ADENOID SIZE IN CHILDREN WITH OTITIS MEDIA WITH EFFUSION.
ADENOID SIZE IN CHILDREN WITH OTITIS MEDIA WITH EFFUSION.
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DOI：
10.20471/acc.2021.60.03.25
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发表时间：
2022-03
影响因子：
0.6
通讯作者：
Klančnik M
中科院分区：
文献类型：
--
作者：
Galić MZ;Klančnik M
渗出性中耳炎(OME)是儿科最常见的疾病之一，也是导致儿童听力损失的最常见原因。腺样体肥大(AH)与OME的发生有关。更好地了解AH的相对大小与持续性OME的发生率之间的相关性，可能会为OME的诊断和治疗提供更标准化的方法。2016年4月至2018年4月进行的一项回顾性研究收集了65名2-12岁儿童的数据，他们被诊断为慢性OME和AH症状，保守治疗失败。诊断前数据来自患者病史、耳镜、鼻镜和口咽镜检查结果。诊断检查包括鼓室导纳、测听和灵活的鼻腔纤维内窥镜检查。内窥镜显示后按Cassano法进行腺样体分级。65例患者中，男性37例，女性28例。根据性别或平均年龄的差异，无统计学意义。持续性OME合并AH的发生率最高的是最年轻的年龄组(2-5岁和6-9岁)。最常见的AH分级为II级(35.38%)和III级(50.77%)，差异有统计学意义。最常见的症状是听力障碍、鼾声和鼻塞(分别为100%、64.62%和60%)。较高的AH分级对OME的持久性至关重要，并可能导致保守治疗失败。
Otitis media with effusion (OME) is amongst the most common pediatric diseases and the most common cause of hearing loss in children. It is accepted that adenoid hypertrophy (AH) is related to OME incidence. Better understanding of the correlation between the relative size of AH and the incidence of persistent OME may provide evidence to support a more standardized approach to the diagnosis and treatment of OME. A retrospective study carried out between April 2016 and April 2018 collected data on 65 children aged 2-12 years, diagnosed with chronic OME and symptoms of AH, where conservative therapy failed. Pre-diagnostic data were collected from patient history, otoscopy, rhinoscopy, and oropharyngoscopy findings. Diagnostic workup included tympanometry, audiometry, and flexible nasal fiberoptic endoscopy. Adenoid grading was performed according to Cassano method after endoscopic visualization. Of the 65 patients, 37 were male and 28 were female. There was no statistically significant difference according to gender or average age. The highest incidence of persistent OME with AH was recorded in the youngest age groups (2-5 and 6-9 years). The most frequent AH grades were grade II (35.38%) and grade III (50.77%), yielding a statistically significant result. The most common presenting symptoms were hearing impairment, snoring, and nasal obstruction (100%, 64.62% and 60%, respectively). Higher AH grades are critical for persistence of OME and may cause conservative therapy failure.
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影响因子：
4.3
作者：
Bhutta MF;Thornton RB;Kirkham LS;Kerschner JE;Cheeseman MT
通讯作者：
Cheeseman MT
影响因子：
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作者：
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3
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DOI：
10.13201/j.issn.1001-1781.2017.15.007
发表时间：
2017-08-05
影响因子：
--
作者：
Zhu, Z;Zheng, G X;Fang, R P
通讯作者：
Fang, R P
DOI：
10.1007/s12070-011-0423-3
发表时间：
2014-01-01
影响因子：
0.6
作者：
Upadhya, Ila;Datar, J.
通讯作者：
Datar, J.