Association of asymptomatic otitis media with effusion in patients with adenoid hypertrophy

Bhat, Vadisha Srinivas; Mani, Ivan Paraekulam; Aroor, Rajeshwary; Saldanha, Marina; Goutham, MK; Pratap, Deepika

doi:10.1016/j.joto.2018.12.001

Cited by 21 publications

(24 citation statements)

References 23 publications

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“…Ren et al, 14 found middle ear effusion in 75.4% Sarwar et al 15 found middle ear effusion in 58.33%. Bhat et al 17 found 36% had either unilateral or bilateral middle ear effusion.…”

Section: Discussionmentioning

confidence: 99%

“…And there was no statistically significant correlation between the presence of OME and adenoid hypertrophy. Bhat et al, 17 in a study with 100 patients, found 56% had grade 3 and 44% had grade 4 adenoid hypertrophy, mean hearing loss in patients with effusion was around 24 dB. Hearing status of the patients in the study of Syed et al, 18 in his study with children with hearing loss, found statistically significant association between adenoid hypertrophy with choanal obstruction and abutment of eustachian tube opening seen on endoscopy with hearing loss (p = 0.025).…”

Section: Discussionmentioning

confidence: 99%

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Correlation of Adenoid Hypertrophy on Nasoendoscopy and Audiological Parameters in Children

Mahbub¹,

Rahman

2021

KYAMC j.

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Background: Hypertrophy of the adenoid is a common finding in children under 12 years of age, which commonly leads to impairment of hearing.Nasoendoscopyand audiological tests are frequently included in the workup of these patients. Objectives:Aim for this study was to find out whether any correlation exists between the size of adenoids on nasoendoscopy and the audiological parameters. Materials & Methods: This is cross-sectional study conducted from Jan 2019 to Jan 2020 in Khwaja Yunus Ali Medical College Hospital, Enayetpur, Shirajganj. Total 50 patients were included in this study. In all patients, Flexible nasoendoscopy, Pure tone audiometry and Tympanometry was done. Findings were evaluated to assess the correlation of degree of adenoid hypertrophy to the severity of hearing impairment. Results: In this study, mean age of participants was 7.46 (3.62) years. Findings of hypertrophy were – Grade I 7(13%), Grade II 24(47%), Grade III 14(28%), Grade IV 6(12%).Findings of hearing status were – upto 25 dB 14(28%), Between 26–40 dB 32(64%), Above 40 dB 4(8%). Mean hearing loss according to adenoid hypertrophy were – Grade I –19.42dB, Grade II –30.41dB, Grade III – 35.64dB, Grade IV – 38.60dB. Type B curve percentage on adenoid groups were – Grade I – 3(43%), Grade II – 16(67%), Grade III – 11(79%), Grade IV – 6(100%). Conclusion: Adenoid hypertrophy as seen on nasoendoscopy correlates well with the expected audiological parameters in children. KYAMC Journal.2021;12(01): 18-21

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“…Ren et al, 14 found middle ear effusion in 75.4% Sarwar et al 15 found middle ear effusion in 58.33%. Bhat et al 17 found 36% had either unilateral or bilateral middle ear effusion.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Correlation of Adenoid Hypertrophy on Nasoendoscopy and Audiological Parameters in Children

Mahbub¹,

Rahman

2021

KYAMC j.

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“…In their study among the children with adenoid hypertrophy, Bhat et al found asymptomatic middle ear dysfunction in 36% of the study population. 13 Another study found more than 60% of episodes of symptomatic URI among young children were complicated by Acute Otitis Media or middle ear effusion. 14 These asymptomatic middle ear dysfunction may eventually progresses to full blown OME, affecting the hearing of the child and consequently language development (in early childhood).…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Middle Ear Dysfunction in Children with Upper Respiratory Infection – Analytical Cross Sectional Study

Dutta¹,

Mallick²,

Azgaonkar

et al. 2022

BJOHNS

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Introduction Otitis Media with Effusion (OME) is the commonest cause of hearing difficulty and one of the most frequent reasons for elective admission to the hospital for surgery during childhood. The condition starts with dysfunction of middle ear due to poor ventilation through Eustachian tube or extension of the inflammatory process from nasopharynx. In the natural history of the disease, there may be a period of the pre-clinical stage without symptoms or signs of OME. If the disease is identified in this stage, the further sequel of it (like persistent hearing difficulty or retraction pocket formation) may be prevented. Materials and Methods A hospital based analytical cross-sectional study was conducted among the children below 12 years of age to assess the middle ear function (by tympanometry) in children having upper respiratory tract infection (but no ear related complaints) and comparing them with the middle ear function in children not having such infection or any recent history of the same. Age and sex matched control group having no such symptoms was constructed. There were 25 children in both study and control group selected from Otorhinolaryngology and Pediatrics outpatient department (OPD). So total numbers of children were 50. Results There was no statistically significant difference in background characteristics (age, sex) of the of study and control groups. There was no statistically significant difference when the tympanic membrane retraction or middle ear pressure is taken into account. But significant difference found in the parameters like middle ear compliance (68% children have low compliance in the study group vs 20% in control, with df= 1, ϰ2 = 11.688 and p value was 0.001) and tympanogram curve type (48% in study group have B or C type and 8% have such in control group). Conclusion Early diagnosis of the middle ear dysfunction among the children with upper respiratory infection, by clinical examination and suitable audiological investigation in the pre-clinical stage with appropriate intervention can prevent further progression of the disease, causing hearing loss as well as retraction pocket formation.

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“…The COM group had higher-grade biofilm formation in comparison to another group [ 27 ]. The study of Bhat et al showed that 36 of 100 pediatric with adenoid hypertrophy had the asymptomatic OME [ 28 ]. The presence of biofilms on the adenoid surface may maintain chronic illness leading to possible missed complication cases.…”

Section: Discussionmentioning

confidence: 99%

Tympanoplasty and adenoidectomy in children: Comparison of simultaneous and sequential approaches

et al. 2022

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Background The authors sought to compare simultaneous and sequential tympanoplasty and adenoidectomy surgery in pediatric patients. Methods This retrospective single-center study included 65 children (36 males, 29 females; mean age 9.16 ± 3.82 years; range 3–17 years) requiring both tympanoplasty and adenoidectomy. Simultaneous surgeries were performed on the same day, during single general anesthesia, whereas sequential surgeries were separated at least 12 weeks. The groups were compared with regard to restoration of hearing, tympanic membrane status, and utilization of medical resources. All study participants had a 12-months follow-up period after surgery. Results No statistically significant differences were observed between the groups regarding pre- and post-operative ABG values and average hearing gains. However, the post-operative ABG was significantly lower than the pre-operative ABG in both groups (p<0.001). There were no significant differences between simultaneous and sequential groups with respect to complete healing rates and complications (all p>0.355). Simultaneous tympanoplasty and adenoidectomy surgery management is associated with a significantly decreased cumulative hospital stay, cumulative operating room time, and cumulative pure surgical time (all p≤0.016). Conclusions The results of first comparative study of simultaneous versus sequential tympanoplasty and adenoidectomy surgery managements demonstrate no advantages for the sequential approach. The same-day surgery can show the clinical outcomes comparable to those in the sequential group. The simultaneous surgery approach appears to be associated with reduced medical resources consumption. Therefore, simultaneous surgery management is an effective and safe option for children with chronic otitis media and adenoid hypertrophy.

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Association of asymptomatic otitis media with effusion in patients with adenoid hypertrophy

Cited by 21 publications

References 23 publications

Correlation of Adenoid Hypertrophy on Nasoendoscopy and Audiological Parameters in Children

Correlation of Adenoid Hypertrophy on Nasoendoscopy and Audiological Parameters in Children

Asymptomatic Middle Ear Dysfunction in Children with Upper Respiratory Infection – Analytical Cross Sectional Study

Tympanoplasty and adenoidectomy in children: Comparison of simultaneous and sequential approaches

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