FREQUENCY OF OTITIS MEDIA IN PATIENTS OF NASAL POLYPI
AbstractBackground: Otitis media is a common disease encountered in ENT practice. Its incidence has fallenin the developed world. It is expected that nasal polypi causes Eustachian tube dysfunction which inturn leads to negative middle ear pressure causing to develop otitis media with effusion or recurrentotitis media. The objective of this study was to find the frequency of Otitis Media in patients of nasalpolypi. Subjects and Methods: It was a cross-sectional study. Seventy patients with bilateral nasalpolypi were taken for study from OPD of ENT Department, Fauji Foundation Hospital Rawalpindi.Purposive (non-probability) sampling was done keeping p=4%. There were 24 (34.3%) males and 46(65.7%) females included in the study. Age range was 26–38 years. Tympanometry was done in everypatient to look for signs of Otitis media. Duration of study was from 24th Apr 2008 to 30th Jul 2009.Results: In our study, all patients were having bilateral nasal polypi. Age range was between 26 and 38years. Frequency of patients having retracted tympanic membrane on right side was 25 (35.7%), andthose who developed it on left side was 30 (42.9%). However, 35 (50%) of the 70 patients were havingretraction of tympanic membrane whether right or left. This shows frequency of otitis media in patientsof nasal polypi was found to be 50%. Conclusion: Frequency of developing otitis media in patients ofnasal polypi is quite high. Nasal problems lead to development of ear diseases.Keywords: Otitis Media, Nasal Polyp, Middle Ear, Eustachian Tube, Tympanometry
Acucin J. WHO Department of Child and Adolescent Health and
Development. WHO Programme for the Prevention of Blindness
and Deafness. Chronic suppurative otitis media: burden of illness
and management options. Geneva: World Health Organization,
Alper C, Bluestone CD. Autoinflation for the treatment of otitis
media with effusion. In: Alper C, Bluestone CD eds. Advanced
therapy of otitis media. London; BC Decker Inc. 2004. p.189–93.
Rohail A, Gill ZI, Riaz M, Ali SI, Butt IH. A comparison of
medical treatment versus surgical treatment for the management
of otitis media with effusion. Ann King Edward Med Coll
Kvaerner KJ. When is acute otitis media too often? In: Alper C,
Bluestone CD (eds). Advanced therapy of otitis media. London;
BC Decker Inc. 2004. p.106–9.
Iqbal J, Raza SN, Naqvi NU, Azeem QA, Raahat ZM.
Endoscopic Sinus Surgery (ESS) verses Conventional Intranasal
Polypectomy for Ethmoidal Nasal Polyposis. Pakistan J
Clement PA. Classification of Rhinosinusitits. In: Brook I eds.
Sinusitis from microbiology to management. New York; Taylor
and Francis Group 2006. p.15–38.
Straetemans M, Van H N, Schilder AGM, Feuth T, Rijkers GT,
Zielhuis GA, et al. Eustachian tube function before recurrence of
otitis media with effusion. Arch Otolaryngol Head Neck Surg
Fokkens WJ, Lund V, Mullol J, Cohen N, Cobo R, Eustachian
Tube al. European Position Paper on Rhinosinusitis and Nasal
Polyps. Rhinology 2007;45(Suppl 20):1–80.
Rashid D, Ahmad B, Malik SM, Malik KZ. Otitis media with
effusion-cost effective options. J Coll Physicians Surg Pak
Ryding M, White P, Kalm O. Eustachian tube function and
tympanic membrane findings after chronic secretory otitis media.
Int J. Pediatr Otorhinolaryngol 2004;68(2):197–204.
Larsen K, Tos M. The estimated incidence of symptomatic nasal
polyps. Acta Otolaryngol 2002;122:179–82.
Valerie J, Lund V. Nasal polyposis. In: Gleeson M eds. ScottBrown’s Otolaryngology Head and Neck Surgery. 7th ed. Neils
M 2008. p.1549–50.
Lane AP, Kennedy DW. Sinusitis and Polyposis. In: Jame B,
Snow JJ. (eds). Ballengers Otorhinolaryngology Head and Neck
Surgery. 16th ed. Canada: BC Decker Inc. 2003. p.760–87.
Pelikan Z. Chronic Otitis Media (Secretory) and Nasal Allergy.
Scripta Medica (Brno) 2006;79(4):177–98.
Shampo MA, Kyle RA. Bartolommeo Eustachio. JAMA
Antonio Maria Valsalva (1666–1723), Valsalva maneuver.
Mudry A. The role of Adam Politzer (1835–1920) in the history
of otology. Am J Otol 2000;21(5):753–63.
Williamson I. Otitis media with effusion. Clin Evid
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