Open AccessEffects of Enlarged Adenoids on Middle Ear Pressure and Hearing
Author(s) -
Noor Kutubul Alam,
SM Nazmul Huque,
Abm Delowar Hossain,
Kazi Atikuzzaman,
Mohammad Jamal Hussain,
Mostafa Kamal Arefin
Publication year - 2021
Publication title -
bangladesh journal of otorhinolaryngology
Language(s) - English
Resource type - Journals
eISSN - 2304-6244
pISSN - 1728-8835
DOI - 10.3329/bjo.v27i1.53210
Subject(s) - medicine , conductive hearing loss , hearing loss , middle ear , audiology , absolute threshold of hearing , surgery
Background: Adenoids are common childhood upper respiratory tract problem which frequently obstruct the nasopharyngeal opening with tubal occlusion causes reduction in middle ear pressure with conductive hearing loss.
Objective: To observe middle ear pressure and level of hearing in children with enlarged adenoids.
Methods: This cross sectional observational study conducted among 72 children of enlarged adenoids admitted or attended in Dhaka Medical College Hospital and Bangabandhu Sheikh Mujib Medical University Dhaka.
Results: 72 children of enlarged adenoids of age ranges between 5-12 years with male female ratio was 1.25:1. Mouth breathing (65.27%), hearing impairment (59.72%), nasal obstruction (55.55%) and snoring (56.94%) were the presenting symptoms of the patients. Majority of the patients of this study came from middle class (52.77%). Most of the patients with enlarged adenoids were grossly enlarged (51.38%). 43.05% grossly enlarged adenoids had significant hearing loss . In this series 65 ears (45.13%) had type A Tympanogram. 58 ears (40.27%) has Type B Tympanogram and 21 ears (14.58%) has Type C Tympanogram.
Conclusion: This study revealed significant association between enlarged adenoids and conductive hearing loss of variable degree and negative middle ear pressure.
Bangladesh J Otorhinolaryngol; April 2021; 27(1): 73-80