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A comparative analysis of preoperative tympanometry and intraoperative findings in patients otitis media with effusion

Yıl 2024, Cilt: 41 Sayı: 2, 343 - 345, 19.05.2024

Öz

Otitis media with effusion is one of the most commonly encountered diseases by otolaryngologists. Hearing loss is the most common symptom, particularly affecting academic performance in school-age children. Therefore, establishing an accurate diagnosis is crucial. The primary diagnostic method is an otoscopic ear examination. Tympanometry is the most frequently used technique for diagnosis. In this study, we aimed to compare the results of tympanometric examinations with intraoperative findings. Our study included a total of 126 patients with a diagnosis of chronic otitis media with effusion and a decision for surgery, comprising 224 ears that were followed by our clinic. All patients underwent at least one myringotomy. Ventilation tubes were inserted in cases of glue ear. Preoperative physical examination and tympanometry results were compared with intraoperative findings. Of the 126 patients, 81 were male. The mean age was 5.3 years (range: 2-15). Preoperatively, 135 ears exhibited Type B tympanogram, and 89 ears exhibited Type C tympanogram. The rate of tube insertion was statistically significant in cases with type B tympanogram. Additionally, the tube insertion rate was determined to be 32.5% in cases with Type C tympanograms. In conclusion, diagnosing effusive otitis media is a crucial matter. While physical examination is the most important diagnostic tool, it may sometimes be insufficient. Tympanometry is a highly useful method for improving the diagnostic rate of this condition.

Etik Beyan

RECEP TAYYİP ERDOĞAN ÜNİVERSİTESİ TIP FAKÜLTESİ Girişimsel Olmayan Klinik Araştırmalar Etik Kurul Başkanlığı 01.04.2021 tarihinde yapmış olduğu toplantıda incelenmiş olup, 2021/60 karar numarası ile bilimsel ve etik yönden uygun bulunmuştur.

Kaynakça

  • Gates GA, Klein JO, Lim DJ, Mogi G, Ogra PL, Pararella MM, et al. Recent advances in otitis media. 1. Definitions, terminology, and classification of otitis media. Ann Otol Rhinol Laryngol Suppl. 2002;188:8-18.
  • Rosenfeld RM, Shin JJ, Schwartz SR, Coggins R, Gagnon L, Hackell JM, et al. Clinical Practice Guideline: Otitis Media with Effusion (Update). Otolaryngol Head Neck Surg. 2016;154(1 Suppl):S1-s41.
  • Thorsen J, Pedersen TM, Mora-Jensen AC, Bjarnadóttir E, Bager SC, Bisgaard H, et al. Middle ear effusion, ventilation tubes and neurological development in childhood. PLoS One. 2023;18(1):e0280199.
  • Silva VAR, Pauna HF, Lavinsky J, Hyppolito MA, Vianna MF, Leal M, et al. Task force Guideline of Brazilian Society of Otology - hearing loss in children - Part II - Treatment. Braz J Otorhinolaryngol. 2023;89(1):190-206.
  • Al-Salim S, Tempero RM, Johnson H, Merchant GR. Audiologic Profiles of Children With Otitis Media With Effusion. Ear Hear. 2021;42(5):1195-207.
  • Rosenfeld RM, Tunkel DE, Schwartz SR, Anne S, Bishop CE, Chelius DC, et al. Executive Summary of Clinical Practice Guideline on Tympanostomy Tubes in Children (Update). Otolaryngol Head Neck Surg. 2022;166(2):189-206.
  • Okur E, Yildirim I, Kilic MA, Guzelsoy S. Prevalence of otitis media with effusion among primary school children in Kahramanmaras, in Turkey. International journal of pediatric otorhinolaryngology. 2004;68(5):557-62.
  • Simon F, Haggard M, Rosenfeld RM, Jia H, Peer S, Calmels MN, et al. International consensus (ICON) on management of otitis media with effusion in children. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135(1s):S33-s9.
  • Fan W, Li X, Xu H, Zhao L, Zhao J, Li W. Relationship of T lymphocytes, cytokines, immunoglobulin E and nitric oxide with otitis media with effusion in children and their clinical significances. Revista da Associação Médica Brasileira. 2019;65:971-6.
  • Watters GW, Jones JE, Freeland AP. The predictive value of tympanometry in the diagnosis of middle ear effusion. Clin Otolaryngol Allied Sci. 1997;22(4):343-5.
Yıl 2024, Cilt: 41 Sayı: 2, 343 - 345, 19.05.2024

Öz

Kaynakça

  • Gates GA, Klein JO, Lim DJ, Mogi G, Ogra PL, Pararella MM, et al. Recent advances in otitis media. 1. Definitions, terminology, and classification of otitis media. Ann Otol Rhinol Laryngol Suppl. 2002;188:8-18.
  • Rosenfeld RM, Shin JJ, Schwartz SR, Coggins R, Gagnon L, Hackell JM, et al. Clinical Practice Guideline: Otitis Media with Effusion (Update). Otolaryngol Head Neck Surg. 2016;154(1 Suppl):S1-s41.
  • Thorsen J, Pedersen TM, Mora-Jensen AC, Bjarnadóttir E, Bager SC, Bisgaard H, et al. Middle ear effusion, ventilation tubes and neurological development in childhood. PLoS One. 2023;18(1):e0280199.
  • Silva VAR, Pauna HF, Lavinsky J, Hyppolito MA, Vianna MF, Leal M, et al. Task force Guideline of Brazilian Society of Otology - hearing loss in children - Part II - Treatment. Braz J Otorhinolaryngol. 2023;89(1):190-206.
  • Al-Salim S, Tempero RM, Johnson H, Merchant GR. Audiologic Profiles of Children With Otitis Media With Effusion. Ear Hear. 2021;42(5):1195-207.
  • Rosenfeld RM, Tunkel DE, Schwartz SR, Anne S, Bishop CE, Chelius DC, et al. Executive Summary of Clinical Practice Guideline on Tympanostomy Tubes in Children (Update). Otolaryngol Head Neck Surg. 2022;166(2):189-206.
  • Okur E, Yildirim I, Kilic MA, Guzelsoy S. Prevalence of otitis media with effusion among primary school children in Kahramanmaras, in Turkey. International journal of pediatric otorhinolaryngology. 2004;68(5):557-62.
  • Simon F, Haggard M, Rosenfeld RM, Jia H, Peer S, Calmels MN, et al. International consensus (ICON) on management of otitis media with effusion in children. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135(1s):S33-s9.
  • Fan W, Li X, Xu H, Zhao L, Zhao J, Li W. Relationship of T lymphocytes, cytokines, immunoglobulin E and nitric oxide with otitis media with effusion in children and their clinical significances. Revista da Associação Médica Brasileira. 2019;65:971-6.
  • Watters GW, Jones JE, Freeland AP. The predictive value of tympanometry in the diagnosis of middle ear effusion. Clin Otolaryngol Allied Sci. 1997;22(4):343-5.
Toplam 10 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Odyoloji
Bölüm Research Article
Yazarlar

Mehmet Birinci 0000-0001-8184-7454

Oğuz Gül 0000-0003-4626-0820

Ahmet Ufuk Kılıçtaş 0000-0002-2537-5277

Tuğba Yemiş 0000-0001-8713-0251

Metin Çeliker 0000-0002-9833-402X

Özlem Çelebi Erdivanlı 0000-0001-9245-1551

Yayımlanma Tarihi 19 Mayıs 2024
Gönderilme Tarihi 15 Mart 2024
Kabul Tarihi 25 Mart 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 41 Sayı: 2

Kaynak Göster

APA Birinci, M., Gül, O., Kılıçtaş, A. U., Yemiş, T., vd. (2024). A comparative analysis of preoperative tympanometry and intraoperative findings in patients otitis media with effusion. Journal of Experimental and Clinical Medicine, 41(2), 343-345.
AMA Birinci M, Gül O, Kılıçtaş AU, Yemiş T, Çeliker M, Çelebi Erdivanlı Ö. A comparative analysis of preoperative tympanometry and intraoperative findings in patients otitis media with effusion. J. Exp. Clin. Med. Mayıs 2024;41(2):343-345.
Chicago Birinci, Mehmet, Oğuz Gül, Ahmet Ufuk Kılıçtaş, Tuğba Yemiş, Metin Çeliker, ve Özlem Çelebi Erdivanlı. “A Comparative Analysis of Preoperative Tympanometry and Intraoperative Findings in Patients Otitis Media With Effusion”. Journal of Experimental and Clinical Medicine 41, sy. 2 (Mayıs 2024): 343-45.
EndNote Birinci M, Gül O, Kılıçtaş AU, Yemiş T, Çeliker M, Çelebi Erdivanlı Ö (01 Mayıs 2024) A comparative analysis of preoperative tympanometry and intraoperative findings in patients otitis media with effusion. Journal of Experimental and Clinical Medicine 41 2 343–345.
IEEE M. Birinci, O. Gül, A. U. Kılıçtaş, T. Yemiş, M. Çeliker, ve Ö. Çelebi Erdivanlı, “A comparative analysis of preoperative tympanometry and intraoperative findings in patients otitis media with effusion”, J. Exp. Clin. Med., c. 41, sy. 2, ss. 343–345, 2024.
ISNAD Birinci, Mehmet vd. “A Comparative Analysis of Preoperative Tympanometry and Intraoperative Findings in Patients Otitis Media With Effusion”. Journal of Experimental and Clinical Medicine 41/2 (Mayıs 2024), 343-345.
JAMA Birinci M, Gül O, Kılıçtaş AU, Yemiş T, Çeliker M, Çelebi Erdivanlı Ö. A comparative analysis of preoperative tympanometry and intraoperative findings in patients otitis media with effusion. J. Exp. Clin. Med. 2024;41:343–345.
MLA Birinci, Mehmet vd. “A Comparative Analysis of Preoperative Tympanometry and Intraoperative Findings in Patients Otitis Media With Effusion”. Journal of Experimental and Clinical Medicine, c. 41, sy. 2, 2024, ss. 343-5.
Vancouver Birinci M, Gül O, Kılıçtaş AU, Yemiş T, Çeliker M, Çelebi Erdivanlı Ö. A comparative analysis of preoperative tympanometry and intraoperative findings in patients otitis media with effusion. J. Exp. Clin. Med. 2024;41(2):343-5.