Efüzyonlu Otitis Medialı Çocuklarda İşitme Profili

Giriş : Efüzyonlu otitis media çocuklarda sık görülen orta kulak mukoza hastalığıdır. Çoçuklarda efüzyonlu otitis media ile ilişkili işitme kaybı dil gelişimini etkileyebildiğinden önem arzetmektedir. Bu çalışmanın amacı; efüzyonlu otitis medialı çocukların işitme eşiklerini saf ses odyogram ile belirlemek ve işitme kaybı profilini saptamaktır. Yöntem: Efüzyonlu otitis medialı okul çağındaki çocuklar çalışmaya dahil edildi. Kemik ve hava yolu iletim eşikleri standart odyometri prosedürleri kullanılarak elde edildi. Elde edilen sonuçlar sınıflama yapılarak odyometrik profil grupları belirlendi. Bulgular: 5-14 yaş aralığında 50 çocuk (87 kulak ) çalışma dahil edildi. 500Hz, 1000Hz ve 2000Hz de ortalama hava iletim eşikleri 3 dB HL ile 67dB HL aralığındaydı ve ortalama degeri 22,6 dB HL olarak belirlendi. Ortalama kemik iletim eşikleri -7dB HL ile 15dB HL aralığında ve ortalama değeri 2,7 dB HL olarak belirlendi. Beş odyometrik profil saptandı. 28 kulakta normal işitme (<16 dB), 32 kulakta çok hafif işitme kaybı (16-25 dB) , 8 kulakta hafif derecede işitme kaybı (26-30dB), 17 kulakta orta derecede işitme kaybı (31-50dB) ve 2 kulakta ileri derecede işitme kaybı (51-70dB) saptandı. Sonuç: Efüzyonlu otitis medialı çocuklarda normalden ileri derecede işitme kaybına kadar değişen saf ses işitme eşikleri saptanabilmektedir.

Anahtar Kelimeler:

Efüzyonlu otitis media, işitme profili, saf ses odyometri

Hearing Profile in Children with Otitis Media with Effusion

Introduction: Otitis media with effusion is the common middle ear mucosa disease in children. Hearing loss associated with otitis media with effusion in children is important because it can affect speech and language development.The aim of this study was to determine the hearing thresholds of children with otitis media with effusion and determine the hearing loss profile. Methods: Children of school age with otitis media with effusion were included in the study. Bone and airway conduction thresholds were obtained using standard audiometry procedures.The results were classified and the audiometric profile groups were determined. Results: 50 children (87 ears) aged between 5-14 years were included in the study. Air conduction thresholds averaged for 500 Hz, 1000 Hz and 2000 Hz were in the range of 3–67 dB HL with a mean of 22,6 dB HL.The mean bone conduction thresholds were defined as a range of -7dB HL to 15dB HL and a mean value of 2.7 dB HL. Five audiometric profiles were determined. 28 ears normal hearing (<16 dB), 32 ears slight hearing loss (16-25 dB), 8 ears mild hearing loss (26-30dB), 17 ears moderate hearing loss (31-50dB) and 2 ears moderatly severe hearing loss (51-70dB) was determined. Conclusions: In children with otitis media with effusion, pure tone hearing thresholds ranging from normal to severe hearing loss can be determined.

Keywords:

Otitis media with effusion, hearing profile, pure tone audiometry,

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