RT - Journal
TY - JOUR
A1 - De, Sarmishtha
A1 - Kachhawa, Kamal
A1 - Gambhir, Arun
A1 - Jain, Rajesh
A1 - Behera, Rasmirekha
A1 - Diwan, Sanjay
A1 - Kumar, Sanjay
T1 - The role of antibiotics in treating secretory otitis media in children aged 2–12 years in an accredited teaching hospital in southeast Asia
YR - 2017/1/1
JF - Advanced Arab Academy of Audio-Vestibulogy Journal
JO - Adv Arab Acad Audio-Vestibul J
SP - 6
OP - 9
VO - 4
IS - 1
UL - http://www.aaj.eg.net/article.asp?issn=2314-8667;year=2017;volume=4;issue=1;spage=6;epage=9;aulast=De;t=5
DO - 10.4103/aaaj.aaaj_1_17
N2 - Introduction
Secretory otitis media (SOM) is the most common clinical condition that can cause conductive deafness, especially among school-going children. The outcomes of hearing loss in children include speech problems, behavioral problems, and poor academic performance. Management of SOM therefore remains crucial. We carried out a comparative study of antibiotics versus surgical therapy for the treatment of SOM.
Patients and methods
The present study included 50 patients. Detailed history taking with ENT examinations was performed and documented in a validated pro forma. Routine investigations such as complete blood count, urine examination, audiological investigation such as impedance audiometry, etc, were carried out.
Observation and results
About 70% of the patients presented with symptoms of ear block with mouth breathing. Increased incidence was found in the 2–6 years age group. The present showed that surgery can increase the rate of recovery, shorten the duration of therapy, and prevent the recurrence of SOM compared with treatment with antibiotics.
Conclusion
Both the treatments have complications associated with them. Large, well-controlled studies can help resolve the risk–benefit ratio by measuring SOM recurrence, functional outcome, quality of life, and long-term outcomes.
ER -