JOURNAL READING

CORRELATION OF ENLARGEDADENOIDS WITH CONDUCTIVE

HEARING IMPAIRMENT IN CHILDREN UNDER TWELVE

Disusun Oleh :
Fitri Malisa (2012730045)

Pembimbing :
Dr. Eman Sulaiman, SpTHT-KL

RUMAH SAKIT UMUM DAERAH CIANJUR

FAKULTAS KEDOKTERAN UNIVERSITAS MUHAMMADIYAH
JAKARTA
2017
INTRODUCTION

Adenoid glands

Maximum
adenoid size 3 -7
years
production of
antibodies
An acute upper
respiratory tract
infection affect
the adenoids

Difficulties in history Pada 1970 Capitanio et

taking and Radiographic al = have adenoids tissue
examination of small evaluation. which is visible in
children radiograph
 There is close relationship between
Adenoids causes tubal
adenoids
obstruction
and possible middle ear pathology due to
at its pharyngeal opening.
alteration of middle ear functions

The function
of middle ear is to transmit sound wave from It causes reduction
external ear to inner ear by its transformer in middle ear pressure
mechanism towards negative side

The normal middle ear pressure In otitis media with

is-100mm of H2O to +5Omm of H2O and effusion middle ear pressure
the usually reduces
normal middle ear compliance is 0.39 ml to below -100mm of H2O
1.30 ml.
conductive deafness of
variable
degree.
AIM

To find out the relation of conductive

hearing loss in children with enlarged
adenoids.
METHODS
Methods
Department of
Otolaryngology on October 2005 to
Head Neck March 2006
Surgery

Design study Cross-sectional

Population and sample

sample All together 60
Patients were
diagnosed as
having enlarged
adenoids
RESULTS
 In this series all patients of OME showed reduced pressure
and compliance in middle ear. The reduced pressure is due to
blockage of the eustachian tube, absorption of middle ear air
and presence of fluid. The reduced compliance is due to
increase in stiffness and mass components of the middle ear
impedance.

It is also found that there is an increase in the incidence of

OME with the increase in the sizes of adenoids, as 58.33% of
patients with enlarged adenoids suffered from OME.
Conclusion
Still it can be concluded that enlarged adenoids has a definite
role in causing OME and conductive hearing impairment. So
early diagnosis and treatment of enlarged adenoids can be
encouraged to decrease the actual incidence, morbidity and
complications of otitis media with effusion and thus
conductive hearing impairment in childhood
TERIMA KASIH