Association Between Enlarged Adenoid and Otitis Media with Effusion in Children

Authors

  • Abdul Karim Junior Consultant (ENT)
  • AHM Zahurul Huq Professor, Department of Otolaryngology and Head-Neck surgery, BSMMU
  • Kazi Shameemus Salam Associate Professor, Department of Otolaryngology and Head-Neck surgery, BSMMU.
  • ABM Luthful Kabir Research officer, National institute of ENT, Tejgaon, Dhaka
  • Md Shafiul Akram Research officer, National institute of ENT, Tejgaon, Dhaka
  • Zubaidul Haque Junior Consultant ENT, Netrokona District Hospital, Netrokona

DOI:

https://doi.org/10.3329/bjo.v25i1.45195

Keywords:

Otitis media with effusion, Enlarged adenoids

Abstract

Objectives: To assess the association between enlarged adenoid and otitis media with effusion in children.

Methods: This cross sectional comparative study was carried out in the Department of Otolaryngology-Head & Neck Surgery in Bangabandhu Sheikh Mujib Medical University, from July 2013 to June 2015. Thirty children with enlarged adenoids (case) and 30 children without enlarged adenoids (control) were included in this study. All patients subjected for history, local physical examination and evaluation of adenoid size by lateral X-ray of post nasal space. Tympanometry and pure tone audiometry are also done. Information’s recorded on a specially designed data sheet.

Result: Among 30 case and 30 control, 12 (40.0%) and 2 (6.7%) patient had OME in case and control group respectively, mean age was 9.5 (2.76%) years and 9.96 (2.95%) in case and control group respectively. Male were predominant (70%) than female (30.0%) in cases. Among cases, grade- I was 20.0%, grade II- was 33.3% and grade-III was 46.7%. Hearing loss was found in 14 (46.7%) children. According to tympanometry, type A curve was in 17 (56.7%) children, type B in 9 (30.0%) and type C in 4 (13.3%) cases.

Conclusion: Enlarged adenoids can be relevant in the pathogenesis of otitis media with effusion.

Bangladesh J Otorhinolaryngol; April 2019; 25(1): 47-53

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Published

2020-01-28

How to Cite

Karim, A., Huq, A. Z., Salam, K. S., Kabir, A. L., Akram, M. S., & Haque, Z. (2020). Association Between Enlarged Adenoid and Otitis Media with Effusion in Children. Bangladesh Journal of Otorhinolaryngology, 25(1), 47–53. https://doi.org/10.3329/bjo.v25i1.45195

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Section

Original Articles