TY - JOUR ID - TI - Frequency of Otitis Media with Effusion in Children with Adenoid Hypertrophy مدى الاصابة بالتهاب الاذن الوسطى مع انثقاب الطبله عند متضخمي العقد اللمفاويه للتجاويف AU - PY - 2017 VL - 30 IS - 2 SP - 95 EP - 100 JO - IRAQI JOURNAL OF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع SN - 16845382 AB - Abstract:Background: Otitis Media with Effusion (OME) is a chronic accumulation of mucous within the middle ear , and sometimes the mastoid air cell system .Objective: To study the frequency of otitis media with effusion in relation to the effect and size of adenoid hypertrophy as an aetiological factor , in addition to others like presenting symptoms, risk factors and the changes of tympanometry in otitis media with effusion.Patients and methods: A cross sectional study for 12 months (January 2011-january 2012) in Al-Yarmouk Teaching Hospital, ENT department. One hundred children with adenoid hypertrophy aged (3-12years) were included. All of them were evaluated by clinical ENT examination, tympanometry and lateral plane x-ray of nasopharynx to assess the size of hypertrophied adenoid and classified into 3 grades (I, II and III) and asses the frequency of otitis media with effusion in each grade.Results: Only 38 children out of one hundred (38%) were diagnosed as having otitis media with effusion; with 26 patients were bilaterally involved (68.5%) and 12 patients were unilaterally involved (31.5%). According to adenoid grade, the incidence of otitis media with effusion was as follow: grade I: 19 patients (38ears) only 7 ear with effusion (18%) , grade II : 47 patients (94ears)only 26 ear with effusion (27%) and grade III : 34 patients (68 ears) only31 ears with effusion (45%). Type B tympanometry was more in grade III adenoid hypertrophy 47%.Conclusion and Recommendation: The frequency of otitis media with effusion is directly proportional to the size of adenoid. It is recommend that early diagnosis and proper management of adenoid hypertrophy to reduce the incidence of otitis media with effusion and its sequels of hearing loss and poor speech development in children .

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