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Adult onset otitis media with effusion in Lagos
A O Somefun1, S A Adefuye, M A Danfulani
1Otolaryngology unit, Department of surgery, CMUL/LUTH, Lagos, Nigeria.
The Nigerian Postgraduate Medical Journal
|July 6, 2005
Summary
Adult onset otitis media with effusion (OME) is uncommon, but this study found a 2.6% prevalence in adults. Infective and allergic sinusitis were key factors, with conservative treatment showing good outcomes.
Area of Science:
- Otolaryngology
- Epidemiology
- Adult Health
Background:
- Adult onset otitis media with effusion (OME) is infrequently reported globally.
- A rising trend of OME in adult patients prompted this investigation.
Purpose of the Study:
- To determine the prevalence of OME in adults.
- To identify predisposing factors for adult OME.
- To evaluate the treatment outcomes for adult OME.
Main Methods:
- A prospective study conducted over two years at Lagos University Teaching Hospital.
- 195 adult patients with suspected OME underwent clinical evaluation, audiometry, and tympanometry.
- Fibre optic nasopharyngoscopy and biopsy were performed on a subset of patients.
Main Results:
- A hospital-based prevalence of 2.6% for OME was recorded.
- Infective and allergic sinusitis were identified as primary predisposing factors.
- Conservative treatment was successful in 92.06% of patients, with a recurrence rate of 12.7%.
Conclusions:
- Adult OME, while less common than in children, may have similar prevalence but fewer complications.
- Nasopharyngoscopy and biopsy have a low yield for detecting nasopharyngeal carcinoma (NPC) in isolated adult OME.
- The cost-effectiveness of extensive investigations for isolated adult OME should be considered.