Comparison of middle ear function and hearing thresholds in children with adenoid hypertrophy after microdebrider and conventional adenoidectomy: a randomised controlled trial

Rajan, Nikhil; Saxena, Sunil; Parida, Pradipta Kumar; Alexander, Arun; Ganesan, Sivaraman

doi:10.1007/s00405-020-06197-z

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…Factors like allergies and environmental toxins can induce adenoid hypertrophy, causing the adenoid tissue to enlarge when exposed to allergens and irritants. Exposure to smoking or pollution may increase the risk of adenoid hypertrophy, and in rare cases, it has been linked to lymphomas, sinus tumors, and HIV infection (4,5,6). Generally, adenoidectomy is considered a safe procedure with common short-term side effects such as nose or mouth bleeding, bad breath, sore throat, fever, nausea, and vomiting.…”

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confidence: 99%

Severity and Types of Hearing Loss in Patients with Hypertrophic Adenoids

Akhtar,

Khan,

Badar

et al. 2023

JHRR

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Background: Hearing loss in children can significantly impact language development and social interaction. Hypertrophic adenoids are a common pediatric condition that can contribute to hearing impairments. Understanding the prevalence and severity of hearing loss in this demographic is crucial for effective management and intervention strategies. Objective: The study aimed to determine the prevalence and severity of hearing loss among children with hypertrophic adenoids, assessing the demographic characteristics and the types of hearing loss observed in this population. Methods: This observational cross-sectional survey was conducted over nine months at the Children's Hospital and Institute of Child Health, University of Lahore Teaching Hospital. The study included a sample size of 339 children aged 5-13 years, calculated based on a prevalence rate of 67.3% for mild hearing loss. Children with comorbidities like Down syndrome, Autism, ADHD, and other disabilities were excluded. Hearing assessments were conducted using an otoscope, a tympanometer, and a diagnostic audiometer (MAICO MA41 model). Data were analyzed using SPSS Version 25.0, focusing on the frequency and percentage of various types of hearing loss. Results: The study included 183 males (54%) and 156 females (46%), with a higher representation from rural areas (60%, n=203). Tympanometric analysis revealed 51.9% (n=176) with Type A tympanograms, 43.1% (n=146) with Type B, and 5% (n=17) with Type C. Audiometric results showed that 53.1% (n=180) of participants had normal hearing levels, while 27.1% (n=92) experienced mild hearing loss, 16.2% (n=55) had moderate hearing loss, 3.5% (n=12) had moderately severe hearing loss, 1.5% (n=5) had sensorineural hearing loss, and 2.1% (n=7) had mixed hearing loss. Conclusion: The study demonstrates a significant occurrence of mild to moderate conductive hearing loss in children with hypertrophic adenoids, particularly in rural settings. These findings highlight the need for regular auditory screening and early intervention strategies in this demographic to prevent long-term speech and language complications.

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Section: Introductionmentioning

confidence: 99%

Severity and Types of Hearing Loss in Patients with Hypertrophic Adenoids

Akhtar,

Khan,

Badar

et al. 2023

JHRR

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“…7KH OLWHUDWXUH SUHVHQWV D VLJQL˝FDQW QXPber of studies that prove the precision, accuracy and tissue preservation of the microdebrider adenoidectomy [11,18], which has transient [5] and OHVV SURQRXQFHG H˜HFW RQ WKH (XVWDFKLDQ WXEH IXQFWLRQ FRPSDUHG WR WKH WUDGLWLRQDO PHWKRG >@ However, since the correction was most often performed in patients with middle ear pathology (including the Eustachian tube), no data on the di-UHFW H˜HFW RI WKH PHWKRG RQ D QRUPDOO\ IXQFWLRQLQJ Eustachian tube was found.…”

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Assessment the impact of the torus tubarius correction by power-assisted technique on the equipressor eustachian tube function

Liakh,

Kosakovskyi,

Shkorbotun

2023

MPU

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Purpose of the research is to evaluate the impact of the torus tubarius correction by microdebrider technique on the eustachian tube function in children without middle ear pathology. Materials and methods. 115 children aged 3 to 12 years participated in the study. All children underwent endoscopic modified microdebridement adenotomy for the first time, which, in the case of tubal hypertrophy (we analyzed the frequency of this phenomenon), was combined with its correction by the microdebridement method. For the next stage of the research, we selected 19 children, who had preoperative intratympanic pressure monitoring results more than -100 daPa and who hadn’t concomitant tonsil hypertrophy (19 children). Control measurement was done on days 1 and 8-10 after the intervention. Depending on the presence/absence of concomitant hypertrophy of the torus tubarius, patients were divided into the main (11 patients) and control (8 patients) groups. The analysis was carried out using the STATISTICA program. Results. 36 patients were diagnosed with torus tubarius hypertrophy. When comparing intratympanic pressure on the 1st day after the intervention in patients of the main and control groups, a significant difference in values was found (-144.37±41.09/-95.00±27.90 daPa). On day 8-10, the intratympanic pressure data in patients of both groups did not differ from each other (-39.15±14.85 daPa in the main and -33.87±19.57 daPa in the control groups) and preoperative values in both groups. Conclusions. Hypertrophy of the torus tubarius is noted in 31.3% of patients with primary adenotomy. The microdebrider technique method of torus tubarius correction is safe in view of the equipressor function of the auditory tube. The research was carried out in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Local Ethics Committee of the institution mentioned in the work. Informed consent of parents or their guardians was obtained for conducting research. No conflict of interests was declared by the authors.

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Anatomical Rationale for Choosing a Blade for Power-Assisted Adenoidectomy in Children Depending on Dentition

Liakh

Shkorbotun

2022

Wiad Lek

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The aim: To study the anatomic features of the facial skull structures in children of various ages depending on dentition Materials and methods: One hundred and forty-four children aged 2-12 years were divided into 4 groups depending on dentition. They underwent anthropometric measurements during adenoidectomy. Based on the cosine theorem, the calculated values were obtained. Results: The distance from choana to the free edge of the retracted soft palate gradually increases from 2.01±0.61 cm in children with stable primary dentition up to 3.09±1.02 cm with mixed dentition. Palato-nasopharyngeal angle in children with stable primary dentition is 126.25±8.76°, in children with aging primary dentition – 132.81±12.21°, and in children with mixed dentition – 120.54±13.72°. Conclusions: The optimal configuration of the blade for power-assisted adenoidectomy in children with stable primary dentition has an angle of 53.53±8.76°, and the length of the working part of 2.01±0.61 cm, in children with aging primary dentition – 47.18±12.21° and 2.10±0.71 cm, with mixed dentition – 59.45±13.72° and 3.09±1.02 cm, respectively.

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Comparison of middle ear function and hearing thresholds in children with adenoid hypertrophy after microdebrider and conventional adenoidectomy: a randomised controlled trial

Cited by 3 publications

References 25 publications

Severity and Types of Hearing Loss in Patients with Hypertrophic Adenoids

Severity and Types of Hearing Loss in Patients with Hypertrophic Adenoids

Assessment the impact of the torus tubarius correction by power-assisted technique on the equipressor eustachian tube function

Anatomical Rationale for Choosing a Blade for Power-Assisted Adenoidectomy in Children Depending on Dentition

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