Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (5): 121-126.doi: 10.6040/j.issn.1673-3770.0.2020.209

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Relationship between adenoid size and torus tubarius type and secretory otitis media in children

  

  • Received:2020-05-08 Published:2020-11-17

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Abstract: Objective To investigate the effects of the sizes of adenoids and the types of torus tubarius on secretory otitis media in children. Methods Between March 2018 and June 2019, 120 children with secretory otitis media with complete diagnosis and treatment data in our department were allocated to the case group, and 120 normal children with corresponding physical examination data were allocated to the control group. Hearing and electronic nasopharyngoscopy were performed for the two groups of children to compare their adenoid sizes and torus tubarius types as well as analyze the association between the sizes of the adenoids and the degree of hearing loss in the case group. Results The proportions of the ⅢⅣ adenoid sizes and the ⅡⅢ torus tubarius types were 77.5% and 77.5%, respectively, in the case group, which were higher than 37.5% and 46.7%, respectively, in the control group. The risk of disease was higher for the ⅠⅡ adenoid sizes and the I torus tubarius type, and the differences were statistically significant (all P<0.05). The chisquared test was performed to analyze the trends of the adenoid sizes and the torus tubarius types of the two groups, and the differences were also statistically significant (all P<0.05). However, there were no associations between the adenoid size and the torus tubarius type and hearing loss in the case group (r1= 0.135, r2 = 0.049, all P>0.05). Conclusion Adenoid hypertrophy and the ⅡⅢ torus tubarius types are risk factors for secretory otitis media in children. Routine examination and the evaluation of adenoids and the types of torus tubarius are helpful for early diagnosis of secretory otitis media in children.

Key words: Adenoid, Torus tubarius, Secretory otitis media, Children, Hearing loss, Electronic nasopharyngoscopy

CLC Number: 

  • R764.21
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