Published February 28, 2023 | Version https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue2,Article8.pdf
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Evaluation of Hearing Outcomes in Cases of Otitis Media with Effusion in Preadolescents Treated with Adenoidectomy

  • 1. Assistant Professor, Department of ENT, GMERS Medical College and Hospital, Dharpur, Patan
  • 2. Assistant Professor, Department of ENT, C U Shah Medical College, Surendranagar

Description

Background and Aim: As a result of adenoid hypertrophy, Otitis Media with Effusion (OME) develops. But in youngsters, OME-related hearing loss frequently goes undetected. This results in a lack of attention, poor cognitive development, and poor academic achievement. The purpose of this study is to evaluate the prevalence and outcomes of adenoidectomy in instances of otitis media with effusion and hypertrophied adenoids in an Indian tertiary care setting. Material and Methods: The otorhinolaryngology department at a tertiary care facility in India carried out the study over the course of a year. A total of 100 children with bilateral serous otitis media between the ages of 5 and 12 were included in the study. Pure tone audiometry and tympanometry were carried out both prior to surgery and on a regular basis after the adenoidectomy (along with tonsillectomy when indicated). It was assessed how much hearing results had improved on average. Results: In our group, sore throats, nasal discharge, snoring or nasal obstruction, deafness, and ear fullness were the most frequent presenting complaints. At 15 days, 1 month, and 2 months after surgery, there was a statistically significant improvement in hearing as compared to the preoperative hearing levels. Conclusion: Adenoidectomy, along with tonsillectomy when necessary, provides very good, long-lasting hearing improvement in children with hypertrophied adenoids and otitis media with effusion, and should always be considered in such patients in order to improve eustachian tube function and eliminate potential sources of infection. OME can be diagnosed non-invasively using tympanometry.

 

 

 

Abstract (English)

Background and Aim: As a result of adenoid hypertrophy, Otitis Media with Effusion (OME) develops. But in youngsters, OME-related hearing loss frequently goes undetected. This results in a lack of attention, poor cognitive development, and poor academic achievement. The purpose of this study is to evaluate the prevalence and outcomes of adenoidectomy in instances of otitis media with effusion and hypertrophied adenoids in an Indian tertiary care setting. Material and Methods: The otorhinolaryngology department at a tertiary care facility in India carried out the study over the course of a year. A total of 100 children with bilateral serous otitis media between the ages of 5 and 12 were included in the study. Pure tone audiometry and tympanometry were carried out both prior to surgery and on a regular basis after the adenoidectomy (along with tonsillectomy when indicated). It was assessed how much hearing results had improved on average. Results: In our group, sore throats, nasal discharge, snoring or nasal obstruction, deafness, and ear fullness were the most frequent presenting complaints. At 15 days, 1 month, and 2 months after surgery, there was a statistically significant improvement in hearing as compared to the preoperative hearing levels. Conclusion: Adenoidectomy, along with tonsillectomy when necessary, provides very good, long-lasting hearing improvement in children with hypertrophied adenoids and otitis media with effusion, and should always be considered in such patients in order to improve eustachian tube function and eliminate potential sources of infection. OME can be diagnosed non-invasively using tympanometry.

 

 

 

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Dates

Accepted
2023-02-05

References

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