A PREVALENCE OF OTITIS MEDIA WITH EFFUSION IN CHILDREN WITH OBSTRUCTIVE ADENOID DISEASE

DR Devendra Tiwari; DR T .V .V .VINAY KUMAR

Volume : VIII, Issue : I, January - 2018

A PREVALENCE OF OTITIS MEDIA WITH EFFUSION IN CHILDREN WITH OBSTRUCTIVE ADENOID DISEASE

Dr Devendra Tiwari, Dr T . V . V . Vinay Kumar

Abstract :

Adenoid enlargement has traditionally been considered a factor in otitis media with effusion (OME). OME is an important and common condition in pediatric age group. Other terms commonly used to refer to the same process include secretory otitis media, non suppurative otitis media, serous otitis media and glue ear. Following a discussion at an international symposium the terms OME and middle ear effusion (MEE) were adopted by consensus (1). OME was previously considered to be bacteriologically sterile. However positive bacterial cultures have been demonstrated in 40 percent of middle ear fluid. Streptococcus pneumonia and haemophilus influenza account for the majority of cases (2). It is a common practice among ENT surgeons to do adenoidectomy as part of the treatment of medically resistant OME. Although some literature associates enlarged adenoid with OME, there are some studies questioning this relationship. Although there are a large number of prevalence studies of OME in general population of children, there has been less research on its prevalence in children having adenoidal obstruction.