Adenoid vegetation and secretory otitis media in children
GAO Yongping
TIAN Congzhe
LIU Huiqing
MENG Shenghuan
LIU Haiyan
Abstract：Objective To study the relationship between adenoid vegetation and secretory otitis media in children and its diagnosis. Methods A retrospective study was carried out among 328 children with adenoid vegetation (both simple ade-noid vegetation and those associated with chronic tonsillitis and tonsillar hypertrophy) treated from August 2010 to May 2012. The incidence of secretory otitis media and the rate of positive diagnostic tympanometry were analyzed. Results Secre-tory otitis media was diagnosed in 105 cases (32.31%) by tympanic membrane puncture or tympanostomy tube. Tympano-gram was type B in 89 cases (152 ears), of which secretory otitis media was confirmed in 86 cases (147 ears) yielding a posi-tive rate of 96.63%(147/152). Tympanogram was type C in 33 cases (49 ears), of which the diagnosis of secretory otitis me-dia was confirmed in 16 cases (20 ears), yielding a positive rate of 40.82%(20/49). The diagnosis of secretory otitis media was also confirmed in 2 cases (2 ears) with type As tympanograms. Conclusions Complaint of hearing loss or not, children with adenoid vegetation should be checked with routine tympanometry. Careful physical examination, electric otoscopy or ear endoscopy combined with tympanometry can greatly reduce the rate of missed diagnosis of secretory otitis media.
Keywords：Adenoidal hypertrophySecretory otitis mediaTympanometry
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 106-108 )