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Olfactory function in Australian aboriginal children and chronic otitis media
Jessica E Armstrong1, David G Laing, Fiona J Wilkes
1School of Women and Children's Health, Faculty of Medicine, University of New South Wales, Level 3, Sydney Children's Hospital, High Street, Randwick, New South Wales 2031, Australia.
Chronic suppurative otitis media (CSOM) does not appear to cause long-term olfactory loss in Aboriginal children. Hearing loss in these children was also not found to predict olfactory dysfunction.
Area of Science:
- Otolaryngology
- Pediatric Health
- Sensory Science
Background:
- Chronic suppurative otitis media (CSOM) is prevalent among Australian Aboriginal children, often leading to hearing loss.
- The impact of CSOM-related pathogens on olfactory function in children is largely unknown.
- Investigating olfactory function is crucial given the high incidence of middle ear infections in this population.
Purpose of the Study:
- To determine the prevalence of olfactory loss in Australian Aboriginal children.
- To assess if hearing loss is a predictor of olfactory loss in this demographic.
- To understand the long-term effects of CSOM on olfactory function.
Main Methods:
- A cohort of 261 Aboriginal children (aged 9-12) from rural communities with high CSOM rates were evaluated.
- Olfactory function was assessed using a 16-odor identification test.
- Hearing status was also assessed for each child.
Main Results:
- Only one child was diagnosed with anosmia, and four with hyposmia, indicating a low prevalence of olfactory loss.
- Hearing loss was identified in 42 children.
- No significant relationship was found between the presence of hearing loss and olfactory dysfunction.
Conclusions:
- CSOM does not appear to have a lasting negative impact on olfactory function in Aboriginal children.
- Hearing loss in Australian Aboriginal children is not a predictor of olfactory loss.
- The 16-odor identification test demonstrated high test-retest reliability (0.98).
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