Effects of Enlarged Adenoids on Middle Ear Pressure and Hearing

Authors

  • Md Noor Kutubul Alam Assistant Professor, Department of Otolaryngology and Head-neck Surgery, Jashore Medical College, Jashore Assistant Professor, Department of Otolaryngology and Head-neck Surgery, Jashore Medical College, Jashore
  • SM Nazmul Huque Assistant Professor, Department of Otolaryngology and Head-neck Surgery, Jashore Medical College, Jashore
  • ABM Delowar Hossain Associate Professor, Department of Otolaryngology and Head-neck Surgery, Enam Medical College, Savar, Dhaka
  • Kazi Atikuzzaman Assistant Professor, Department of Otolaryngology and Head-neck Surgery, Rangamati Medical College, Rangamati ,Chittagong
  • Mohammad Jamal Hussain Indoor Medical officer .Department of Otolaryngology and Head-neck Surgery, Dhaka Medical College, Dhaka
  • Mostafa Kamal Arefin Indoor Medical officer .Department of Otolaryngology and Head-neck Surgery, Dhaka Medical College, Dhaka

DOI:

https://doi.org/10.3329/bjo.v27i1.53210

Keywords:

Adenoids, Middle ear pressure, Hearing

Abstract

Background: Adenoids are common childhood upper respiratory tract problem which frequently obstruct the nasopharyngeal opening with tubal occlusion causes reduction in middle ear pressure with conductive hearing loss.

Objective: To observe middle ear pressure and level of hearing in children with enlarged adenoids.

Methods: This cross sectional observational study conducted among 72 children of enlarged adenoids admitted or attended in Dhaka Medical College Hospital and Bangabandhu Sheikh Mujib Medical University Dhaka.

Results: 72 children of enlarged adenoids of age ranges between 5-12 years with male female ratio was 1.25:1. Mouth breathing (65.27%), hearing impairment (59.72%), nasal obstruction (55.55%) and snoring (56.94%) were the presenting symptoms of the patients. Majority of the patients of this study came from middle class (52.77%). Most of the patients with enlarged adenoids were grossly enlarged (51.38%). 43.05% grossly enlarged adenoids had significant hearing loss . In this series 65 ears (45.13%) had type A Tympanogram. 58 ears (40.27%) has Type B Tympanogram and 21 ears (14.58%) has Type C Tympanogram.

Conclusion: This study revealed significant association between enlarged adenoids and conductive hearing loss of variable degree and negative middle ear pressure.

Bangladesh J Otorhinolaryngol; April 2021; 27(1): 73-80

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Published

2021-04-28

How to Cite

Alam, M. N. K., Huque, S. N., Hossain, A. D., Atikuzzaman, K., Hussain, M. J., & Arefin, M. K. (2021). Effects of Enlarged Adenoids on Middle Ear Pressure and Hearing. Bangladesh Journal of Otorhinolaryngology, 27(1), 73–80. https://doi.org/10.3329/bjo.v27i1.53210

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Original Articles