Evaluation of squeal of otitis media with effusion in children

Mahmood Shakir Shukur, Ali Omar Taha, Fadya Lutfi Dawood Dalloo
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Abstract

Objectives: The aim of study is to evaluate and assess squeal of otitis media with effusion in children. Methods: cross sectional retrospective study was admitted to children in age range 1 to 15 years old, all children who diagnosed as otitis media with effusion. patients who came to outpatient complaining of deafness, acute or chronic rhino sinusitis, snoring, sleep apnea, atopy and diagnosed as otitis media with effusion included in this study. full otolaryngological examination done for these patients including otoscopical examination, anterior rhinoscopy and nasal endoscopy. documented cases of OME by aural otoscopy included in this study Change of color and position of tympanic membrane, fluid level, retracted tympanic membrane considered as signs of otitis media with effusion. These patient submitted to tympanometry to confirm the diagnosis of effusion. Results: 252 kids have otitis media, mean age of them 9.2 ± 3.5 years old. (70.6%) of babies are males and (29.4%) are females. (42.9%) of babies are at age group 6-10 years. According to symptoms appear; (73%) of them have bilateral effusion. (43.7%) of babies have rhinitis. Just (9.9%) of them have atopy. (25%) of them have snoring. Just (7.5%) of babies have apnea. According to management types; (79.8%) have medical treatment and (20.2%) have surgical management. There is significant association between age groups and site of effusion. There is significant association between site of effusion and snoring, medical treatment, surgical procedure and recurrent of effusion. Conclusion: In current study males’ babies are more have OM with effusion. And most age group that have OM is 6-10 years old, most OM with effusion occur bilaterally and associated with rhinitis. There is association between site of effusion and snoring, medical treatment, surgical procedure and recurrent of effusion.
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儿童中耳炎伴渗出性尖叫声的评价
目的:探讨儿童中耳炎伴积液的临床特点。方法:对1 ~ 15岁诊断为渗出性中耳炎的儿童进行横断面回顾性研究。以耳聋、急性或慢性犀牛鼻窦炎、打鼾、睡眠呼吸暂停、特应性并诊断为中耳炎伴积液就诊的患者纳入本研究。对这些患者进行了全面的耳鼻喉检查,包括耳镜检查,前鼻镜检查和鼻内窥镜检查。本研究纳入了耳镜下记录的OME病例,鼓膜颜色和位置的改变、液面、鼓膜缩回被认为是中耳炎伴积液的征象。这些患者接受鼓室测量以确认积液的诊断。结果:小儿中耳炎252例,平均年龄9.2±3.5岁。男婴占70.6%,女婴占29.4%。(42.9%)的婴儿年龄在6-10岁。根据症状出现;(73%)有双侧积液。(43.7%)的婴儿患有鼻炎。只有9.9%的人有特异反应性。(25%)的人打鼾。只有(7.5%)的婴儿患有呼吸暂停。按管理类型划分;(79.8%)接受内科治疗,(20.2%)接受手术治疗。年龄和积液部位有显著的相关性。积液部位与打鼾、药物治疗、手术方式及积液复发有显著相关性。结论:本组男婴多为OM伴积液。大多数OM的年龄组是6-10岁,大多数OM有积液发生在双侧,并伴有鼻炎。积液部位与打鼾、药物治疗、手术方式及积液复发有关联。
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审稿时长
12 weeks
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