BibTex RIS Kaynak Göster

The effect of adenoid hypertrophy on tympanometric findings in children without hearing loss

Yıl 2014, Cilt: 24 Sayı: 6, 334 - 338, 25.12.2014

Öz

Objectives: This study aims to investigate the effects of adenoid hypertrophy on negative middle ear pressure and diagnostic efficiency of tympanogram in the detection of otitis media with effusion in children without parental suspicion of hearing loss. Patients and Methods: Fifty-six children 26 boys, 30 girls; mean age 5.9±2.2 years; range, 3 to 12 years who underwent adenoidectomy were analyzed using otoscopy, nasal endoscopy, and tympanometry before 1 week and 3 months after adenoidectomy . Results: The median negative middle ear pressure before the adenoidectomy was significantly higher from after adenoidectomy p=0.045 . Type B tympanogram were detected in 13 of the 112 ears preoperatively. About 17.9% n=20 of the ears with otitis media with effusion were confirmed by myringotomy. Conclusion: Our study findings suggest that the adenoid hyperthrophy is associated with increased negative pressure in the middle ear. We believe that it is necessary to perform the middle ear examination and tympanometry in children before adenoidectomy and in children without parental suspicion of hearing loss, even.

Kaynakça

  • Chien CY, Chen AM, Hwang CF, Su CY. The clinical significance of adenoid-choanae area ratio in children with adenoid hypertrophy. Int J Pediatr Otorhinolaryngol 2005;69:235-9.
  • Chauhan B, Chauhan K. A comparative study of eustachian tube functions in normal and diseased ears with tympanometry and videonasopharyngoscopy. Indian J Otolaryngol Head Neck Surg 2013;65:468-76.
  • Di Francesco R, Paulucci B, Nery C, Bento RF. Craniofacial morphology and otitis media with effusion in children. Int J Pediatr Otorhinolaryngol 2008;72:1151-8.
  • Maw AR, Parker A. Surgery of the tonsils and adenoids in relation to secretory otitis media in children. Acta Otolaryngol Suppl 1988;454:202-7.
  • Ren DD, Wang WQ. Assessment of middle ear effusion and audiological characteristics in young children with adenoid hypertrophy. Chin Med J (Engl) 2012;125:1276-81.
  • Müderris T, Yazıcı A, Bercin S, Yalçıner G, Sevil E, Kırıs M. Consumer acoustic reflectometry: accuracy in diagnosis of otitis media with effusion in children. Int J Pediatr Otorhinolaryngol 2013;77:1771-4.
  • Jerger J. Clinical experience with impedance audiometry,Arch. Otolaryngol. Head Neck Surg 1970;92:311-24.
  • Alhady RA, Sharnoubi ME. Tympanometric findings in patients with adenoid hyperplasia, chronic sinusitis and tonsillitis. J Laryngol Otol 1984;98:671-6.
  • Egeli E, Oghan F, Ozturk O, Harputluoglu U, Yazici B. Measuring the correlation between adenoidal- nasopharyngeal ratio (AN ratio) and tympanogram in children. Int J Pediatr Otorhinolaryngol 2005;69:229-33.
  • Tuohimaa P, Palva T. The effect of tonsillectomy and adenoidectomy on the intra-tympanic pressure. J Laryngol Otol 1987;101:892-6.
  • Kindermann CA, Roithmann R, Lubianca Neto JF. Obstruction of the eustachian tube orifice and pressure changes in the middle ear: are they correlated? Ann Otol Rhinol Laryngol 2008;117:425-9.
  • Engel J, Anteunis L, Chenault M, Marres E. Otoscopic findings in relation to tympanometry during infancy. Eur Arch Otorhinolaryngol 2000;257:366-71.
  • Iacovou E, Vlastarakos PV, Ferekidis E, Nikolopoulos TP. Multi-frequency tympanometry: clinical applications for the assessment of the middle ear status. Indian J Otolaryngol Head Neck Surg 2013;65:283-7.
  • Gaihede M. Middle ear volume and pressure effects on tympanometric middle ear pressure determination: model experiments with special reference to secretory otitis media. Auris Nasus Larynx 2000;27:231-9.
  • Gaihede M, Bramstoft M, Thomsen LT, Fogh A. Accuracy of tympanometric middle ear pressure determination in secretory otitis media: dose- dependent overestimation related to the viscosity and amount of middle ear fluid. Otol Neurotol 2005;26:5-11.
  • Kemaloğlu YK, Beder L, Sener T, Göksu N. Tympanometry and acoustic reflectometry in ears with chronic retraction without effusion. Int J Pediatr Otorhinolaryngol 2000;55:21-7.
  • Moody SA, Alper CM, Doyle WJ. Daily tympanometry in children during the cold season: association of otitis media with upper respiratory tract infections. Int J Pediatr Otorhinolaryngol 1998;45:143-50.

İşitme kaybı olmayan çocuklarda adenoid hipertrofisinin timpanometrik bulgulara etkisi

Yıl 2014, Cilt: 24 Sayı: 6, 334 - 338, 25.12.2014

Öz

Amaç: Bu çalışmada adenoid hipertrofisinin orta kulak basıncı üzerine etkisi ve ailesel işitme kaybı şüphesi olmayan çocuklarda, timpanogramın efüzyonlu otitis mediada tanısal etkinliğinin araştırılması amaçlandı.Hastalar ve Yöntemler: Adenoidektomi ameliyatı yapılan 56 çocuk 26 erkek, 30 kız; ort. yaş 5.9±2.2 yıl; dağılım, 3-12 yıl otoskopi, nazal endoskopi ve timpanometre kullanılarak analiz edildi adenoidektomiden 1 hafta önce ve 3 ay sonra .Bulgular: Adenoidektomi öncesi ortalama negatif orta kulak basıncı adenoidektomi sonrasına göre anlamlı derecede yüksekti p=0.045 . Yüz on iki kulağın 13’ünde ameliyat öncesi tip B timpanogram saptandı. Kulakların %17.9’unda n=20 efüzyonlu otitis media miringotomi ile doğrulandı.Sonuç: Çalışma bulgularımız adenoid hipertrofisinin artmış negatif orta kulak basıncı ile ilişkili olduğunu göstermektedir. Çocuklara ve ailede işitme kaybı olmayan çocuklara dahi, adenoidektomi öncesinde orta kulak muayenesi ve timpanometri yapılmasının gerekli olduğu kanısındayız

Kaynakça

  • Chien CY, Chen AM, Hwang CF, Su CY. The clinical significance of adenoid-choanae area ratio in children with adenoid hypertrophy. Int J Pediatr Otorhinolaryngol 2005;69:235-9.
  • Chauhan B, Chauhan K. A comparative study of eustachian tube functions in normal and diseased ears with tympanometry and videonasopharyngoscopy. Indian J Otolaryngol Head Neck Surg 2013;65:468-76.
  • Di Francesco R, Paulucci B, Nery C, Bento RF. Craniofacial morphology and otitis media with effusion in children. Int J Pediatr Otorhinolaryngol 2008;72:1151-8.
  • Maw AR, Parker A. Surgery of the tonsils and adenoids in relation to secretory otitis media in children. Acta Otolaryngol Suppl 1988;454:202-7.
  • Ren DD, Wang WQ. Assessment of middle ear effusion and audiological characteristics in young children with adenoid hypertrophy. Chin Med J (Engl) 2012;125:1276-81.
  • Müderris T, Yazıcı A, Bercin S, Yalçıner G, Sevil E, Kırıs M. Consumer acoustic reflectometry: accuracy in diagnosis of otitis media with effusion in children. Int J Pediatr Otorhinolaryngol 2013;77:1771-4.
  • Jerger J. Clinical experience with impedance audiometry,Arch. Otolaryngol. Head Neck Surg 1970;92:311-24.
  • Alhady RA, Sharnoubi ME. Tympanometric findings in patients with adenoid hyperplasia, chronic sinusitis and tonsillitis. J Laryngol Otol 1984;98:671-6.
  • Egeli E, Oghan F, Ozturk O, Harputluoglu U, Yazici B. Measuring the correlation between adenoidal- nasopharyngeal ratio (AN ratio) and tympanogram in children. Int J Pediatr Otorhinolaryngol 2005;69:229-33.
  • Tuohimaa P, Palva T. The effect of tonsillectomy and adenoidectomy on the intra-tympanic pressure. J Laryngol Otol 1987;101:892-6.
  • Kindermann CA, Roithmann R, Lubianca Neto JF. Obstruction of the eustachian tube orifice and pressure changes in the middle ear: are they correlated? Ann Otol Rhinol Laryngol 2008;117:425-9.
  • Engel J, Anteunis L, Chenault M, Marres E. Otoscopic findings in relation to tympanometry during infancy. Eur Arch Otorhinolaryngol 2000;257:366-71.
  • Iacovou E, Vlastarakos PV, Ferekidis E, Nikolopoulos TP. Multi-frequency tympanometry: clinical applications for the assessment of the middle ear status. Indian J Otolaryngol Head Neck Surg 2013;65:283-7.
  • Gaihede M. Middle ear volume and pressure effects on tympanometric middle ear pressure determination: model experiments with special reference to secretory otitis media. Auris Nasus Larynx 2000;27:231-9.
  • Gaihede M, Bramstoft M, Thomsen LT, Fogh A. Accuracy of tympanometric middle ear pressure determination in secretory otitis media: dose- dependent overestimation related to the viscosity and amount of middle ear fluid. Otol Neurotol 2005;26:5-11.
  • Kemaloğlu YK, Beder L, Sener T, Göksu N. Tympanometry and acoustic reflectometry in ears with chronic retraction without effusion. Int J Pediatr Otorhinolaryngol 2000;55:21-7.
  • Moody SA, Alper CM, Doyle WJ. Daily tympanometry in children during the cold season: association of otitis media with upper respiratory tract infections. Int J Pediatr Otorhinolaryngol 1998;45:143-50.
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Araştırma Makalesi
Yazarlar

Ceren Günel Bu kişi benim

Barış Ermişler Bu kişi benim

H. Sema Başak Bu kişi benim

Yayımlanma Tarihi 25 Aralık 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 24 Sayı: 6

Kaynak Göster

APA Günel, C., Ermişler, B., & Başak, H. S. (2014). İşitme kaybı olmayan çocuklarda adenoid hipertrofisinin timpanometrik bulgulara etkisi. The Turkish Journal of Ear Nose and Throat, 24(6), 334-338.
AMA Günel C, Ermişler B, Başak HS. İşitme kaybı olmayan çocuklarda adenoid hipertrofisinin timpanometrik bulgulara etkisi. Tr-ENT. Aralık 2014;24(6):334-338.
Chicago Günel, Ceren, Barış Ermişler, ve H. Sema Başak. “İşitme Kaybı Olmayan çocuklarda Adenoid Hipertrofisinin Timpanometrik Bulgulara Etkisi”. The Turkish Journal of Ear Nose and Throat 24, sy. 6 (Aralık 2014): 334-38.
EndNote Günel C, Ermişler B, Başak HS (01 Aralık 2014) İşitme kaybı olmayan çocuklarda adenoid hipertrofisinin timpanometrik bulgulara etkisi. The Turkish Journal of Ear Nose and Throat 24 6 334–338.
IEEE C. Günel, B. Ermişler, ve H. S. Başak, “İşitme kaybı olmayan çocuklarda adenoid hipertrofisinin timpanometrik bulgulara etkisi”, Tr-ENT, c. 24, sy. 6, ss. 334–338, 2014.
ISNAD Günel, Ceren vd. “İşitme Kaybı Olmayan çocuklarda Adenoid Hipertrofisinin Timpanometrik Bulgulara Etkisi”. The Turkish Journal of Ear Nose and Throat 24/6 (Aralık 2014), 334-338.
JAMA Günel C, Ermişler B, Başak HS. İşitme kaybı olmayan çocuklarda adenoid hipertrofisinin timpanometrik bulgulara etkisi. Tr-ENT. 2014;24:334–338.
MLA Günel, Ceren vd. “İşitme Kaybı Olmayan çocuklarda Adenoid Hipertrofisinin Timpanometrik Bulgulara Etkisi”. The Turkish Journal of Ear Nose and Throat, c. 24, sy. 6, 2014, ss. 334-8.
Vancouver Günel C, Ermişler B, Başak HS. İşitme kaybı olmayan çocuklarda adenoid hipertrofisinin timpanometrik bulgulara etkisi. Tr-ENT. 2014;24(6):334-8.