Effect of Grommet Insertion With Concurrent Adenoidectomy on The Hearing of Children Having Otitis Media With Effusion
Journal Title: GJRA-Global Journal For Research Analysis - Year 2015, Vol 4, Issue 1
Abstract
Objectives:To determine the clinical profile of persistent OME with hearing impairment in children, and the effect of grommet insertion with concurrent adenoidectomy on hearing as assessed by pure tone audiometry. Materials and methods:100 children aged 5-12 years,with OME and resulting unilateral/bilateral hearing impairment were included in a prospective observational study.Clinical evaluation,audiometry,tympanometry and X-ray nasopharynx were done.All subjects underwent adenoidectomy with tympanostomy tube insertion in the affected ear(s) with follow ups at 2,6 months. Results:Mean age was 7.48±2.35 years.87% had bilateral hearing impairment.88% had otoscopically abnormal tympanum bilaterally. Majority(68%) had moderate hearing loss on audiometry (mean air conduction threshold of 26.78±6.94 dB).Postoperatively,statistically significant reduction in air conduction threshold was noted during the first 2 months; not between 3rd-6thmonth. Conclusion:Evaluation and treatment of children with OME as outlined in the study,is useful,safe,effective and thus still relevant in current daily clinical practice.
Authors and Affiliations
Dr. K. G . Somashekara, Dr. Amrita Suzanne Mathew, Dr. Keshav Pai
Keywords
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