Severity and Types of Hearing Loss in Patients with Hypertrophic Adenoids

Authors

  • Daniel Akhtar The University of Lahore- Lahore Pakistan.
  • Muhammad Sikander Ghayas Khan The University of Lahore- Lahore Pakistan.
  • Ayesha Badar The University of Lahore- Lahore Pakistan.
  • Sultan Badar Munir The University of Child Health Sciences The Children Hospital Lahore Pakistan.
  • Saffa Nawaz The University of Lahore- Lahore Pakistan.
  • Ultamish AV HEARING AIDS RAWALPINDI Pakistan.
  • Nimra Nawaz The University of Lahore- Lahore Pakistan.

DOI:

https://doi.org/10.61919/jhrr.v3i2.80

Keywords:

Hypertrophic Adenoids, Hearing Loss, Children, Conductive Hearing Loss, Audiometry, Tympanometry, Sensorineural Hearing Loss, Pediatric Otolaryngology

Abstract

Background: Hearing loss in children can significantly impact language development and social interaction. Hypertrophic adenoids are a common pediatric condition that can contribute to hearing impairments. Understanding the prevalence and severity of hearing loss in this demographic is crucial for effective management and intervention strategies.

Objective: The study aimed to determine the prevalence and severity of hearing loss among children with hypertrophic adenoids, assessing the demographic characteristics and the types of hearing loss observed in this population.

Methods: This observational cross-sectional survey was conducted over nine months at the Children's Hospital and Institute of Child Health, University of Lahore Teaching Hospital. The study included a sample size of 339 children aged 5-13 years, calculated based on a prevalence rate of 67.3% for mild hearing loss. Children with comorbidities like Down syndrome, Autism, ADHD, and other disabilities were excluded. Hearing assessments were conducted using an otoscope, a tympanometer, and a diagnostic audiometer (MAICO MA41 model). Data were analyzed using SPSS Version 25.0, focusing on the frequency and percentage of various types of hearing loss.

Results: The study included 183 males (54%) and 156 females (46%), with a higher representation from rural areas (60%, n=203). Tympanometric analysis revealed 51.9% (n=176) with Type A tympanograms, 43.1% (n=146) with Type B, and 5% (n=17) with Type C. Audiometric results showed that 53.1% (n=180) of participants had normal hearing levels, while 27.1% (n=92) experienced mild hearing loss, 16.2% (n=55) had moderate hearing loss, 3.5% (n=12) had moderately severe hearing loss, 1.5% (n=5) had sensorineural hearing loss, and 2.1% (n=7) had mixed hearing loss.

Conclusion: The study demonstrates a significant occurrence of mild to moderate conductive hearing loss in children with hypertrophic adenoids, particularly in rural settings. These findings highlight the need for regular auditory screening and early intervention strategies in this demographic to prevent long-term speech and language complications.

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Author Biographies

Daniel Akhtar , The University of Lahore- Lahore Pakistan.

Clinical Coordinator, Department of Rehabilitation Sciences.

Muhammad Sikander Ghayas Khan , The University of Lahore- Lahore Pakistan.

Head of Department, Department of Rehabilitation Sciences. 

Ayesha Badar , The University of Lahore- Lahore Pakistan.

Lecturer, Department of Rehabilitation Sciences.

Sultan Badar Munir, The University of Child Health Sciences The Children Hospital Lahore Pakistan.

Senior Medical Officer, Paediatric ENT Department.

Saffa Nawaz , The University of Lahore- Lahore Pakistan.

Lecturer, Department of Rehabilitation Sciences.

Ultamish, AV HEARING AIDS RAWALPINDI Pakistan.

Consultant Audiologist, CI Center.

Nimra Nawaz, The University of Lahore- Lahore Pakistan.

Consultant Speech and Language Pathologist.

References

Bhat V, Mani IP, Aroor R, Saldanha M, Goutham M, Pratap D. Association of asymptomatic otitis media with effusion in patients with adenoid hypertrophy. J Otology. 2019;14(3):106-10.

Durgut O, Dikici O. The effect of adenoid hypertrophy on hearing thresholds in children with otitis media with effusion. Int J Pediatr Otorhinolaryngol. 2019;124:116-9.

Grewal JS, Cohn JE, Burdett J, Tampio A, Licata J, Davis III WJ, et al. Otitis Media and Hearing Loss in Patients With Nonsyndromic Craniosynostosis: A Multicenter Study. Cleft Palate-Craniofac J. 2021:10556656211017795.

Sezgin Z. Otitis media with effusion: Overview of diagnosis and treatment approaches. Pediatr Pract Res. 2016;4(1):1-11.

Abdullah B, Hassan S, Sidek D. Clinical and audiological profiles in children with chronic otitis media with effusion requiring surgical intervention. Malays J Med Sci. 2007;14(2):22.

Rajan N, Saxena SK, Parida PK, Alexander A, Ganesan S. Comparison of middle ear function and hearing thresholds in children with adenoid hypertrophy after microdebrider and conventional adenoidectomy: a randomised controlled trial. Eur Arch Oto-Rhino-Laryngol. 2020;277(11):3195-203.

Kummer AW, Billmire DA, Myer CM. Hypertrophic tonsils: the effect on resonance and velopharyngeal closure. Plast Reconstr Surg. 1993;91:608.

Cardoso FB, Zanette LCN, Sônego M, Madeira K. Adenoid hypertrophy correlated with other respiratory pathologies in children aged 2 to 7 years. JOURNAL HEALTH NPEPS. 2020;5(2).

Taziki MH. The Effects of Myringotomy and Ventilation Tube Insertion on the Hearing Level of the Patients with Serous Otitis Media. Jorjani Biomed J. 2020;8(4):4-10.

Unlu I, Unlu EN, Kesici GG, Guclu E, Yaman H, Ilhan E, et al. Evaluation of middle ear pressure in the early period after adenoidectomy in children with adenoid hypertrophy without otitis media with effusion. Am J Otolaryngol. 2015;36(3):377-81.

Bhat V, Mani P, Aroor R, Saldanha M, Goutham M, Pratap D. Association of asymptomatic otitis media with effusion in patients with adenoid hypertrophy. J Otology. 2018;14(3):106-10.

Durgut O, Dikici O. The effect of adenoid hypertrophy on hearing thresholds in children with otitis media with effusion. Int J Pediatr Otorhinolaryngol. 2018;124:116-9.

Khan I, Bibi A. Frequency of Hearing Loss and Otitis Media in Children with Adenoid Hypertrophy. JPMI: J Postgrad Med Inst. 2018;32(4).

Munir SB, Saeed I, Khan SG, Rehman SSU, Ghayas R, Sikander M, et al. Frequency of hearing impairment in children between the age of 2 to 10 years with middle ear infection. J Pak Med Assoc. 2021:1-10.

Yahaya S, Adekoya V, Amadasun B. Comparative Analysis of Preoperative and Postoperative Tympanometry Findings in Patients with Adenoid in Lagos State University Teaching Hospital, Ikeja. 2022.

Halder KK, Shafiullah M, Islam MS, Kabir AL, Mondal BR, Choudhury MA, et al. Pattern of Adenoidectomy in Children with Alone in Otitis Media with Effusion. Glob Acad J Med Sci. 2022;4.

Kumar A, Sangma R. Role of adenoidectomy in the management of otitis media with effusion. J Evol Med Dent Sci. 2014;3(24):6752-61.

Karim A, Huq AZ, Salam KS, Kabir AL, Akram MS, Haque Z. Association Between Enlarged Adenoid and Otitis Media with Effusion in Children. Bangladesh J Otorhinolaryngol. 2019;25(1):47-53.

James F, George J, Regina M. Impact of adenotonsillectomy on hearing profile of children with chronic middle ear effusion. Int J Contemp Pediatr. 2018;5:1377-81.

Khayat FJ, Shareef LAT. Association between size of adenoid and otitis media with effusion among a sample of primary school age children in Erbil city. Diyala J Med. 2013;5(2):1-10.

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Published

2023-12-31

How to Cite

Akhtar , D., Khan , M. S. G., Badar , A., Munir, S. B., Nawaz , S., Ultamish, & Nawaz, N. (2023). Severity and Types of Hearing Loss in Patients with Hypertrophic Adenoids. Journal of Health and Rehabilitation Research, 3(2), 1258–1262. https://doi.org/10.61919/jhrr.v3i2.80

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