European Journal of Biomedical and Pharmaceutical Sciences

PREVALENCE OF SECRETORY OTITIS MEDIA IN CHILDREN UNDERGOING ADENOTONSILLECTOMY

Dr. Shadi Al Ghonmien*, Dr. Hyfa Obaidat, Dr. Mohammed Al Saraireh, Dr. Laith Dahoun, Dr. Rana Rawabdeh and Laith Safadi

ABSTRACT

Objective: The purpose of this study is to assess the presence of secretory otitis media in patients chosen for adenotonsillectomy for reasons other than this condition. Patients and Methods: 100 children with recurrent tonsillitis, obstructive sleep apnea, or chronic tonsillitis, who were chosen for sampling sequentially and aged, 2-14 years, were included in the study. The aforementioned children were admitted to the hospital to undergo an adenotonsillectomy or an adenoidectomy. Failure to acquire permission, craniofacial anomalies, Down syndrome, acute or chronic suppurative otitis media, and patients planned for myringotomy and grommet were our primary exclusion criteria. Pneumatic otoscopy and tympanometry were used to confirm the medical diagnosis of otitis media with effusion, and pure tone audiometry was performed by a hearing professional on inclined children who were five years old or older. The Jerger system was used to classify the tympanometry results (Type A, B, or C). The Type B result demonstrated that there was evidence of a middle ear effusion. In order to check for fluid or glue in the middle ear, all of the children had myringotomies performed on both ears and adenotonsillectomy performed under general endotracheal anesthesia. Results: After surgery, all patients were checked on every two, four, eight, twelve, six, and one year to assess the progress of middle ear fluid and their hearing. Evaluations of the eardrums before to surgery revealed that 36% had normal eardrums, 12% had dull appearances, 4% had air bubbles beneath the tympanic membrane, and 48% had retracted eardrums. Bilateral negative pressure was noted during myringotomy in 72% of instances; glue was seen in 5% of cases, unilateral thin fluid was seen in 3%, and bilateral thin fluid was seen in 20% of cases. In our investigation, the incidence of secretory otitis media without symptoms was 28%. Conclusion: In children, otitis media with effusion is a serious yet asymptomatic condition. Prompt identification and treatment are essential to avert chronic issues. In cases of secretory otitis media, myringotomy and grommet insertion have shown to be an effective treatment, resulting in the resolution of fluid accumulation and the return of normal hearing.

Keywords: Otitis media with effusion, Secretory otitis media, Myringotomy.