European Journal of Molecular & Clinical Medicine

Abstract

Background: The commonest cause of hearing loss in children is secretory otitis media. The present study was conducted to assess the effects of adenoidectomy in cases of secretory otitis media in children.
Materials & Methods: 65 children age ranged 4-12 years with history of SOM of both genders were assessed for Otoscopic findings. Pure tone audiometry (PTA) was performed for assessment of hearing threshold in both ears.
Results: Out of 65 patients, boys were 35 and girls were 30. Common symptoms were nasal discharge in 53, nasal obstruction in 58, sore throat in 32, fullness of ear in 26 and hard of hearing in 46. Tympanic membrane appearance was retraction in 5, air bubbles in 15, dull, lustreless, amber coloured in 45. Hearing loss (dB) was 16-25 (minimal) in 40, 26-40 (mild) in 25. Impedance audiometry showed peak in 10 and no peak in 55. Morbidity was sinusitis in 6 and tonsillitis in 12. The difference was significant (P< 0.05). The mean AG gap pre- operatively was 24.6 dB, at 1 month was 10.9, at 3 months was 10.4 and at 6 months was 11.7. The difference was significant (P< 0.05).
Conclusion: Secretory otitis mediais one of the common causes of hearing loss in children. Tympanic membrane appearance was retraction, air bubbles, dull, lustreless, amber coloured. Morbidity was sinusitis and tonsillitis.