Pattern of Ear Diseases among Paediatric ENT Patient: An Experience from Tertiary Care Centre, Pokhara, Nepal (original) (raw)
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Pattern Of Otological Diseases In School-Going Children Of The Sunsari District Of Eastern Nepal
The Internet Journal of Otorhinolaryngology, 2015
Objective: This study was carried out to find out the prevalence of otitis media and pattern of otological diseases in school-going children of the Sunsari district of Eastern Nepal. Materials and methods: This is a prospective, cross sectional, clinical study in 2152 children of up to 15 years of age viting 21 schools of the Sunsari district of eastern Nepal from September 1st to September 22nd 2014. Informed consent was obtained. Results: Ear wax 541 (25.14%) and chronic suppurative otitis media 70 (3.26%) were the commonest diseases found. Otitis media with effusion (OME) 24 (1.11%), acute otitis media (AOM) 18 (0.84%), otomycosis 50 (2.32%), otitis externa 13 (0.6%), perichondritis 2 (0.09%), sensorineral hearing loss (SNHL) 4 (0.19%) and Eustachian tube dysfunction (ETD) 9 (0.42%) were other diseases found. Conclusions: Otological diseases are important health problems among school-going children of the Sunsari district of eastern Nepal. Health education, improvement of socioec...
2020
Original Research Article Objective: In this study our main goal is to evaluate current status of otolaryngological Diseases among Paediatric Population Attending ENT OPD in Sylhet women medical college. Methods: In this observational study, was conducted at Sylhet women medical college during January, 2018 to July 2019, where total number of 200 patients attended ENT OPD and among them 100 patients were children aged between 0-15 years presenting with ear, nose and throat diseases were taken as a study sample. Then parameter like: socio-demographic data such as age, residential area, types of ENT were collected from the patients parents using standard questionnaires and kept confidential during the research. Results: Most of the patients belong to in age group of 0-5 years and it was 55%. During the study, otitis media with effusion (50%) was the most common ear problem followed by wax (25%). Also, rhinitis (35%) was the commonest problem followed by sinusitis (29%), epistaxis (20%...
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2018
ENT problems are one of the most common causes among children that warrant a visit to the doctor. Paediatric population forms a considerable proportion of the total world's population. 1 Seasonal cough and cold, earache, sore throat are very common in children. Many of the times, the treatments for these are done at home. When the symptoms become more serious, then only the children are normally brought to the doctor. Fortunately, fatality is very low in such cases except in cases of emergencies, but complications do occur. 2,3 Ear, Nose, Throat problems are more common in children than adults. This could be due to various factors such as wider and horizontal Eustachian tube, under developed immunity, malnourishment, poor hygiene and sanitary ABSTRACT Background: Ear, nose and throat (ENT) problems are more common in children than adults. The objective of this study was to know the occurrence of various ENT disorders among children reporting to the outpatient department of a tertiary care center and to see their associations with three age-groups. Methods: A prospective cross-sectional study was conducted in the OutPatient Department of Ear, Nose and Throat from 2016 to 2017. All the patients of age group 0-16yrs were included in the study. Informed consent or ascent from the patients and permission from their parents were taken. Detailed history taking, clinical examinations and appropriate investigations were performed and recorded in a pre-formed proforma. Data were entered into Microsoft Excel format 2013 and statistical analysis was done with SPSS 20 version. Results: A total of 968 patients were examined, males 633(65.4%) and females 335(34.6%). The spectrum of ENT disorders reported were chronic suppurative otitis media (CSOM) 126 (13.0%), Otitis media with effusion (OME) 113 (11.7%), acute otitis media (AOM) 98 (10.1%), otomycosis with otitis externa 59 (6.1%), wax 36 (3.7%), foreign body ear (FB ear) 11 (1.1%), acute mastoiditis 22 (2.3%), acute rhinitis 35(3.6%), chronic sinusitis 33(3.4%), deviated nasal septum (DNS) 34 (3.5%), FB nose 21 (2.2%), vestibulitis with epistaxis 20 (2.1%), injury/trauma 11 (1.1%), tonsillitis 89 (9.2%), adenoid hypertrophy 71 (7.3%), acute pharyngitis 52 (5.4%), chronic pharyngitis 46 (4.7%), cervical lymphadenitis 37 (3.8%), FB esophagus 8 (0.8%) and laryngitis 12 (1.2%). CSOM was significantly associated with the age-groups 5-9 yrs whereas, AOM with 0-4 yrs. Adenoid hypertrophy was significantly associated with 0-4 yrs whereas, pharyngitis with 10-16 yrs. Conclusions: Most common ENT disorders reported were ear disorders and second most common throat disorders. Significant associations were found between disorders and age-groups.
Asian Pacific Journal of Health Sciences, 2019
Introduction: Paediatric population forms a considerable proportion of the total world's population. Ear diseases in children are a major public health problem in developing countries. If left unattended, it may result in complications with various social and psychological problems for affected children and their families Looking at the serious consequences of ear diseases among children, it is important to know the burden of the problem with its correlates. This will help in formulating interventions for prevention and control. Prevention of ear diseases is possible only if the risk factors are known. Methods: Primary caregivers (mother/father/ guardians) of 100 ill children aged 2-10 years who came to seek medical care in outpatient department (OPD) for their children were interviewed. Study subjects fulfilling the inclusion criteria were selected by simple random sampling method. The study was conducted over a period of 4 months .Detailed Clinical Examination was done A pre-designed semi-structured questionnaire schedule was prepared in local language A thorough history and detailed general, otolaryngological, neurological, ophthalmological examination was done apart from Demographic profile. Results: 30 % children reported to OPD with ear complaints. 14 cases out of 30 belonged to age group of less than 5 years while 16 were more than 5 years of age. There was no statistically significant difference between age groups with respect to current ear complaints. Most common complaints were ear discharge (16%), foreign body (10%) and hearing loss (4%). About the practices of ear cleaning, 34 % caregivers reported that they do not clean the ear of the child while 66% reportedly used to clean the ear of the child. Significant difference existed between Educated and Non Educated group. Conclusion: This study presents important insight into the burden of ear morbidities in rural children. These findings can be used to plan future strategies for health education interventions about ear care in the community. The overall awareness regarding problems was poor in patients. There is a need to take immediate measures for prevention and control of common ear diseases in children. Ear care practices are associated with maternal education. Awareness campaigns about the common causes, complications and correct practices for ear care are recommended.
International Journal of Pediatric Otorhinolaryngology
Objective: The present study aimed to assess the prevalence of otitis media and associated hearing loss among primary school students in the Solomon Islands. Methods: A total of 604 primary school students (280 males, 324 females) aged 4-15 years were assessed in two primary schools (government, nongovernment) in the capital city Honiara. School-based ear examinations were performed, including otoscopy and tuning-fork tests. Students were referred to the ENT Clinic for medical intervention and/or pure-tone audiometry assessment. Results: A total of 342 students (56.6%) did not pass their ear examination, with a significantly higher fail rate among younger students (p < 0.001). The most common ear pathology was Otitis Media with Effusion (OME) (34.2%), followed by impacted wax (22.8%), and Chronic Suppurative Otitis Media (3.1%). The follow-up attendance rate at the ENT Clinic was 81.1%. Among students with OME in at least one ear, 50% failed audiometry screening in the affected ear. While age was a significant factor for OME, it was not a significant factor for OMEassociated hearing loss. Conclusions: Ear diseases with associated hearing loss are a significant public health problem among primary school students in the Solomon Islands. The implementation of routine School Ear and Hearing Programs could be beneficial, and should reduce the national burden of ear diseases.