Otologic Findings Based on no Complaints in a Pediatric Examination

Abstract Introduction the otological evaluation is highly significant in those branches of medicine in which the general evaluation of the patient is conducted by general practitioners and pediatricians. Objectives To investigate the otologic findings and their incidences i...

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Main Authors: Emine Demir, Sevgi Topal, Gorkem Atsal, Mehmet Erdil, Zerrin Ozergin Coskun, Engin Dursun
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2019-01-01
Series:International Archives of Otorhinolaryngology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1667007
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author Emine Demir
Sevgi Topal
Gorkem Atsal
Mehmet Erdil
Zerrin Ozergin Coskun
Engin Dursun
author_facet Emine Demir
Sevgi Topal
Gorkem Atsal
Mehmet Erdil
Zerrin Ozergin Coskun
Engin Dursun
author_sort Emine Demir
collection DOAJ
description Abstract Introduction the otological evaluation is highly significant in those branches of medicine in which the general evaluation of the patient is conducted by general practitioners and pediatricians. Objectives To investigate the otologic findings and their incidences in the sample, which consisted of patients who presented to the pediatric outpatient clinic with non-otologic complaints. Methods Patients, aged between 2 and 16 years, who had neither otorhinolaryngological complaints nor history of surgery by the otolaryngology (ear, nose and throat, ENT) department were included in the present study. The findings detected in the external auditory system and in the tympanic membranes as well as the otorhinolaryngologists' otologic examination findings of the referred patients were recorded from the files of each patient along with the applied medical and surgical treatments, and diagnostic investigations. Results Of a total of 973 patients evaluated, 129 (13.2%) were referred to the ENT outpatient clinic due to any otologic pathology. In the otorhinolaryngological examinations, false positivity was detected in 12 (1.2%) patients, and pathological findings were detected in 117 (12%) patients who received the following diagnoses: 68 (6.9%) had otitis media with effusion(OME); 37 (3.8%) had cerumen impactions; 8 (0.8%) had acute otitis media (AOM); 2 (0.2%) had ticks in the external auditory canal; 2 (0.2%) had a retraction pocket in tympanic membrane; 1 (0.1%) had unilateral central dry perforation of the tympanic membrane; and 1(0.1%) had congenital cholesteatoma. Conclusion Any complications and sequelae that may develop due to any pathologies and predominantly infections can be prevented by an early diagnosis, which can be made by means of a simple examination, performed merely with an otoscope. Pediatricians and general practitioners should be in close contact with otorhinolaryngologists regarding the pathologies they identify.
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spelling doaj.art-bce66c2227ea4d8bab6da0a845f86b9c2022-12-22T01:09:07ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642019-01-01230103604010.1055/s-0038-1667007Otologic Findings Based on no Complaints in a Pediatric ExaminationEmine Demir0Sevgi Topal1Gorkem Atsal2Mehmet Erdil3Zerrin Ozergin Coskun4Engin Dursun5Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, TurkeyDepartment of Pediatrics, Agri State Hospital, Agri, TurkeyDepartment of Otorhinolaryngology Head and Neck Surgery, Izmir Bozyaka Training and Research Hospital, Izmir, TurkeyDepartment of Otorhinolaryngology Head and Neck Surgery, Agri State Hospital, Agri, TurkeyDepartment of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, TurkeyDepartment of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, TurkeyAbstract Introduction the otological evaluation is highly significant in those branches of medicine in which the general evaluation of the patient is conducted by general practitioners and pediatricians. Objectives To investigate the otologic findings and their incidences in the sample, which consisted of patients who presented to the pediatric outpatient clinic with non-otologic complaints. Methods Patients, aged between 2 and 16 years, who had neither otorhinolaryngological complaints nor history of surgery by the otolaryngology (ear, nose and throat, ENT) department were included in the present study. The findings detected in the external auditory system and in the tympanic membranes as well as the otorhinolaryngologists' otologic examination findings of the referred patients were recorded from the files of each patient along with the applied medical and surgical treatments, and diagnostic investigations. Results Of a total of 973 patients evaluated, 129 (13.2%) were referred to the ENT outpatient clinic due to any otologic pathology. In the otorhinolaryngological examinations, false positivity was detected in 12 (1.2%) patients, and pathological findings were detected in 117 (12%) patients who received the following diagnoses: 68 (6.9%) had otitis media with effusion(OME); 37 (3.8%) had cerumen impactions; 8 (0.8%) had acute otitis media (AOM); 2 (0.2%) had ticks in the external auditory canal; 2 (0.2%) had a retraction pocket in tympanic membrane; 1 (0.1%) had unilateral central dry perforation of the tympanic membrane; and 1(0.1%) had congenital cholesteatoma. Conclusion Any complications and sequelae that may develop due to any pathologies and predominantly infections can be prevented by an early diagnosis, which can be made by means of a simple examination, performed merely with an otoscope. Pediatricians and general practitioners should be in close contact with otorhinolaryngologists regarding the pathologies they identify.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1667007otoscopypediatricsotologic
spellingShingle Emine Demir
Sevgi Topal
Gorkem Atsal
Mehmet Erdil
Zerrin Ozergin Coskun
Engin Dursun
Otologic Findings Based on no Complaints in a Pediatric Examination
International Archives of Otorhinolaryngology
otoscopy
pediatrics
otologic
title Otologic Findings Based on no Complaints in a Pediatric Examination
title_full Otologic Findings Based on no Complaints in a Pediatric Examination
title_fullStr Otologic Findings Based on no Complaints in a Pediatric Examination
title_full_unstemmed Otologic Findings Based on no Complaints in a Pediatric Examination
title_short Otologic Findings Based on no Complaints in a Pediatric Examination
title_sort otologic findings based on no complaints in a pediatric examination
topic otoscopy
pediatrics
otologic
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1667007
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AT gorkematsal otologicfindingsbasedonnocomplaintsinapediatricexamination
AT mehmeterdil otologicfindingsbasedonnocomplaintsinapediatricexamination
AT zerrinozergincoskun otologicfindingsbasedonnocomplaintsinapediatricexamination
AT engindursun otologicfindingsbasedonnocomplaintsinapediatricexamination