Relationship between Adenotonsillar Hypertrophy and Otitis Media with Effusion
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 2
Abstract
Introduction: Otitis media with effusion is one of the commonest chronic otological conditions of childhood. It results from alteration of the mucociliary system within the middle ear cleft. It is especially prevalent in children with cleft palate and frequently occurs in association with upper respiratory tract infection particularly adenoid and tonsillar infection Material and methods: Total 160 patients were included in the study. A detailed history and clinical examination was done in a prepared questionnaire. Special emphasis was given to the following symptoms – nasal discharge, decrease in hearing, ear ache, ear discharge, defective speech, voice change, mouth breathing, snoring, sleep apnoea. Presence of following signs were noted – tonsillar grading, tympanic membrane retraction, tympanic membrane congestion, presence of fluid level, cholesteatoma, tympanosclerotic patch, retraction pocket. A pure tone audiogram was done to assess the hearing loss (if any). Tympanogram was done to assess the middle ear status. Examination under microscopy was done to confirm the otoscopic findings. Grading of adenoid tissue was done by flexible endoscopy Results: Among the presenting symptoms the most common are mouth breathing, nose block and decreased hearing. The most common sign denoting middle ear effusion in our study is tympanic membrane retraction (58.1), followed by fluid level(23.1%). There is significant association between the presence of type B tympanogram and the presence of middle ear fluid. Conclusion: Adenotonsillar hypertrophy acts as predisposing factors for otitis media with effusion. Adenoids cause tubal dysfunction by mechanical obstruction and reservoir for pathogenic organisms
Authors and Affiliations
Anupama Vijayan, V. R. Ramakrishnan, Thampi John Manjuran
Keywords
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