Middle ear status in children with recurrent pathology of respiratory tract

Catedra Otorinolaringologie USMF „Nicolae Testemiţanu”The aim of the study was to evaluate the middle ear status in children with recurrent pathology of respiratory tract. We performed a prospective study of 125 children (age range from 3 to 7 years) with recurrent pathology of respiratory tract. Scheme of examination included: analysis of quality of life by questionnaire and middle ear assessment by optic otoscopy and screening tympanometry. We detected otitis media in the majority of examined ears. Otitis media with effusion was diagnosed in 56 % of cases, acute otitis media – in 18 %, recurrent otitis media – in 3 %, adhesive otitis media – in 1 % of ears. The majority of otitis media cases were registered in children younger than 5 years of life. Inadequate reaction to sounds, sleeping disturbances were the most frequent signs of otitis media. We registered the persistence of otitis media in 40 % of cases in a month after recovery. The majority of children with persistent otitis media were younger than 5 years of life. Scopul lucrării a fost aprecierea stării urechii medii la copiii cu patologia recidivantă a tractului respirator. Am efectuat un studiu prospectiv asupra 125 copii în vârstă de la 3 până la 7 ani cu patologia recidivantă şi cronică a tractului respirator. Schema examinării a inclus: analiza calităţii vieţii prin chestionarea şi evaluarea urechii medii, prin otoscopia optică şi screening timpanometria de 2 ori: în timpul acutizării şi peste o lună după însănătoşire. Am detectat patologia urechii medii la majoritatea copiilor examinaţi. Otita medie exudativă a fost diagnosticată în 56 % de cazuri, otita medie acută – în 18 %, otita medie recidivantă – în 6 %, otita medie adezivă – în 1 % de cazuri. Majoritatea cazurilor de otită medie au fost înregistrate la copiii cu vârsta de până la 5 ani. Reacţia inadecvată la sunete, dereglările de somn au fost cele mai frecvente semne de otită medie. Am înregistrat persistenţa otitei medii peste o lună după suportarea patologiei tractului respirator în 40 % dintre cazuri. Majoritatea copiilor cu schimbări persistente ale urechii medii au fost cu vârsta de până la 5 ani

Otitis media forms in children with upper respiratory infection

Introduction: The upper respiratory infection is highly prevalent among young children and often results in otitis media. The incidence and characteristics of otitis media complicating URI has not been studied in Moldova. Objectives: To evaluate the prevalence, the clinical features and particularities of diagnostics of otitis media in children with upper respiratory infection. Methods: We performed a prospective study of 50 children (age range from 6 months to 7 years) with upper respiratory infection. We collected anamnesis data and performed the routine otorhinolaryngologic examination including anterior rhinoscopy, oropharyngoscopy and otoscopy. 100 ears of 50 children were examined by optic and pneumatic otoscopy, using the scheme of detailed description. Electroacoustic examination of middle ear including tympanometry and reflex-audiometry was obtained, analyzed and compared with otoscopy data. Diagnostics was made according to the Algorithm of diagnostics. Repeated tests were performed in 10 days and in a month after the clinical recovery. Results: Otalgia was registered in 7 from 50 examined children and disappeared during first 3 days in all children. Impedance audiometry was the method of reference. The analyses of anamnesis and otoscopy data were on the basis of differential diagnosis between otitis media forms. We detected otitis media in the majority of examined ears (82 %). Otitis media with effusion was diagnosed in 56 % of cases, acute otitis media - in 18 %, recurrent otitis media - in 3 %, adhesive otitis media - in 1 % of ears. The majority cases of otitis media were registered in younger children (first 5 years of life). We analyzed the clinical course of otitis media. Inadequate reaction to sounds and to sleeping disturbances, were the most frequent signs of otitis media. We registered the persistence of otitis media in 80 % of cases in 10 days of clinical recovery and in 40 % in a month. The majority of children with persistent otitis media were younger than 3 years of life. Conclusions: The prevalence of otitis media in children with upper respiratory infection is high. The otalgia is not the sign of reference in otitis media. The complex of anamnesis data analyses, otoscopy and impedance audiometry is necessary for diagnostics and differential diagnostics of otitis media forms. Children of the first 5 years of life with upper respiratory tract infection need an otorhinolaryngologic evaluation and audiologic control in a month after recovery

Otitis media in children with upper respiratory infection

Catedra Otorinolaringologie USMF „Nicolae Testemiţanu”The aim of the study was the analyses of development of otitis mediain children with acute respiratory infection. Design of the study: 150 children aged from 6 months to 7 years with IRA were examined 5 times from the onset of the acute respiratory infection. Methods of examination : anamnesis on the base of questionnaire analyses, screening impedansaudiometry, otoscopy. Rezultats: The prevalence of otitis media in children with acute respiratory infection is high. Otalgia isn’t the sign of reference in diagnostics of otitis media. The complex analyses of anamnestic, otoscopic and tympanometry data is necessary for diagnostics and differential diagnostics of different forms of otitis media. Children of first 5 years of life with acute respiratory infection need otorhinolaryngologic evaluation and audiologic control in a month after recovery. Scopul lucrării a fost analiza dezvoltării otitelor medii la copiii cu infecţie respiratorie acută (IRA) . Design-ul studiului: 150 copii de vârstă de la 6 luni până la 7 ani cu IRA au fost examinaţi de 5 ori de la debutul IRA. Metodele de examinare : anamneza prin analiza chestionarului, screening impedansmetria, otoscopia. Rezultate: Prevalenţa otitei medii la copiii cu infecţia tractului respirator superior este înaltă. Otalgia nu este semn de referinţă în diagnosticul otitei medii. Complexul analizei datelor anamnestice, otoscopice şi ale timpanometriei este necesar pentru diagnostic şi diagnostic diferenţial a diferitor forme de otită medie. Copiii primilor 5 ani de viaţă cu infecţie respiratorie acută necesită evaluarea otorinolaringologică şi controlul audiologic peste o lună după însănătoşire

Screening of otitis media in children with somatic pathology

Catedra Otorinolaringologie, USMF „Nicolae Testemiţanu”Aim of the study was to analyze and compare the incidence and clinical evolution of otitis media (OM) in children with recurrent and chronic somatic pathology and healthy children. Children at the age between 1 and 7 years with no any evident ear problem with recurrent and chronic somatic pathology and healthy children were accepted for screening by Tympanometry and otoscopy every three months during 1 year. Complete audiology assessment and otomicroscopy were carried out for children who failed the screening tests during 6 months. Screening revealed high incidence of OM with effusion in children with recurrent and chronic somatic pathology and it predisposition to chronic evolution. Screening for OM in children with chronic and recurrent somatic pathology determined patients, who need comprehensive treatment, including surgical. In healthy children OM is relatively rare, temporary şi benign condition. Scopul studiului a fost analiza şi comparaţia incidenţei şi evoluţiei clinice OM la copiii cu patologie recidivantă şi cronică a tractului respirator, tractului gastrointestinal în raport cu copiii sănătoşi. Copiii în vârstă de 1 – 7 ani cu patologia somatică recidivantă şi cronică fără patologia auriculară cunoscută au fost acceptaţi pentru screening cu timpanometrie şi otoscopie fiecare 3 luni pe parcursul anului. Examenul audiologic complet şi otomicroscopia au fost efectuate pentru copiii care au avut rezultate positive pe parcursul a 6 luni. Screeningul a evidenţiat prevalenţa înalta a OM exsudative la copiii cu patologie somatică recidivantă şi cronică şi predispoziţia patologiei pentru evoluţia cronică. Screeningul pentru OM la copiii cu patologie somatică recidivantă şi cronică determină pacientii, care au nevoie de tratament intensiv adecvat, incluzând chirurgical. La copiii sănătoşi OM este proces relativ rar, temporar şi benign