EVALUATION OF MIDDLE EAR CLEFT AFTER RESOLUTION OF ACUTE OTITIS MEDIA
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Otitis media is one of the most common diseases of children and it is a leading cause of hearing loss. The present study was designed to evaluate the middle ear function, and hearing affection during the acute attack of otitis media in children, and to determine the residual affection of treated cases of acute otitis media on hearing and middle ear function after periods of 10 days and 30 days from the beginning of treatment. Twenty children including a total of 34 ears with acute otitis media have been evaluated clinically and audiologically at E.N.T. Department, Benha University Hospitals. The tests included, pure tone audiometry, tympanometry and Eustachian tube function tests. These previous tests were repeated 10 days and 30 days from the beginning of the treatment. Assessing of audiological picture during the acute episode of otitis media showed that 83% had moderate C.H.L. (Conductive hearing loss) while only 14% had mild C.H.L. Eustachian tube functions were poor in 80% of examined ears. While assessing the audiological picture for these children after 10 days of treatment showed normal hearing in 5.9% of ears with improved ET (Eustachian tube) functions in 44% of ears. Follow-up of these cases of A.O.M. (acute otitis media) after 30 days from their treatment revealed thai 11.8% had regained normal hearing with better ET function in 77.5% of ears. We had concluded that although the children clinically showed improvement after receiving treatment for A.O.M., yet they still suffer from several complications. Hence children with A.O.M. had to be followed for a long period until complete resolution of A.O.M. and its complications.