Chronic otitis media and subsequent hearing loss in children from the Himalayan region residing in Buddhist Monastic schools of Nepal

Abstract

Objectives The main objective of the study was to ascertain the prevalence of chronic otitis media and determine the corresponding hearing loss in children from Nepal’s Himalayan region now residing in Buddhist Monastic schools of Nepal. Methods The study was conducted among children at Buddhist monastic school in different parts of Nepal. A total of 3174 children aged between 5 and 15 years, who were originally from the Himalayan region of Nepal and were currently residing in monastic schools, were screened for ear problems and hearing loss. They were examined by otoscope to diagnose chronic otitis media. Hearing was evaluated by pure tone audiometer, and 0.5–4 kHz air conduction hearing threshold was measured and documented. Results Of the total of 3174 children who were screened for ear diseases and hearing loss, monks constituted 76.21% (n = 2419) and Nuns 23.78% (n = 755). Chronic otitis media was the most common otoscopic finding during the screening, and it affected a total of 344 (10.83%) children. Out of these 344, hearing loss of varying degrees was observed in 5.42% (n = 172) children. Conclusion There is high prevalence of chronic otitis media in children belonging to the Himalayan region of Nepal, and it is the main cause of avoidable hearing loss. Timely diagnosis and treatment of chronic otitis media could prevent unnecessary hearing loss in these children.

Timpanik Membran Görüntü Özellikleri Kullanılarak Sınıflandırılması

“…𝑘NN yöntemi test kümesinde bulunan bir verinin sınıfının belirlenmesi için eğitim kümesinde bulunan her bir örneğe uzaklık fonksiyonu ile karşılaştırılarak bulunmaktadır. En yakın komşular genellikle bitişiğindeki bilinmeyen noktaya en kısa mesafeli noktalar olarak belirlenir [10]. Bu algoritmanın iki temel bileşeni vardır.…”

“…Akut OM; kulak ağrısı, kulak zarında bombeleşme, sıvı birikmesi, kulak zarında kızarıklık ve genellikle üst solunum yolu enfeksiyonu ile kendini göstermektedir [8] [9]. Kronik OM ise akut OM ve efüzyonlu OM'nin tıbbi tedaviye rağmen 6 hafta ile 3 ay arasında devam etmesi veya Dünya Sağlık Örgütüne göre 2 hafta efüzyonun devam etmesi olarak kabul edilmektedir [10].…”

Effectiveness of Structured Teaching Programme on Knowledge Regarding Otitis Media and Its Prevention among Mothers of Under Five Children: A Pre-Experimental Study

“…According to estimates, hearing loss affects 466 million individuals worldwide, 34 million of whom are children. In Nepal, 7.4% of people have suffered from a middle ear infection, while 16.6% of the population has hearing loss 5 . Hearing loss is one of the main sequelae of chronic otitis media, but there are potentially life-threatening complications such as acute mastoiditis, chronic and recurrent otitis media, neck abscess meningitis, cerebral abscess, and facial palsy 6 .…”

“…Hearing loss is one of the main sequelae of chronic otitis media, but there are potentially life-threatening complications such as acute mastoiditis, chronic and recurrent otitis media, neck abscess meningitis, cerebral abscess, and facial palsy 6 . A particular problem in developing countries is that patients with the diseases are often present until they get severe sickness, and this leads to higher morbidity and mortality 5 . Although otitis media can occur, 80-90% of cases occur in children younger than 6 years who are diagnosed with acute otitis media during the first year of life and are much more likely to develop recurrent otitis media and chronic otitis effusion than children in whom the first middle ear infection occurs after age 1 year.…”

Effectiveness of Surgical Approach of Insertion Ventilation Tubes (Tympanostomy) and Adenoidectomy in Comparison with Non-Surgical Approach (Watchful Waiting Approach) in Children at the Age between 1 and 6 and Who Suffer from Otitis Media with Effusion (OME) in 12-Month Period of Observation—The Retrospective Analysis

“…A range of research findings show how important it is to identify children with hearing disorders and implement appropriate treatment and rehabilitation early on [ 7 , 8 , 9 ]. Childhood hearing screening in school children should be the primary tool for identifying hearing loss that was not recognized at birth or that developed later [ 10 , 11 , 12 ]. The symptoms of hearing loss in children can manifest in a variety of ways and, in some cases, may go unnoticed [ 13 ].…”