TYMPANOMETRIC FINDINGS AMONG CHILDREN WITH ADENOID ENLARGEMENT
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 8
Abstract
BACKGROUND Adenoid hypertrophy (AH) is a common disorder of childhood.1 Adenoid or nasopharyngeal tonsil plays a significant role in the pathogenesis of otitis media with effusion (OME). Enlarged adenoids cause obstruction of eustachian tube (ET) at its pharyngeal opening. It causes reduction in middle ear pressure towards negative side due to absorption of gas leading to OME. There is close relationship between enlarged adenoids and possible middle ear pathology due to alteration of middle ear functions. Otitis media with effusion is the commonest cause of hearing difficulty seen in pre-school and school going children. The aim of this study is to critically appraise the tympanometric findings among children with AH. Tympanometry with an impedance meter has been advocated as a reliable method of detecting OME and is perhaps the most common reference standard diagnostic method because of its availability and semi-objective nature. MATERIALS AND METHODS This observational cross-sectional study was conducted in the Department of Otolaryngology, Government Medical College, Thrissur, for a period of one year from October 2016 to September 2017. Hundred patients were enrolled based on inclusion and exclusion criteria. Detailed history, clinical examination, nasal endoscopy, digital X-ray nasopharynx lateral view and tympanometry were analysed. RESULTS Majority of the children were in the age group 3-5 years and 5-7 years in our study, with male preponderance. Majority of the children presented with the nasal symptoms than aural symptoms. The most common tympanogram found was type B (96 ears, 48%) and the least common was type A (40 ears, 20%). Among the 200 ears tested, 28 cases had unilateral type B, 34 cases had bilateral type B, 36 cases had unilateral type C and 14 cases had bilateral type C tympanograms. CONCLUSION This study has shown that adenoidal hypertrophy is a significant risk factor for OME in children. An Adenoidal-Nasopharyngeal Ratio of 0.72 should be considered as significant pathological enlargement and these children should be routinely sent for tympanometry. This establishes the need for prompt hearing evaluation and management in patients with AH.
Authors and Affiliations
Sunaina Binth Hamza, Ranjith V. T
Keywords
Related Articles
- EP ID EP611031
- DOI 10.18410/jebmh/2019/122
- Views 66
- Downloads 0
ROLE OF CORTICAL MASTOIDECTOMY IN INACTIVE, MUCOSAL TYPE OF CHRONIC OTITIS MEDIA
Chronic Otitis Media still remains a major health problem in our country. The management of Chronic Otitis Media with or without cholesteatoma, is probably the most common reason why the simple mastoid operation is perfo...
CLINICAL STUDY ON USE OF PREPERITONEAL MESH FOR REPAIR OF BILATERAL INGUINAL HERNIAS
BACKGROUND Surgical repair for inguinal hernia is one of the common and a basic procedures encountered by a surgeon in day to day practice. History of surgical repair of hernia dates back to the history of the surgery it...
PSYCHIATRIC COMORBIDITY IN PATIENTS WITH OPIOID DEPENDENCE
BACKGROUND Opioid dependence is a major public health problem in Kerala. Presence of psychiatric disorder among opioid dependent patients worsens the scenario. To date no attempts have been made to analyse the magnitude...
PROSPECTIVE COHORT STUDY OF EFFECT OF PREOPERATIVE WARMING USING WARMED IV FLUIDS AND AIR WARMERS ON SHIVERING AND HYPOTHERMIA DURING CAESAREAN SECTION UNDER SPINAL ANAESTHESIA
BACKGROUND The caesarean section under spinal anaesthesia is a common procedure performed in operation theatres. Perioperative shivering and hypothermia will be present in the majority of these cases. Shivering is bother...
COMMON LESION AT AN UNCOMMON SITE: AN ISOLATED RENAL HYDATID CYST
Human echinococcosis remains a complex problem that affects several organs. The incidence of renal echinococcosis is 2-3%. Primary involvement of the kidney without the involvement of the liver and lungs i. e, isolated r...