Evaluation of audiological results after insertion tympanostomy tubes in children

摘要

Abstract Otitis media is one of the most common childhood infections and the most frequent cause for antibiotic prescriptions. The tympanostomy tubes are the standard treatment of persistent otitis media with effusion in children which improves hearing. When chronic adenoid infection is suspected, adenoidectomy or tonsilloadenoidectomy may be beneficial in treating otitis media in children who have previously undergone tympanostomy-tube insertion. The aim of the study was to evaluated audiology results before and after adenoidectomy and tonsilloadenoidectomy and insertion tympanostomy tubes.Material and methods: Retrospective-prospective study included the group of patients aged between 1–8 year, with otitis media with effusion treated by insertion tympanostomy tubes and adenoidectomy or tonsilloadenoidectomy, during the four-year period (2006–2010) at ENT Clinic, Clinical Center University of Sarajevo. At the examination otomicroscope, pure-tone audiometry and tympanometry were used.Results: Out of the 63 patients we performed both side insertion ventilation tubes with/without adenoidectomy or tonsilloadenoidectomy. Our results presented statistically significant difference between operative or conservative treatment.Conclusions: When chronic adenoid infection is suspected, adenoidectomy or tonsilloadenoidectomy may be beneficial in treating otitis media in children who have previously undergone tympanostomy tube insertion. After this treatment results of audiological and tympanometry tests were increased comparing with results before. Our recommendation is obligatory examination (audiometry and tympanometry) to all chlidren suffering from otitis media with/withaout hypertrophic tonsills and adenoids.