| Abstract | Objectives: The purpose of this study is to confirm whether there is a correlation between adenoid hypertrophy and the incidence of otitis media with effusion in children that are of school age or younger. Additionally, this study aims to clarify which age groups are at greater risk in having high grade adenoid hypertrophy associated with otitis media with effusion, and which are the most common presenting symptoms among those patients.
Methods: Sixty- five patients aged 2-12 years old were included, and were placed into three groups according to age (2-5, 6-9, and 10-12). All of the patients were diagnosed with OME and were treated surgically (myringotomy with ventilation tube insertion and an adenoidectomy). Each patient had undergone pre-operative diagnostic procedures, including a detailed hetero-anamnesis and a clinical examination (otoscopy, rhinoscopy, and oropharyngoscopy). The diagnostic exams undertook include flexible nasofiberendoscopy of the nasopharynx and audiologic evaluations, including tympanometry and tonal audiometry.
Results: There was an observed statistically significant incidence of patients with grades II and III grades of AH (P<0.001). Additionally, this study shows that there is neither a statistical significant difference between number of patients according to their gender, nor between the age of the patient and the grade of AH. Additionally, there is no significant difference between the distribution of grade II, III and IV of AH and the gender groups. The most common presenting symptoms include hearing impairment, snoring, and nasal obstruction.
Conclusion: Children with a higher grade of adenoid hypertrophy have a larger risk towards the development of otitis media with effusion. Additionally, it is conclusive that a child who has failed conservative treatment for OME, and is indicated to surgical interventions, a grade of II or III AH is expected. All children who portray the listed presenting symptoms of AH should undergo a detailed workup and should be consulted by an otolaryngologist for a complete clinical examination and audiologic evaluation. |
| Abstract (croatian) | Ciljevi: Cilj rada je ispitati povezanost veličine adenoidnih vegetacija i kronične upale srednjeg uha s izljevom, potom ispitati u kojoj dobnoj skupini djece s ovom bolesti je najveća prosječna veličina adenoidnih vegetacija te koji su najčešći prezentirajući simptomi od povećanih adenoidnih vegetacija.
Metode: U istraživanje je uključeno šezdeset petero djece između 2 i 12 godina koja su podijeljena u 3 dobne skupine (2-5, 6-9 i 10-12 godina) s dijagnozom kronične upale srednjeg uha s izljevom, koja su podvrgnuta operativnom zahvatu postavljanja aerizacijskih cjevčica i adenoidektomiji. Svoj djeci je urađena preoperativna dijagnostika koja uključuje detaljnu heteroanamnezu, klinički pregled koji uključuje otoskopiju, rinoskopiju, orofaringoskopiju te dijagnostičke pretrage koje uključuju fiberendoskopiju epifarinksa i audiološku obradu– timpanometriju i tonalnu audimetriju.
Rezultati: Rezultati rada pokazuju da su najčešći gradusi AH II i III (P<0.001). Rezultati pokazuju da nema statistički značajne razlike u broju dječaka i djevojčica u svim dobnim skupinama. Nema statistički značajne razlike životne dobi djece u odnosu na gradus AH. Također nema statistički značajne razlike u distribuciji gradusa AH II, III i IV između dječaka i djevojčica isključujući skupinu gradusa 1 koju sačinjavaju samo dvoje djece. Najčešći prezentirajući simptomi su gubitak sluha, noćno hrkanje i otežano disanje na nos.
Zaključak: Zaključujemo da djeca s većim gradusom adenoidne hipertrofije imaju veću mogućnost za nastajanje kronične upale srednjeg uha s izljevom. Zaključujemo da za svako dijete koje je neuspješno završilo konzervativnu terapiju ove bolesti i mora ići na operaciju ugradnje aerizacijskih cjevčica i adenoidektomiju, očekujemo gradus II ili III AH. Također, sva djeca koji imaju prezentirajuće simptome AH trebaju se dalje obraditi i uputiti otorinolaringologu zbog kompletnog kliničkog pregleda i audiološke obrade. |
