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Frequency of Serous Otitis Media in Children without Otolaryngological Symptoms
11 February 2016
04 May 2016
03 June 2016 (online)
Introduction Otitis media with effusion is the fluid in the middle ear with no signs or symptoms of acute ear infection.
Objective This study aims to research the frequency of serous otitis media in patients referred to the pediatric clinic between 3–16 years of age without any active ear, nose, and throat complaints.
Methods This study included 589 children patients (280 boys, 309 girls; mean age: 9.42; range 3–16) who were administered to the pediatric clinic without otolaryngologic complaints. Patients underwent examination with flexible nasopharyngoscopy for adenoid hypertrophy. An otorhinolaryngologist examined all children on both ears using an otoscope and tested with tympanometry. We used tympanometry results to diagnose SOM.
Results The study included 589 patients that underwent fiber optic examination of the nasopharynx with an endoscope. Adenoid vegetation was present in 58 patients (9.8%) and was not detected in 531 patients (90.2%). We found serous otitis media in 94 (15.9%) patients. We obtained Type A tympanogram in 47 (81%) of 58 patients with adenoid vegetation, 6 (10.3%) Type B, and 5 (8.6%) Type C. When comparing 58 patients with adenoid vegetation with 538 patients without adenoid vegetation for serous otitis media, the frequency was not statistically significant (p > 0.05).
Conclusion We believe that in children without any ear, nose, and throat complaints, it is possible to detect serous otitis media with adenoid vegetation. Thus, pediatric patients should undergo screening at regular intervals.
- 1 Stool SE, Berg AO, Berman S. , et al. Otitis media with effusion in young children. Clinical Practice Guideline, Number 12. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, US Department of Health and Human Services; 1994. ; AHCPR Publication No. 94–0622
- 2 Williamson I. Otitis media with effusion. Clin Evid 2002; 7 (07) 469-476
- 3 Karma PH, Penttilä MA, Sipilä MM, Kataja MJ. Otoscopic diagnosis of middle ear effusion in acute and non-acute otitis media. I. The value of different otoscopic findings. Int J Pediatr Otorhinolaryngol 1989; 17 (01) 37-49
- 4 Shekelle P, Takata G, Chan LS. , et al. Diagnosis, natural history and late effects of otitis media with effusion. Evidence report/technology assessment no. 55. Rockville, MD: Agency for Healthcare Research and Quality; 2003. . AHRQ Publication No. 03–E023
- 5 Tos M. Epidemiology and natural history of secretory otitis. Am J Otol 1984; 5 (06) 459-462
- 6 Paradise JL, Rockette HE, Colborn DK. , et al. Otitis media in 2253 Pittsburgh-area infants: prevalence and risk factors during the first two years of life. Pediatrics 1997; 99 (03) 318-333
- 7 Clemens J, McMurray JS, Willging JP. Electrocautery versus curette adenoidectomy: comparison of postoperative results. Int J Pediatr Otorhinolaryngol 1998; 43 (02) 115-122
- 8 Jerger J. Clinical experience with impedance audiometry. Arch Otolaryngol 1970; 92 (04) 311-324
- 9 Coyte PC, Croxford R, Asche CV, To T, Feldman W, Friedberg J. Physician and population determinants of rates of middle-ear surgery in Ontario. JAMA 2001; 286 (17) 2128-2135
- 10 Palmu A, Puhakka H, Rahko T, Takala AK. Diagnostic value of tympanometry in infants in clinical practice. Int J Pediatr Otorhinolaryngol 1999; 49 (03) 207-213
- 11 Van Balen FA, Aarts AM, De Melker RA. Tympanometry by general practitioners: reliable?. Int J Pediatr Otorhinolaryngol 1999; 48 (02) 117-123
- 12 Williamson IG, Dunleavey J, Bain J, Robinson D. The natural history of otitis media with effusion—a three-year study of the incidence and prevalence of abnormal tympanograms in four South West Hampshire infant and first schools. J Laryngol Otol 1994; 108 (11) 930-934
- 13 Tomonaga K, Kurono Y, Chaen T, Mogi G. Adenoids and otitis media with effusion: nasopharyngeal flora. Am J Otolaryngol 1989; 10 (03) 204-207
- 14 Sanli A, Tasdemir O, Eken M, Celebi O, Yilmaz SH. Prevalence of otitis media with effusion among primary school age-children and etiopathogenic examination. Indian J Otolaryngol Head Neck Surg 2014; 66 (Suppl. 01) 95-98
- 15 Sørensen CH, Holm-Jensen S, Tos M. The post-winter prevalence rate of middle ear effusion in four-year-old children, judged by tympanometry. Int J Pediatr Otorhinolaryngol 1981; 3 (02) 119-128
- 16 Fiellau-Nikolajsen M. Epidemiology of secretory otitis media. A descriptive cohort study. Ann Otol Rhinol Laryngol 1983; 92 (2 Pt 1): 172-177
- 17 Casselbrant ML, Brostoff LM, Cantekin EI. , et al. Otitis media with effusion in preschool children. Laryngoscope 1985; 95 (04) 428-436
- 18 Zielhuis GA, Rach GH, van den Broek P. Screening for otitis media with effusion in preschool children. Lancet 1989; 1 (8633): 311-314
- 19 Poulsen G, Tos M. Repetitive tympanometric screenings of two-year-old children. Scand Audiol 1980; 9 (01) 21-28
- 20 Tos M, Holm-Jensen S, Sørensen CH. Changes in prevalence of secretory otitis from summer to winter in four-year-old children. Am J Otol 1981; 2 (04) 324-327
- 21 Thomsen J, Tos M. Spontaneous improvement of secretory otitis. A long-term study. Acta Otolaryngol 1981; 92 (5–6): 493-499
- 22 Lous J, Fiellau-Nikolajsen M. Epidemiology and middle ear effusion and tubal dysfunction. A one-year prospective study comprising monthly tympanometry in 387 non-selected 7-year-old children. Int J Pediatr Otorhinolaryngol 1981; 3 (04) 303-317
- 23 New Zealand Health Technology Assessment. Screening programs for the detection of otitis media with effusion and conductive hearing loss in pre-school and new entrant school children: a critical appraisal of the literature. New Zealand, Christchurch: New Zealand. 1998
- 24 Canadian Task Force on Preventive Health Care. Screening for otitis media with effusion: recommendation statement from the Canadian Task Force on Preventive Health Care. CMAJ 2001; 165 (08) 1092-1093
- 25 US Preventive Services Task Force. Guide to clinical preventive services, 2nd ed. Baltimore, MD: Williams & Wilkins; 1995
- 26 Kucur C, Şimşek E, Kuduban O, Özbay İ. Prevalence of and risk factors for otitis media with effusion in primary school children: case control study in Erzurum, Turkey. Turk J Pediatr 2015; 57 (03) 230-235
- 27 Varsak YK, Gül Z, Eryılmaz MA, Arbağ H. Prevalence of otitis media with effusion among school age children in rural parts of Konya province, Turkey. Kulak Burun Bogaz Ihtis Derg 2015; 25 (04) 200-204