Evaluation of middle ear pressure in the early period after adenoidectomy in children with adenoid hypertrophy without otitis media with effusion

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dc.contributor.authorÜnlü, İlhan
dc.contributor.authorÜnlü, Elif Nisa
dc.contributor.authorKesici, Gülin Gökçen
dc.contributor.authorGüçlü, Ender
dc.contributor.authorYaman, Hüseyin
dc.contributor.authorİlhan, Ethem
dc.contributor.authorMemiş, Mehmet
dc.date.accessioned2020-05-01T12:15:32Z
dc.date.available2020-05-01T12:15:32Z
dc.date.issued2015
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionilhan, ethem/0000-0003-4887-0403; Kesici, Gulin/0000-0003-0409-6225en_US
dc.descriptionWOS: 000354592900013en_US
dc.descriptionPubMed: 25766622en_US
dc.description.abstractObjective: Our aim was to analyze the changes in middle ear pressure in the early period after adenoidectomy in children with adenoid hypertrophy without otitis media with effusion. Methods: This prospective, descriptive study was performed on 64 patients (with normal tympanic membranes and tympanograms) undergoing adenoidectomy or adenotonsillectomy. All patients were operated by single experienced team using curettage technique. First tympanometry was done on the day before surgery. Tympanometry was repeated on the first-, third-, and seventh-day after the operation. Patients are separated into two groups according to age as patients younger than 6 years (Group A) and patients older than 6 years (Group B). All data were separately evaluated for each ear using Jerger Classification. Results: Of the 64 patients included in the study, 35 were male and 29 were female, and the average age was 91.01 +/- 37.4 (35-178) months. Pathological decreases in the middle ear pressures of at least one ear were determined in 48 (75%) patients on the first postoperative day and in 10 (15.6%) patients on the third postoperative day. Middle ear pressures returned to preoperative values by the seventh postoperative day except in two patients. There were statistically significant differences (p <0.0001) among preoperative and first, third, and seventh postoperative day mean middle ear pressure. There were no statistically significant differences between Groups A and B in terms of tympanometry values of both ears obtained preoperatively and on the first, third, and seventh postoperative day. Conclusion: In our study, temporary eustachian dysfunction and aural fullness occur in the early period after adenoidectomy and/or adenotonsillectomy. This situation may be due to post-surgery clots and edema in nasopharynx. We consider that tubal orifice can be exposed to surgical trauma as adenoidectomy surgeries are done by curettage technique. There is a need for comparative studies using microdebrider or laser adenoidectomy accompanied by an endoscope. (C) 2015 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.amjoto.2015.01.005en_US
dc.identifier.endpage381en_US
dc.identifier.issn0196-0709
dc.identifier.issn1532-818X
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage377en_US
dc.identifier.urihttps://doi.org/10.1016/j.amjoto.2015.01.005
dc.identifier.urihttps://hdl.handle.net/20.500.12684/6403
dc.identifier.volume36en_US
dc.identifier.wosWOS:000354592900013en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofAmerican Journal Of Otolaryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleEvaluation of middle ear pressure in the early period after adenoidectomy in children with adenoid hypertrophy without otitis media with effusionen_US
dc.typeArticleen_US

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