Using of Tympanometry In Secretory Otitis Media
Abstract
This investigation was done for using of tympanometry in secretory otitis media. This prospective study was conducted at medical clinic in Baghdad city at a period of 2021-2022. The study included 71 Patients who met the inclusion criteria and presented to the OPD were randomly enrolled. Patients with secretory otitis media of any age or gender were considered for inclusion. Thorough history, otoscopic examination, tuning fork tests, and the results of audiological studies such a pure tone audiogram and tympanogram led to the diagnosis of secretory otitis media. There were 32 patients (45.1% of the total) between the ages of 5 and 10, 19 (40.8% of the total) were less than 5 years old, and 9 (12.7%) were older than 15 years old. The male to female ratio was 1.6:1, with 45 men (63.4% of the total) to 26 women (36.6% of the total). Decreased hearing or ear obstruction was the most prevalent presenting symptom at the time of diagnosis, followed by discomfort, otalgia, and delayed speech development. The most frequent observation during otoscopy was an air-fluid level (60.6%), followed by increased vasculature, dullness, and tympanic membrane retraction. It was more typical for both ears to be affected than just one. Tympanograms were performed on all 71 patients. The vast majority (69/97.2%) had a flat type B curve whereas just 2 patients (2.8%) had a type C curve.
In conclusion, the secretory Otitis media was occurred in male than female especially at age 5-10 years.
References
Kuo CL, Wang MC, Chu CH, Shiao AS. Re-evaluation of CO2 laser myringotomy for managing children with persistent acute otitis media. J Chin Med Assoc 2011;74:413-8.
Koopman JP, Reuchlin AG, Kummer EE, Boumans LJ, Rijntjes E, Hoeve LJ, et al. Laser myringotomy versus ventilation tubes in children with otitis media with effusion: a randomized trial. Laryngoscope 2004;114:844-9.
Prokopakis EP, Lachanas VA, Christodoulou PN, Bizakis JG, Karatzanis AD, Velegrakis GA. Implications of laser assisted tymanotomy in adults. Otol Neurotol 2005;26:361-3.
Kuo CL, Wang MC, Chu CH, Shiao AS. New therapeutic strategy for treating otitis media with effusion in postirradiated nasopharyngeal carcinoma patients. J Chin Med Assoc 2011;75:329-34.
Kouwen HB, Dejonckere PH. Prevalence of OME is reduced in young children using chewing gum. Ear Hear 2007;28:451-5.
Vlastarakos PV, Nikolopoulos TP, Korres S. Grommets in otitis media with effusion: the most frequent operation in children. But is it associated with significant complications? Eur J pediatr 2007;66:385- 91.
Kouwen H, Van Balen FA, Dejonckere PH. Functional tubal therapy for persistent otitis media with effusion in children: myth or evidence? Int J Pediatr Otorhinolaryngol 2005;69:943-51.
Koten M, Uzun C, Yagiz R, Adali MK, Karasalihoglu AR, Otkun MT, et al. Nebulized surfactant as a treatment of choice for otitis media with effusion, an experimental study in the rabbit. J Otolaryngol 2001;115:363-68.
Maln L, Tjernstorm O. Drug induced changes in Eustachian tube function. J Ear Nose Throat 1998;77:778-82.
Malm L, White P. Beta agonists and surfactant in Eustachian tube function. Acta Otolaryngol 1992; 493:133-6.
Ovesen T, Borglum JD. New aspects of secretory otitis media, eustchain tube function and middle ear gas. J Ear Nose Throat 1998;77:770-7.
Williamson JG, Dunleavey J, Robinson BA. A natural history of otitis media with effusion. J Otolaryngol 1994; 108: 030-34.
Maw AR. Otitis media with effusion. In: Adams DA, Cinnamond MJ, eds. Scott Brown’s paediatric otolaryngology. 6th ed. Oxford: Butterworth Heinemann, 1997:3-7.
Paradise JL. Paediatrician view of middle ear effusion, more questions than answers. Ann Otol Rhinol Laryngol 1976;82 (Suppl 25):20-24.
Maw AR. Secretory otitis media. In: Ludman H, Wright T, eds. Diseases of the ear. 6th ed. New York: Oxford University Press, 1998:364-367.
