate hearing loss. B type of tympanogram was found in majority of cases. The potential of otitis media with effusion to cause a series of sequels and complications such as tympanosclerosis, retraction pockets, adhesive otitis media and hearing or speech impairment makes the disease an important public health problem. To prevent delayed diagnosis which leads to development of this disease, parents must be informed about the preventable risk factors and symptoms for the development of otitis media with effusion.
中耳炎是中耳腔的炎症，鼓膜可完整或不完整。中耳炎是已知最常见的儿童感染之一。中耳积液因其在诊断和治疗中带来的问题，以及因担心积液是学习困难、不可逆中耳疾病或两者的病因，而受到越来越多的关注。研究听力损失儿童中耳积液性中耳炎的患病率。材料与方法：本前瞻性研究针对2015年1月至2016年6月期间因听力损失主诉到法里德科特古鲁·戈宾德·辛格医学院耳鼻喉科门诊就诊的3至15岁听力损失儿童进行。共纳入125名儿童进行研究。进行了详细的病史询问和全面的耳鼻喉检查，同时进行了纯音听力计检查和声阻抗听力计检查。患者最常见的主诉是耳痛，耳镜检查时大多数患者鼓膜充血。中耳积液是听力损失最常见的原因。大多数被诊断为中耳积液性中耳炎的儿童年龄在6至8岁。与中度听力损失相比，因中耳积液性中耳炎导致轻度听力损失的患者在纯音听力计检查中更多见。大多数病例中发现为B型鼓室图。中耳积液性中耳炎引发一系列后遗症和并发症（如鼓室硬化、内陷袋、粘连性中耳炎以及听力或言语障碍）的可能性，使该疾病成为一个重要的公共卫生问题。为防止导致该疾病发生的延迟诊断，必须告知家长中耳积液性中耳炎可预防的危险因素和症状。
