scholarly journals Frequency of otitis media with effusion among children aged 1–5 years presenting to immunization center of tertiary care hospitals, Rawalpindi

2021 ◽  
Author(s):  
Nida Riaz ◽  
Muhammad Ajmal ◽  
Muhammad Sheharyar Khan
Keyword(s):  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Tertiary Care ◽  
Tertiary Care Hospitals

Audiological Profile in Older Children and Adolescents with Unrepaired Cleft Palate

2005 ◽  
Vol 42 (5) ◽  
pp. 570-573 ◽  
Author(s):  
Yamani Venkata Ramana ◽  
Vipul Nanda ◽  
Gautam Biswas ◽  
Ravi Chittoria ◽  
Shakuntala Ghosh ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Children And Adolescents ◽  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Tertiary Care ◽  
Pure Tone Audiometry ◽  
Common Finding ◽  
Control Group ◽  
Older Children ◽  
Patients Âgés

Objective To study the audiological profile in the cleft population comprising older children and adolescents with unrepaired cleft palate and to arrive at a consensus regarding management of otitis media with effusion in this unique group. Setting Tertiary care institute in Chandigarh, Punjab, India. Design Prospective study based on all patients older than 7 years with unrepaired cleft palate, attending the plastic surgery outpatient department, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, Punjab, India, from January 2001 to December 2002. Patients with submucous cleft were excluded from the study. General characteristics, otoscopic findings, pure tone audiometry, and impedence audiometry of all patients were recorded. Results Patients’ ages ranged from 8 to 18 years, with a mean of 10.5 years. Regarding otological complaints, 86.7% were asymptomatic. Otoscopic findings revealed mild retraction as the most common finding in 50% of the ears. Type B curve was the most common tympanometric finding. The highest and lowest hearing thresholds recorded were 45 db and 15 db, respectively, with a mean of 27.11 db. Conclusion The audiological profile of this unique group, which neither had undergone palatoplasty nor had received treatment for the ear condition, demonstrates a mild to moderate hearing impairment. This definitely requires treatment, but owing to the lack of a prospective control group, it is difficult to conclude whether these patients are benefited by conservative treatment alone or by an early aggressive surgical treatment for otitis media with effusion (OME).

scholarly journals Prevalence and Risk Factors Associated With Otitis Media with Effusion in Children Visiting Tertiary Care Centre in Malaysia

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Tikaram A ◽  
Chew YK ◽  
Zulkiflee AB ◽  
Chong AW ◽  
Prepageran N
Keyword(s):  
Risk Factors ◽  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Factors Associated ◽  
And Gender ◽  
Structured Questionnaire

Introduction: The aim of this study is to determine the prevalence of otitis media with effusion (OME) in Malaysian children between three months to twelve years of age and to identify the risk factors associated with it. Materials and methods: This is a cross-sectional study consists of 153 children selected by stratified random sampling method. Parents of these children were interviewed with a structured questionnaire. Clinical examination, including otoscopic examination and tympanometry was performed for each child. Results: The prevalence of OME was 18.3%. There was no statistical significant relationship between OME and gender, race, household size, attendance to daycare center, breast feeding, and exposure to passive smoking, allergy, and asthma. Conclusion: The prevalence of OME is 18.3% in Malaysian children between three months to twelve years of age. Frequency of AOM is a statistically significant factor to the development of OME later in life. The different risk factors associated with OME are still controversial.

scholarly journals Long-Term Otitis Media Outcomes in Infants With Early Tympanostomy Tubes

2020 ◽  
Vol 163 (6) ◽  
pp. 1258-1263
Author(s):  
Kimberly Luu ◽  
James Park ◽  
Amber D. Shaffer ◽  
David H. Chi
Keyword(s):  
Hearing Loss ◽  
Logistic Regression ◽  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Tertiary Care ◽  
Acute Otitis Media ◽  
Case Series ◽  
Craniofacial Anomalies ◽  
Tympanostomy Tubes

Objective To review the otologic outcomes of infants who failed the newborn hearing screen (NBHS) and received early tympanostomy tubes for otitis media with effusion (OME). Study Design Retrospective case series. Setting Tertiary care pediatric hospital. Subjects and Methods Consecutive patients (2007-2018) who failed an NBHS and required tympanostomy tubes before 6 months of age were included. Variables including hearing loss and otitis media risk factors, episodes of acute otitis media (AOM), number of subsequent tympanostomy tubes, and posttympanostomy tube audiogram results were recorded. Results The cohort included 171 patients. Median age at referral to otolaryngology was 2.7 months. Sensorineural hearing loss (SNHL) was subsequently identified in 22 (12.9%) of infants after resolution of the effusion. The peak incidence of AOM was during the second year of life (1-1.9 years), with a median of 1 episode. Ninety-five patients (55.6%) had replacement of tubes, 41 of 171 (24.0%) had 2 or more additional sets of tubes, and long-term tubes were eventually placed in 8 of 95 (8.4%) patients. Craniofacial anomalies were identified in 43.3% of patients. Tube replacement (hazard ratio, 3.00; 95% CI, 1.95-4.63; P < .01, log-rank) and AOM (β, 1.04; 95% CI, 0.43-1.65; P = .04, ordered logistic regression) were more common, and SNHL less common (odds ratio, 0.17; 95% CI, 0.031-0.61; P < .01, logistic regression), in children with craniofacial anomalies. Conclusion OME is a common cause of failed NBHS. A notable proportion was subsequently found to have SNHL, reiterating the need for postoperative hearing assessments. Infants meeting indication for early tympanostomy tubes for resolution of OME have a high incidence of recurrent AOM and require subsequent tubes.

Quality Assessment of the Clinical Practice Guideline for Tympanostomy Tubes in Children

2018 ◽  
Vol 159 (5) ◽  
pp. 914-919 ◽  
Author(s):  
Joshua J. Sturm ◽  
Phillip Huyett ◽  
Amber Shaffer ◽  
Dennis Kitsko ◽  
David H. Chi
Keyword(s):  
Clinical Practice ◽  
Otitis Media ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Otitis Media With Effusion ◽  
Tertiary Care ◽  
Acute Otitis Media ◽  
Case Series ◽  
Annual Number ◽  
Tympanostomy Tubes

Objectives To determine the association between the introduction of statements 6 and 7 in the 2013 clinical practice guideline (CPG) for tympanostomy tubes in children and the identification of preoperative middle ear fluid (acute otitis media / otitis media with effusion [AOM/OME]) in children undergoing bilateral myringotomy and tube (BMT) placement. Study Design Case series with chart review. Setting Tertiary care children’s medical center. Subjects and Methods Patients who underwent BMT for recurrent AOM were retrospectively reviewed. We examined 240 patients before (BG; 2012) and 240 patients after (AG; 2014) the introduction of the CPG. Results The baseline characteristics of the 2 groups were comparable. The total annual number of BMT placements performed at our institution decreased from 3957 (BG) to 3083 (AG). There was no significant increase in the rate of preoperative AOM/OME identification following CPG introduction (BG 78.3% vs AG 83.3%, P = .164). The rate of identification of AOM/OME in the operating room (OR) increased from 54.2% (BG) to 71.3% (AG, P < .001). The rate of identification of AOM/OME both in the clinic and in the OR increased from 55.1% (BG) to 71.3% (AG, P < .001). Cases with concordant clinic and OR AOM/OME occurred among younger children ( P = .045), those with fewer episodes of AOM ( P = .043), and those with shorter time between the clinic and OR dates ( P = .008). Conclusions Following the introduction of the CPG, there was no change in the rate of identification of AOM/OME prior to recommending BMT placement in children with recurrent AOM. The lack of improved compliance with statements 6 and 7 may be related to multiple clinician- and patient-derived factors.

CIScoSI Study [Children Immunization Status and cases of Systemic Illness]

2018 ◽  
Vol 3 (3) ◽  
Keyword(s):  
Infectious Diseases ◽  
East Asia ◽  
Pediatric Patients ◽  
Severe Disease ◽  
Tertiary Care ◽  
Immunization Coverage ◽  
South East Asia ◽  
Immunization Status ◽  
Tertiary Care Hospitals ◽  
Total Coverage

To determine the immunization status of pediatric patients under age of 5 years visiting pediatric department of tertiary care hospitals in South East Asia. The aim of this study was to appreciate the awareness and implementation of vaccination in pediatric patients who came into pediatric outpatient Department with presenting complain other than routine vaccination. we can also know the count of patients who do not complete their vaccination after birth. we can differentiate between vaccinated and unvaccinated patients and incidence of severe disease in both groups. Immunization is a protective process which makes a person resistant to the harmful diseases prevailing in the community, typically by vaccine administration either orally or intravenously. It is proven for controlling and eliminating many threatening diseases from the community. WHO report that licensed vaccines are available for the prevention of many infectious diseases. After the implementation of effective immunization the rate of many infectious diseases have declined in many countries of the world. South-East Asia is far behind in the immunization coverage. An estimated total coverage is 56%-88% for a fully immunized child, which is variable between countries. Also the coverage is highest for BCG and lowest for Polio.

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