Characteristics and Management of Childhood Tinnitus in a Developing Country.
| Autor: | Adegbiji, Waheed Atilade, Olajide, Gabriel Toye, Olubi, Olawale, Aluko, Adebayo AbdulAkeem, Olajuyin, Anthony Oyebanji, Eletta, Paul Adebisi, Yahya, Abdulmajid Ibrahim |
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| Předmět: |
TINNITUS treatment
ACADEMIC medical centers ANXIETY ATTENTION IMPEDANCE audiometry COUNSELING MENTAL depression DEVELOPING countries EAR surgery EMERGENCY medicine FEVER HEADACHE HEARING aids INFORMED consent (Medical law) LONGITUDINAL method MEDICAL referrals NOISE OTITIS media PARENTS PEDIATRICIANS QUALITY of life QUESTIONNAIRES SLEEP disorders EARWAX COMORBIDITY TINNITUS SYMPTOMS OTOTOXICITY DISEASE prevalence DATA analysis software DISEASE complications CHILDREN DIAGNOSIS |
| Zdroj: | International Tinnitus Journal; Jun2018, Vol. 22 Issue 1, p66-71, 6p |
| Abstrakt: | Objectives: Tinnitus is a commonly neglected otologic symptom among children in developing country. This study aimed at determining the prevalence, clinical characteristics, diagnosis and management of childhood tinnitus in a developing country. Method: This prospective hospital based study of patients' age 18 years and below with complaints of tinnitus was conducted in Ear, Nose and Throat Department of Ekiti state UniversityTeaching Hospital,Ado Ekiti,Nigeria between April 2016 to March 2018. The parents/guardians/patients were briefed about the scope of the study. After getting oral consent, pretested interviewers assisted questionnaire was administered to collect data. Data obtained were collated and analyzed using SPSS software version 18.0 and was expressed in simple tables and charts. Results: Prevalence of tinnitus in this study was 6.2%. There were 56.1% males and male to female ratio was 1.5:1. Majority 55.3% had single episode of tinnitus and long duration (>3 months) was commonest form of tinnitus in 59.1%. Bilateral tinnitus was recorded in 68.9% while subjective tinnitus constituted 93.9%. Discrete tinnitus was commoner in 67.4%. Major causes of tinnitus were febrile illnesses, otitis media, noise exposure, unknown (idiopathic), earwax impaction and ototoxicity in 19.7%, 16.7%, 15.9%, 14.4%, 12.9% and 9.8% respectively. A commonest tympanometric finding was type A in 72.7% of patients. Commonly affected quality of life were anxiety, depression and attention problem in 51.5%, 43.2% and 40.2% respectively. Associated comorbid illnesses in this study were 50.8% sleeping disorders, 42.4% concentration disorders and 31.1% headache. Referrals were mainly from paediatrician in 44.7%. Prehospital treatment was mainly medication in 62.1%. All the patients were counselled (assured). Other treatments given were conservative treatment, surgery, ear syringing and hearing aids in 56.1%, 15.9%, 12.9% and 9.1% patients respectively. Conclusion: Childhood tinnitus is caused by preventable diseases. At presentation there were associated hearing impairment, comorbid illnesses and affectation of quality of life. [ABSTRACT FROM AUTHOR] |
| Databáze: | Supplemental Index |
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