4 research outputs found
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