Correlation Between Adenoid Hypertrophy, Tympanometry Findings, and Viscosity of Middle Ear Fluid in Chronic Otitis Media With Effusion, Southern Oman
Correlation Between Adenoid Hypertrophy, Tympanometry Findings, and Viscosity of Middle Ear Fluid in Chronic Otitis Media With Effusion, Southern Oman
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DOI：
10.1177/0145561319875438
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发表时间：
2019-09-23
影响因子：
1.3
通讯作者：
Tabook, Salim M. Sloma
中科院分区：
文献类型：
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作者：
Abdel Tawab, Hazem M.;Tabook, Salim M. Sloma
渗出性中耳炎是12岁以下儿童听力下降的常见原因。腺样体肥大是这种情况最常见的病因之一。有人曾提到，随着腺样体组织的增大，中耳积液的发生率越高。本研究的目的是发现腺样体大小、鼓室导抗检查结果和中耳积液类型之间是否存在相关性，而与疾病持续时间无关。这是一项对2015年7月至2017年7月期间患有慢性渗出性中耳炎（COME）和腺样体肥大的100例儿童患者（12岁及以下）进行的前瞻性研究。包括经鼻内窥镜检查发现的COME（B，Cs）和腺样体肥大的鼓室导抗证据。腺样体大小分级，并与鼓室导抗类型和中耳积液类型相关。涉及60名男童和40名女童。年龄范围为3至12岁，平均年龄为7.19 ± 2.489岁。4级腺样体肥大与中耳液的粘液性质有高度显著性相关（P值= 0.000）。腺样体IV级肥大与B型鼓室导抗测试有高度显著的相关性。腺样体大小和中耳积液性质之间存在高度显著的关系，无论主诉持续时间如何，IV级腺样体肥大显示中耳积液粘度增加更多，使得腺样体大小成为鼓室导抗类型和中耳积液性质的非常重要的预测因素。
Otitis media with effusion is a common cause of diminished hearing in children younger than 12 years. Hypertrophy of adenoids is one of the commonest etiologies of this condition. It has been mentioned that with increased size of the adenoid tissue, the more likely the incidence of fluid in the middle ear. The aim of this study was to find whether there is a correlation between adenoid size, tympanometric findings, and type of fluid in the middle ear irrespective of disease duration. This is a prospective study done on 100 pediatric patients (12 years and less) presented with chronic otitis media with effusion (COME) and adenoid hypertrophy from July 2015 till July 2017. Cases with tympanometry evidence of COME (B, Cs) and adenoid hypertrophy seen by nasal endoscopy were included. Adenoid size was graded and correlated with the type of tympanometry and type of fluid in the middle ear. Sixty male children and 40 female children were involved. Age ranged from 3 to 12 years with a mean of 7.19 +/- 2.489 years. Highly significant relation existed between grade 4 adenoid hypertrophy and mucoid nature of middle ear fluid (P value =.000). There is a highly significant relation between adenoid hypertrophy grade IV and type B tympanometry. There is a highly significant relation between adenoid size and nature of middle ear fluid irrespective of the duration of complaints, where grade IV adenoid hypertrophy showed more increase in middle ear effusion viscosity making adenoid size a very important predictor for the tympanometry type and the nature of the fluid in the middle ear.