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Mârțu C, Cozma S, Cobzeanu B, Vesa D, Butnaru C, Bularda D, Cumpătă A, Rădulescu L. Serous otitis media: Clinical and therapeutic considerations, including dexamethasone (C 22H 29FO 5) intratympanic injection. Exp Ther Med 2022; 23:125. [PMID: 34970348 PMCID: PMC8713185 DOI: 10.3892/etm.2021.11048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Accepted: 08/02/2021] [Indexed: 11/13/2022] Open
Abstract
Serous otitis media (SOM) occurs in children and constitutes one of the most significant causes of hearing loss in young age, posing as an important risk factor for long-term hearing loss. SOM is underdiagnosed, most frequently in infants, or the appointment to the ENT doctor is delayed due to non-acute symptomatology. The aim of the present study was to assess 285 patients with SOM diagnosed within a two-year span. The etiology and pathology of hearing loss in patients with different age groups were examined. The importance of a clinical examination and tympanometry was emphasized as absolutely necessary for a correct diagnosis. Treatment targeted Eustachian Tube permeabilization for satisfactory long-term middle ear aeration. Nasal drops with vasoconstrictor drugs (phenylephrine) and disinfectant (colloidal silver 1%) were commonly used, but some patients also benefitted from dexamethasone intratympanic injection. Patients were evaluated at the end of the treatment and follow-up occurred at one month, one year and three years later.
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Affiliation(s)
- Cristian Mârțu
- ENT Department, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.,ENT Clinic, Clinical Rehabilitation Hospital, 700613 Iasi, Romania
| | - Sebastian Cozma
- ENT Department, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.,ENT Clinic, Clinical Rehabilitation Hospital, 700613 Iasi, Romania
| | - Bogdan Cobzeanu
- ENT Department, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.,ENT Clinic, Clinical Rehabilitation Hospital, 700613 Iasi, Romania
| | - Doina Vesa
- Clinical Surgical Department, Faculty of Medicine and Pharmacy, 'Dunarea de Jos' University of Galati, 800008 Galati, Romania
| | - Corina Butnaru
- ENT Department, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.,ENT Clinic, Clinical Rehabilitation Hospital, 700613 Iasi, Romania
| | - Dragoș Bularda
- ENT Clinic, Clinical Rehabilitation Hospital, 700613 Iasi, Romania
| | - Adeline Cumpătă
- ENT Department, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.,ENT Clinic, Clinical Rehabilitation Hospital, 700613 Iasi, Romania
| | - Luminița Rădulescu
- ENT Department, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.,ENT Clinic, Clinical Rehabilitation Hospital, 700613 Iasi, Romania
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Abstract
In addition to acute adenoiditis and adenoid hypertrophy/vegetation, chronic adenoiditis is another disease of the adenoids. However, most physicians overlook chronic adenoiditis or confuse it with adenoid hypertrophy/vegetation. The incidence of chronic adenoiditis has increased in recent years as a result of higher rates of chronic nasopharyngeal or upper airway infections. The clinical characteristics of chronic adenoiditis can include but are not restricted to the following: long-term infection (especially bacterial infection); obstruction of the upper airway; infections of adjacent regions, such as the nose, nasal sinus, pharyngeal space, middle ear, and atlantoaxial joint; induced upper airway cough syndrome; and the presence of several “infectious-immune” diseases, including rheumatic fever, autoimmune nephropathy, and anaphylactoid purpura. To date, no consensus on the treatment of chronic adenoiditis is available. However, adenoidectomy can address the local obstruction, and some patients benefit from systemic or local anti-bacterial therapy. Physicians in the Departments of Otolaryngology, Respiration, and Pediatrics should be familiar with the clinical manifestations of chronic adenoiditis and try to develop effective treatment methods for this disease.
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Affiliation(s)
- Hai Wang
- Pediatrics, First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, China
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Riaz N, Ajmal M, Khan MS. Frequency of otitis media with effusion among children aged 1–5 years presenting to immunization center of tertiary care hospitals, Rawalpindi. World J Otorhinolaryngol Head Neck Surg 2021; 8:315-320. [DOI: 10.1016/j.wjorl.2021.03.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Accepted: 03/28/2021] [Indexed: 11/16/2022] Open
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Demir E, Topal S, Atsal G, Erdil M, Coskun ZO, Dursun E. Otologic Findings Based on no Complaints in a Pediatric Examination. Int Arch Otorhinolaryngol 2018; 23:36-40. [PMID: 30647782 PMCID: PMC6331296 DOI: 10.1055/s-0038-1667007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2018] [Accepted: 05/23/2018] [Indexed: 11/01/2022] Open
Abstract
Introduction the otological evaluation is highly significant in those branches of medicine in which the general evaluation of the patient is conducted by general practitioners and pediatricians. Objectives To investigate the otologic findings and their incidences in the sample, which consisted of patients who presented to the pediatric outpatient clinic with non-otologic complaints. Methods Patients, aged between 2 and 16 years, who had neither otorhinolaryngological complaints nor history of surgery by the otolaryngology (ear, nose and throat, ENT) department were included in the present study. The findings detected in the external auditory system and in the tympanic membranes as well as the otorhinolaryngologists' otologic examination findings of the referred patients were recorded from the files of each patient along with the applied medical and surgical treatments, and diagnostic investigations. Results Of a total of 973 patients evaluated, 129 (13.2%) were referred to the ENT outpatient clinic due to any otologic pathology. In the otorhinolaryngological examinations, false positivity was detected in 12 (1.2%) patients, and pathological findings were detected in 117 (12%) patients who received the following diagnoses: 68 (6.9%) had otitis media with effusion(OME); 37 (3.8%) had cerumen impactions; 8 (0.8%) had acute otitis media (AOM); 2 (0.2%) had ticks in the external auditory canal; 2 (0.2%) had a retraction pocket in tympanic membrane; 1 (0.1%) had unilateral central dry perforation of the tympanic membrane; and 1(0.1%) had congenital cholesteatoma. Conclusion Any complications and sequelae that may develop due to any pathologies and predominantly infections can be prevented by an early diagnosis, which can be made by means of a simple examination, performed merely with an otoscope. Pediatricians and general practitioners should be in close contact with otorhinolaryngologists regarding the pathologies they identify.
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Affiliation(s)
- Emine Demir
- Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey
| | - Sevgi Topal
- Department of Pediatrics, Agri State Hospital, Agri, Turkey
| | - Gorkem Atsal
- Department of Otorhinolaryngology Head and Neck Surgery, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Mehmet Erdil
- Department of Otorhinolaryngology Head and Neck Surgery, Agri State Hospital, Agri, Turkey
| | - Zerrin Ozergin Coskun
- Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey
| | - Engin Dursun
- Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey
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