Secretory Otitis Media – A Clinical Prospective Study and its Management
- Author A. Mohammed Siyad
- Co-Author R. Venkataramanan, Muhammed Nabeel Latheef
- DOI http://wwj
- Country : India
- Subject : ENT
Keywords : Acute secretory otitis media, children, hard of hearing
Abstract
Background: Most common cause of hearing impairment in children. Acute Secretory Otitis media (SOM) is preceded by episode of upper respiratory tract infection. Acute SOM causes damage to Eustachian tube epithelium. Increased secretory action of middle ear mucosa. Followed by retention of fluid in middle ear. SOM is a self-limiting condition. This study was conducted to assess the prevalence of SOM among school children in Puducherry. Methods: A community based cross sectional study was conducted among 200 school children of class IV to VIII from February to October 2019 using convenient sampling. Pretested semi structured questionnaire was used to collect the sociodemographic profile of the participants and pediatric Otoscope for ear examination. The study population included children with complaints of hard of hearing,otoscopic evidence of SOM and repeated episodes of ear discharge.Both tympanometry and acoustic reflex testing were done. Examination under microscope was done for confirming the otoscopic findings. The collected data were analysed using SPSS 22 and represented in proportions and chi square. Result: Most commonly affected age 6-8 years. Male affected more than females. Most common symptom was hard of hearing .Most patient had hearing loss of 20-40 db. Out of 200 patients, 35 male children and 30 female children were diagnosed of SOM. Conclusion: About 27 % of children had SOM .This should be taken into account as an emerging health care problem in children.Proper peroidic checking should be done in school children from age 5-15.
Comments
No have any comment !