Middle ear pathology in day-care centre children |
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Authors: | Odabasi O; Basak O; Basak S; Mutlu C; Erpek G |
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Institution: | Department of Otolaryngology, School of Medicine, Adnan Menderes University, Aydin, Turkey. |
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Abstract: | BACKGROUND: Middle ear pathology, either otitis media with effusion or
tubal dysfunction, is frequently seen in day-care centre children.
Recognition and early treatment of this condition is crucial to the
prevention of chronic otitis media, which is a major cause of hearing loss
in later life. OBJECTIVES: We aimed to reveal the incidence of silent
otitis media in day-care centre children and to determine the predisposing
factors, risk factors and the awareness of the parents of the middle ear
disease of their children. METHOD: Two hundred and thirteen children, aged
3-6 years, were screened in four daycare centres. A questionnaire was
prepared that would reveal the predisposing factors. Information was
gathered from both the parents and teachers. Children were examined by
otoscopy, pneumotoscopy, tympanometry and X-rays for sinus pathology.
RESULTS: Forty-three of 213 children had middle ear pathology; 39 of them
were confirmed by tympanometry; 56.1 % of children had some degree of sinus
pathology. We revealed that, although most of the children do not have the
risk factors, they develop middle ear pathology. Among the parents, 81.4%
of them were unaware of the condition. CONCLUSION: Early diagnosis of
middle ear pathologies is necessary for prevention of future complications.
In early stages the condition is silent. We emphasize the importance of the
primary care physician's role in diagnosing the early stages of middle ear
pathologies and recommend that teaching of otoscopic and pneumotoscopic
skills should be part of the training for family physicians.
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