The role of adenoid hyperplasia in etiology of serous otitis media

Abstract

The influence of adenoid hyperplasia on occurence of serous otitis media(SOM) has been discussed for many years. Previously, it was thouhgt that the size of adenoid lead to serous otitis media, but recently its infective property is accussed. In this study, Adenoidal-nasopharyngeal ratio(ANR) was found (means 0.74±0.08) in 100 children who undergone adenoidectomy operation, and also the relationship between ANR and SOM was investigated. There was not any statistically significant relationship between ANR and SOM(t=0.06, P>0.5). At same time, there was not any statisticallysignificant relationship between ANR and meadle ear pressure(t=0,06, P>0,05).

Özet

Adenoid hiperplazisinin seröz otitis media(SOM) olusumundaki etkisi yillardir tartisilmakta olan bir konudur. Önceleri adenoidin kitlesel özelliginin SOM' a yol açtigi söylenirken, son zamanlarda enfektif özelliginin etkisinden bahsedilmektedir. Bu çalismada adenoidektomi uygulanan 100 çocukta ortalama adenoidal- nazofarengeal oran(0.74±0.08) bulundu ve adenoidal-nazofarengeal oranin (ANO) SOM ile iliskisi arastirildi. ANO ile SOM arasinda istatistiksel olarak anlamli bir iliski bulunmadi (t=0.06, P>0.5). Ayni sekilde ANO ile negatif orta kulak basinci arasinda da istatistiksel olarak anlamli bir iliski bulunmadi(t=0,06, P>0,05).

Keywords: Çocuk,Adenoidler,Adenoidektomi,Kulak, orta,Hiperplazi,Efüzyonlu otitis media