Prevalence of otitis media with effusion in children with obstructive adenoid disease compared with normal controls at Kenyatta National Hospital
Abstract
Background.Otitis media with effusion (OME) is a common otological disease encountered
in children. Diagnosis in children is often delayed as they cannot complain of hearing loss and
this may result in speech impairment, inattention, poor performance in school and behavioral
problems.
Objectives. To assess the association between OME and Obstructive adenoid disease (OAD)
in children scheduled for adenoidectomy at Kenyatta National Hospital (K.N.H).
Study design. This was a Case control study carried out in children aged 1-8 years in the
ENT and surgical outpatient departments of KNH. The study group had clinical and
radiological features of chronic obstructive adenoid disease and the control group had no
history suggestive of obstructive adenoid disease. Eligible patients were consecutively recruited
into the study between June and September 2013. The patients were evaluated for symptoms,
otoscopic findings and tympanometry. Lateral neck radiograph measurements was done for
children in the study group.
Results: The prevalence of OME in children with adenoid hypertrophy at KNH was 67.3%
and in the control group was 15.4 % ( 95% CI 4.4 to 29.3).
Conclusion and Recommendations: Six in every 10 children with clinician diagnosed and
radiologically confirmed adenoid hypertrophy at KNH had OME. Clinical screening
tympanometry evaluation and follow up is vital in preventing sequel associated with OME.
Publisher
University of Nairobi
Subject
Adenoid diseaseDescription
Thesis Master of Medicine in Ear, Nose and Throat- Head and Neck Surgery