Otitis Media with Effusion (OME) in Urban Pediatric Population in a Tertiary Care Centre: A Clinical Study
1Barjora Superspeciality Hospital (West Bengal Health Service), 376, Lalbazar, Depogora, Bankura, West Bengal 722101 India.
Insights
Otitis media with effusion (OME) in children is a common cause of hearing loss and speech delays. This study identified risk factors and compared medical versus surgical treatments for OME outcomes.
Area of Science:
- Pediatrics
- Otolaryngology
- Epidemiology
Background:
- Otitis media with effusion (OME) is a prevalent pediatric condition.
- It significantly contributes to hearing impairment in children, potentially causing learning disabilities and delayed speech development.
- Understanding OME's epidemiology and risk factors is crucial for effective management.
Purpose of the Study:
- To investigate the epidemiological characteristics and risk factors associated with OME in an urban pediatric population.
- To evaluate various treatment modalities for OME based on clinical presentation and outcomes.
- To compare the effectiveness of medical and surgical interventions for OME.
Main Methods:
- A prospective comparative study involving 100 children (50 cases with OME, 50 controls) over two years.
- Comparison of risk factors, presenting features, and tympanometry findings between cases and controls.
- Assessment of outcomes for 28 medically treated children and 22 surgically treated children (Myringotomy and Grommet insertion) over a 6-month follow-up.
Main Results:
- The study identified key epidemiological features and risk factors for OME in the studied pediatric group.
- Both medical and surgical treatments were employed, with surgical intervention involving Myringotomy and Grommet insertion.
- Outcomes were monitored for six months post-treatment for both cohorts.
Conclusions:
- OME presents distinct epidemiological characteristics and risk factors in children.
- Treatment decisions for OME are guided by clinical features, with both medical and surgical options available.
- Further analysis of the 6-month follow-up data is needed to fully elucidate treatment outcomes.
Abstract:
Otitis media with effusion (OME) is a common condition affecting children. It is one of the most common causes for reduced hearing in pediatric age group leading to various learning disabilities including delayed speech development. The aim of this study was to find out various epidemiological characteristics and risk factors for developing OME and various treatment modalities depending on the clinical features and their outcomes in urban pediatric population. A prospective comparative study was done in 100 children taken 50 as cases and 50 as controls for a period of 2 years. The risk factors, common presenting features and the examination and investigational findings (tympanometry) of the study condition were compared among the cases and controls. Among the 50 cases, 28 children were treated medically and 22 underwent surgical treatment in the form of Myringotomy and Grommet insertion. The patients were followed up-to 6 months in both groups.
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