Introduction. Chronic otitis media (COM) is one of the most common disorders in pediatric practice. The burden of the disease in industrialized countries is associated with hearing loss and further developmental delay in the child. COM is most often associated with a conductive type of hearing impairment since bone elements of the auditory chain undergo destruction due to the chronic purulent inflammation. Objective: The aim of our study is the identification of risk factors in pathogenesis if COM for the possible development of effective preventive measurements. Materials and methods: The current study presents the analysis of personal data and medical records using the descriptive and regression statistics. Sixty-five pediatric patients with chronic otitis media were enrolled. The study was conducted otorhinolaryngological department of the City Clinical Hospital No. 5 of the Health Department of Almaty in the period from March 2018 to March 2020. Results and conclusions. The results of our investigation demonstrated that some prevalent characteristics of paediatric patients with chronic otitis media may act as possible risk factors for the impairment of hearing function. Thus, the avoiding of acute inflammatory middle ear diseases and total cancelling of treatment with ethanol containing ear drops may contribute greatly in the prevention of hearing loss and impairment.
Timur Shamshudinov1*, Saule Taukeleva2 1 City Center of Pediatric Otorhinolaryngology, General Hospital №5, Almaty, Republic of Kazakhstan; 2 Kazakh-Russian Medical University, Almaty, Republic of Kazakhstan.
1. Acuin J. Extracts from "Concise clinical evidence": Chronic suppurative otitis media // BMJ (Clinical research ed.). 2002, 325 (7373), discussion 1159. doi:10.1136/bmj.325.7373.1159 2. Ali Zaidi S.S. et al. Frequency of Sensorineural hearing loss in chronic suppurative otitis media // JPMA. The Journal of the Pakistan Medical Association. 2016, 66(10) Suppl 3, S42-S44. 3. Cundell D.R et al. Streptococcus pneumoniae anchor to activated human cells by the receptor for platelet-activating factor // Nature. 1995, 377(6548) (1995), p.435-8. doi:10.1038/377435a0 4. DeAntonio R. et al. Epidemiology of otitis media in children from developing countries: A systematic review // International journal of pediatric otorhinolaryngology. 2016, vol. 85, p.65-74. doi:10.1016/j.ijporl.2016.03.032 5. Fergie N. et al. Is otitis media with effusion a biofilm infection? // Clinical otolaryngology and allied sciences. 2004, 29 (1), p.38-46. doi:10.1111/j.1365-2273.2004.00767.x 6. Fuchs J.C. et al. A defect in early myogenesis causes Otitis media in two mouse models of 22q11.2 Deletion Syndrome // Human molecular genetics. 2015, 24(7), p.1869-82. doi:10.1093/hmg/ddu604 7. Gyanwali B. et al. The role of tensor veli palatini muscle (TVP) and levetor veli palatini [corrected] muscle (LVP) in the opening and closing of pharyngeal orifice of Eustachian tube // Acta oto-laryngologica. 2016, 136(3), p.249-55. doi:10.3109/00016489.2015.1107192 8. Hong C.K. et al. Effect of paranasal sinusitis on the development of otitis media with effusion: influence of eustachian tube function and adenoid immunity // International journal of pediatric otorhinolaryngology. 2008, 72 (11), p.1609-18. doi:10.1016/j.ijporl.2008.07.010 9. Ishizuka S. et al. Effects of rhinovirus infection on the adherence of Streptococcus pneumoniae to cultured human airway epithelial cells // The Journal of infectious diseases. 2003, 188(12), p. 1928-39. doi:10.1086/379833 10. Kamal-Eldin A. et al. Prevalence of middle ear pathologies in children with bilateral sensorineural hearing loss // International journal of pediatric otorhinolaryngology. 2006, 70(6), p.1081-4. doi:10.1016/j.ijporl.2005.11.004 11. Klein J.O. The burden of otitis media // Vaccine. 2000, 19 (Suppl 1): S2-8. doi:10.1016/s0264-410x(00)00271-1 12. Niemelä M. et al. Pacifier as a risk factor for acute otitis media: A randomized, controlled trial of parental counseling // Pediatrics. 2000, 106(3), p.483-8. doi:10.1542/peds.106.3.483 13. Phillips J.S. et al. A systematic review of patient-reported outcome measures for chronic suppurative otitis media // Laryngoscope. 2016, 126(6), p.1458-63. doi: 10.1002/lary.25657 14. Przewoźny T. et al. Hearing loss in patients with extracranial complications of chronic otitis media // Otolaryngologia polska = The Polish otolaryngology. 2017, 71(3), p.36-42. doi:10.5604/01.3001.0010.0130 15. Rosario D.C. et al. Chronic Suppurative Otitis. 2022 Jan 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 32119479. 16. Rovers M. et al. Heritability of symptom domains in otitis media: a longitudinal study of 1,373 twin pairs // American journal of epidemiology. 2002, 155(10), p.958-64. doi:10.1093/aje/155.10.958 17. Tian C. et al. Otitis media in a new mouse model for CHARGE syndrome with a deletion in the Chd7 gene // PloS one. 2012, 7(4), e34944. doi:10.1371/journal.pone.0034944 18. Uddén F. et al. Aerobic bacteria associated with chronic suppurative otitis media in Angola // Infectious diseases of poverty. 2018, 7(1), p.42. https://doi.org/10.1186/s40249-018-0422-7 19. Uhari M et al. A meta-analytic review of the risk factors for acute otitis media // Clinical infectious diseases: an official publication of the Infectious Diseases Society of America. 1996, 22 (6), p. 1079-83. doi:10.1093/clinids/22.6.1079 20. Williams C.J. et al. The impact of otitis media on cognitive and educational outcomes // The Medical journal of Australia. 2009, 191 (Suppl 9), S69-72. doi:10.5694/j.1326-5377.2009.tb02931.x 21. Yang R. et al. Measuring health-related quality of life in chronic otitis media in a Chinese population: cultural adaption and validation of the Zurich Chronic Middle Ear Inventory (ZCMEI-21-Chn) // Health and quality of life outcomes. 2020, 18 (1), e.218. doi:10.1186/s12955-020-01461-6
Количество просмотров: 80

Ключевые слова:

Библиографическая ссылка

Shamshudinov T., Taukeleva S. Risk factors of hearing impairment in pediatric patients with chronic otitis media // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 2, pp. 57-62. doi 10.34689/SH.2022.24.2.007