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Otitis media with effusion in children and its correlation with foreign body in the external auditory canal

Saurav Sarkar1, M Sadhukhan, A Roychoudhury

  • 1Calcutta Medical College, 88 College Street, Calcutta, 700072 West Bengal India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|February 10, 2012
PubMed

Insights

Foreign bodies in children's ears may indicate underlying Otitis Media with Effusion (OME). Early detection of OME and eustachian tube dysfunction is crucial to prevent complications.

Area of Science:

  • Otolaryngology
  • Pediatric Audiology

Background:

  • Otitis Media with Effusion (OME) involves middle ear mucus accumulation, potentially causing significant hearing loss and speech/language delays.
  • Foreign bodies in the pediatric external auditory canal are common clinical encounters.

Purpose of the Study:

  • To investigate the relationship between foreign bodies in the ear canal and Otitis Media with Effusion.
  • To determine if foreign body insertion is linked to underlying middle ear conditions in children.

Main Methods:

  • A prospective study conducted from August 2005 to August 2007.
  • Inclusion criteria: children presenting with a history of foreign body in the external auditory canal.
  • Comparison with a control group using tympanometry.

Main Results:

  • 67.8% of children with ear foreign bodies showed abnormal tympanograms.
  • 37.8% of the control group had abnormal tympanograms.
  • A higher incidence of abnormal tympanometry was observed in the foreign body group.

Conclusions:

  • Children with external auditory foreign bodies have a higher likelihood of underlying Otitis Media with Effusion or eustachian tube dysfunction.
  • Ear canal foreign bodies may be a sign prompting evaluation for OME.
  • Follow-up in an ENT clinic is recommended for children with ear foreign bodies to diagnose and manage OME, preventing complications.

Keywords:
Foreign bodies in earOtitis media with effusionTympanogram

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