WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Israa Yahya Ibrahim and Dr. Ahmed Muhei Rasheed

ABSTRACT

Background: Otitis media with effusion is one of the important problems of the middle ear, which leads toimpaired hearing and affects speech, learning and the quality of the child's life, early detection of this conditionaccelerate its treatment and prevents its complications.Aim of the study: To assess the accuracy of Otoscopicexamination findings and tympanometry results in the diagnosis of chronic otitis media with effusion. Patientsand Method: The study included (24) patients, meaning a total of (48) ears, (14) male and (10) females, agedbetween (5-12) years old who had a history of disease and symptoms indicating the presence of middle eareffusion, during the period from the end of December 2019 to the end of December 2020 at Martyr Ghazi Al-Hariry Hospital, department of Otolaryngology Head and Neck surgery. Results: Depending on the myringotomyfindings, fluid was found in the middle ear in (19) right ear and (16) left ear, and the tympanometry was type (B)in (75%) of the right ear and (79.2%) of the left ear. Tympanometry, high sensitivity and less specificity indetecting effusions, and the presence of effusions was also detected by relying on clinical examination andendoscopy of the eardrum. Conclusion: Through this study, it was found that both the clinical and endoscopic earexamination have high sensitivity and less specificity in the detection of effusions and can be relied upon in thediagnosis in the early stages, but in the case of non-response to treatment and the continuation of the pathologicalcomplaint, myringotomy is the gold standard method for the final diagnosis.

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