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- Title
Investigation of Risk Factors for Otitis Media With Effusion in Patients with Adenotonsillar Hypertrophy (Risk Assessment in Otitis Media with Effusion).
- Authors
Akcan, Fatih Alper; Belada, Abdullah
- Abstract
Objective: Sleep Disordered Breathing (USB) is one of the most common childhood disorders ranging from simple snoring to obstructive sleep apnea (OSA), and most common cause of it is the adenotonsillar hypertrophy (ATH). Otitis Media with Effusion (OME) is another important problem in children with USB due to ATH. The aim of this study was to evaluate the possible risk factors for the development of EOM in children with USB due to ATH. Methods: 171 pediatric patients with ATH-related snoring and sleep apnea complaints were included in the study. The patients were divided into two groups. Group 1: patients with ATH + OME and Group 2: patients with ATH alone. A pre-operative standard questionnaire was used to assess USB severity. Twenty-one different parameters were evaluated for both groups. Results: Age, sex, exposure to tobacco smoke, cow milk exposure before 12 months, breast milk only for at least 6 months, duration of symptoms, USB symptom scores, history of recurrent tonsillitis, adenoid / nasopharynx (AN) ratio, tonsil size, body mass index (BMI), hemoglobin (Hb) level, hematocrit (Hct) ratio, mean platelet volume (MPV), eosinophil ratio, neutrophil-lymphocyte ratio (NLR), thyroid function tests (TSH, fT4), folate and vitamin B12 levels were evaluated. There was no statistically significant difference between these parameters except BMI. BMI values were 16.08 ± 1.96 in Group 1 and 17.11 ± 2.81 in Group 2, respectively (p: 0.006). Conclusions: Many different parameters were evaluated for EOM, a multifactorial disease. Among the groups, only BMI was different. Further study is required to identify risk factors for the development of EOM in patients with ATH.
- Subjects
HYPERTROPHY; AGE distribution; OTITIS media with effusion; RISK assessment; SLEEP apnea syndromes in children; ADENOIDS; SEVERITY of illness index; SEX distribution; QUESTIONNAIRES; DESCRIPTIVE statistics; TONSILS; SNORING; DISEASE risk factors; DISEASE complications; EVALUATION; CHILDREN
- Publication
Konuralp Medical Journal / Konuralp Tip Dergisi, 2021, Vol 13, Issue 2, p206
- ISSN
1309-3878
- Publication type
Article
- DOI
10.18521/ktd.804397