An alternative surgical method in the serous otitis media due to adenoid hypertrophia: Pinar del Rio, 2008

Authors

  • Fidel Castro Pérez Especialista de I Grado en ORL. Profesor Asistente de ORL. Policlínico Universitario "Dr. Ernesto Guevara de la Serna". Sandino.
  • Amaelis Arada Rodríguez MSc. Especialista de II Grado en Pediatría. Consultante y Auxiliar de Pediatría. Master en Ciencias.
  • José G. Sanabria Negrín Dr. en Ciencias. Titular.
  • Antonio Paz Cordobés Especialista de II Grado en Otorrinolaringología. Profesor Auxiliar. Master en Ciencias.

Abstract

Hypoakusia has a negative repercussion in learning and social behaviour in children so it is mandatory the implementation of surgical techniques in order to minimize this condition.. A new descriptive longitudinal and prospective technique was performed in children suffering from conductive hypoakusia due to serous otitis media secondary to adenoid hypertrophia attending to the hearing care office at "Pepe Portilla"Pediatric Hospital and "Dr.Ernesto Guevara "Policlinic in Sandino in order to show the efficacy of a new definitive surgical technique (adenotomy and double miringotomy with aspiration of the seromucus content ) and to propose an strategy for a definitive surgical solution in the secondary level being preventive at primary level. Universe was comprised of all the children suffering from conductive hypoakusia who were recorded in the auditory care office, the sample had 109 patients coming from 10 municipalities of our province and suffering from hipoakusia due to serous otitis media secondary to adenoid hypertrophia, they were 4 and 12 year old. All the patients were given otolaringologic examinations and tonal audiometry. Survey methods, documental analisis and descriptive statistic method were applied using relative and absolute percentage frequency measurements.Confidence intervals for some relative frequencies and previous informed consent were estimated; patients were surgically treated and reevaluated at the office showing that 108 patients had a satisfactory natural history and concluding that it is an efficient technique.

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References

1. Portmann M: Otorrinolaringología. 1 ed. La Habana. Editorial Científico Técnica.1984. p.39-41.

2. Schuller David E. Otolaringology- Head and neck surgery.Eighth Edition.1994.p. 421.

3. Paradise JL. Otitis Media Aguda recurrente y Otitis Media Aguda con efusión. University of Pittsburgh School of Medicine Pa, EE.UU. JAMA. 2002;288:2589-2597.

4. Lein J, Tis M, Hussl B. et al: Definition and classification of otitis media. Ann Otol Rhinol Laryngol. 1999; 139:112-115.

5. Hoberman A, Paradise JL. Otitis media aguda: diagnóstico y manejo en el año 2000. Pediatric Annals.[revista en internet]2000; [Citado] 29:609-20. Disponible en: http://www.bago.com.bo/sbp/revista_ped/html/diag_oma.html

6. Montes de Oca Fernández E, Martínez Ubaldo MC. Factores de riego de la otitis media serosa en niños de guarderías en Ciudad México, estimación del problema auditivo. An ORL Mex.1999; 44 (1): 812.

7. Schuller David E, Schleuning AJ. Otolaryngology. Head and Neck Surgery. Eighth Edition; 1994.p.467.

8. Biurrion A, Biurrion O, Villacorta B. Implicaciones Psicolinguisticas en población escolar. Revista Psicosomática y Siquiátrica de Enlace. C. Medicas Sicosom.2003; 67(68).

9. De los Santos G. Análisis de coste- efectividad del tratamiento de la Otitis Media Serosa Infantil. Act. Otolaryngol Esp. 2003; 54: 316-324.

10. Urtbe L. Antibióticos en pediatría. ¿Podemos hacerlo mejor? Bolletin Soc. UNP 2002; 36:28-37.

11. Sierra Fernandez, Hernán, Schultz Faingezicht, Malka, Loaiza Mendoza, Ceciliaet al. Otitis media: conceptos actuales. Acta méd. costarric. [online]. sep. 2004, 46(3) [citado], p.125-131. Disponible en http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S0001-60022004000300005&lng=es

12. American Academy of Family Physicians; American Academy of Otolaryngology - Head and Neck Surgery; American Academy of Pediatrics Subcommittee on Otitis Media With Effusion. Otitis media with effusion. Pediatrics. 2004;113:1412-1429

13. Lentel P, Goul C. Pragmatic randomisedcontrolled trial o two prescribingstrategies for childhood acute Otitis Media.BTM.2002; 332: 336-342.

14. Buñuel Álvarez JC, Cortés Marina RB. En niños con otitis media serosa, los tubos de renaje timpánico producen escasa mejoría en la audición y en la duración del derrame. Evid Pediatr. 2005; 1:7.

15. Rovers MM, Straatman H, Ingels K, Van der Wit GJ. Tha effect of ventilation tubes on lenguaje development in infants with efusión: A Randomiced Trial.Pediatrics.2002; 106:42.

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How to Cite

1.
Castro Pérez F, Arada Rodríguez A, Sanabria Negrín JG, Paz Cordobés A. An alternative surgical method in the serous otitis media due to adenoid hypertrophia: Pinar del Rio, 2008. Rev Ciencias Médicas [Internet]. 2012 Oct. 25 [cited 2025 Aug. 30];12(2):229-44. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/455

Issue

Vol. 12 No. 2 (2008)

Section

ORIGINAL ARTICLES

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