Otitis media in children with somatic pathology.

Autor: Diacova, Svetlana, Chiaburu, Angela, Parii, Sergiu, Sosnowska, Olga, Chiaburu, Doina, Desvignes, Veronique
Předmět:
Zdroj: ORL.ro; 2016, Vol. 9 Issue 31, p42-42, 1/3p
Abstrakt: Introduction. Otitis media with asymptomatic evolution to chronic forms often needs surgical treatment. Study design. Prospective survey with retrospective charts review. Aim. To analyze and compare the incidence and clinical evolution of otitis media in children with recurrent and chronic respiratory pathology, gastrointestinal pathology, and healthy children. Material and methods. Children at the age between 1 and 7 years with no any evident ear problem and with recurrent and chronic somatic pathology and healthy children were accepted for the middle ear monitoring. Tympanometry and otoscopy were performed every three months during 5 years on each child. Complete otorhinolaryngological examination, otomicroscopy and audiological assessment were carried out for children who failed the screening tests during 3 months. Results. Asymptomatic otitis media with effusion was detected in 79% of cases and it became chronic in 22% of ears. Recurrent and chronic course of otitis media was characteristic mostly for children who suffered from respiratory or gastrointestinal tract pathologies with duration for more than 2 months. Screening revealed high incidence of otitis media with effusion in children with recurrent and chronic somatic pathology and it predisposition to chronic evolution. Medical treatment in such cases was not effective. Conclusions. Middle ear monitoring in children with chronic and recurrent somatic pathology leads to patients who need comprehensive treatment, including surgical one. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index