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Tympanometric Patterns of Children with Allergic Rhinitis Treated at a Tertiary Health Institution

Ayotunde James Fasunla1, Julius Olowo Ijitola1, Onyekwere George Nwaorgu1

  • 1Department of Otorhinolaryngology, University College Hospital and College of Medicine, University of Ibadan, Ibadan, Nigeria.

OTO Open
|November 28, 2018
PubMed

Insights

Children with allergic rhinitis (AR) have a significantly higher prevalence of otitis media with effusion (OME). Routine tympanometric evaluation is recommended for pediatric patients diagnosed with AR.

Area of Science:

  • Pediatric Otolaryngology
  • Allergy and Immunology
  • Epidemiology

Background:

  • Allergic rhinitis (AR) is a common condition in children.
  • Otitis media with effusion (OME) can affect hearing and speech development.
  • The relationship between AR and OME in pediatric populations requires further investigation.

Purpose of the Study:

  • To determine the prevalence of OME in children with AR.
  • To compare tympanogram patterns between children with and without AR.
  • To assess the association between AR and OME in a Nigerian pediatric cohort.

Main Methods:

  • A case-control study involving 86 children with AR and 86 healthy controls (ages 2-7 years).
  • Data collection included questionnaires, ear, nose, and throat examinations, and tympanometric evaluation.
  • OME diagnosis was based on Jerger's tympanometric patterns.

Main Results:

  • The prevalence of OME was significantly higher in children with AR (45.3%) compared to controls (9.3%) (P < .001).
  • Jerger's type B and C tympanograms were more frequent in children with AR.
  • An odds ratio of 8.090 indicated a strong association between AR and OME.

Conclusions:

  • OME is significantly prevalent in children with allergic rhinitis.
  • Tympanometric patterns indicative of OME are more common in children with AR.
  • Routine tympanometric screening is advised for children diagnosed with allergic rhinitis.
Abstract

Keywords:
allergic rhinitischildrennasal cytologyotitis media with effusiontympanometry

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