Audiological Profile in Adenoid Hypertrophy.

IF 0.6 Q4 SURGERY

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-08-01 Epub Date: 2024-04-26 DOI:10.1007/s12070-024-04714-8

Christy Crasta, Jenin Dsouza

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引用次数: 0

Abstract

Aim: The study aims to investigate the correlation between grade of adenoid hypertrophy and severity of hearing loss and to profile tympanometric findings in children with Adenoid Hypertrophy.

Materials and methods: A within group comparison study was carried out in Father Muller College, Department of Speech and Hearing, Mangalore where 123 patients diagnosed with Adenoid Hypertrophy (86 males and 37 females; mean age 7.146; range 2 to 12 years) were analyzed using detailed case history, Pure tone audiometry (PTA) and Tympanometry.

Results: The most prevalent presenting problems with adenoid hypertrophy were snoring (68.29%), mouth breathing (57.72%) and reduced hearing (35.77%). PTA results showed majority had bilateral hearing loss (60.27%). In the 230 ears that were tested, 50.85% had hearing loss. Majority of these ears had a minimal loss (23.91%), followed by mild loss (18.69%), moderate loss (7.82%), and moderately severe loss (0.43%). No correlation was found between the grade of Adenoid hypertrophy and the severity of hearing loss noted (p > 0.05). According to tympanometric findings, the most common tympanogram pattern was 'B' type (39.15%), 'A' type (31.60%), and 'C' type (18.39%). A small proportion of the population had 'As' (4.71%), 'Cs' (5.66%), and 'Ad' (0.47%). No correlation was found between the grade of adenoid hypertrophy and the type of tympanogram obtained (p > 0.05).

Conclusion: In a significant percentage of cases, Adenoid hypertrophy affects the middle ear leading to conductive hearing loss. If left untreated it can lead to delayed speech and language development, auditory processing disorders, mental retardation, and physical and social complications. These are avoidable through primary health care education, accurate diagnosis, and effective treatment.

Supplementary information: The online version contains supplementary material available at 10.1007/s12070-024-04714-8.

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腺样体肥大的听觉特征

目的：本研究旨在调查腺样体肥大等级与听力损失严重程度之间的相关性，并对患有腺样体肥大的儿童进行鼓室测量：在芒格洛尔的穆勒神父学院言语和听力系开展了一项组内比较研究，通过详细病史、纯音测听（PTA）和鼓室测听对123名被诊断为腺样体肥大症的患者（86名男性和37名女性；平均年龄7.146岁；年龄范围2至12岁）进行了分析：腺样体肥大最常见的症状是打鼾（68.29%）、口呼吸（57.72%）和听力下降（35.77%）。PTA 结果显示，大多数患者有双侧听力损失（60.27%）。在接受测试的 230 只耳朵中，50.85% 有听力损失。其中大部分耳朵听力损失较轻（23.91%），其次是轻度损失（18.69%）、中度损失（7.82%）和中重度损失（0.43%）。腺样体肥大的程度与听力损失的严重程度之间没有相关性（P > 0.05）。根据鼓室造影结果，最常见的鼓室造影模式为 "B "型（39.15%）、"A "型（31.60%）和 "C "型（18.39%）。小部分人的鼓膜形态为 "A "型（4.71%）、"C "型（5.66%）和 "Ad "型（0.47%）。腺样体肥大的等级与鼓室造影的类型之间没有相关性（P > 0.05）：结论：腺样体肥大影响中耳导致传导性听力损失的病例占很大比例。如果不及时治疗，会导致言语和语言发育迟缓、听觉处理障碍、智力迟钝以及身体和社会并发症。通过初级卫生保健教育、准确诊断和有效治疗，这些都是可以避免的：在线版本包含补充材料，可在 10.1007/s12070-024-04714-8。

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.80

自引率

0.00%

发文量

226

审稿时长

6-12 weeks

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.