Tympanostomy Tube Sequelae in Down Syndrome Children with Chronic Otitis Media
Journal Title: Otolaryngology Open Access Journal - Year 2017, Vol 2, Issue 3
Abstract
The management of otorrhea and hearing loss due to tympanic membrane perforation can be challenging in patients with Down Syndrome (DS) due to their narrow ear canals and developmental delays. Management of chronic otitis media in children with DS has been debated in the literature, as insertion of tympanostomy tubes may be associated with higher risk of complications. We observed a higher rate of tympanic membrane perforation in Down syndrome patients than in typically developing patients after first ventilation tube placement surgery. Follow up clinic notes were reviewed to determine if the patients were found to have a tympanic membrane perforation. Only the first-time tube insertion for patients who had bilateral myringotomies with tympanostomy tubes were included. Of the DS patients, tympanic membrane perforations rate was 27.8%, compared to a rate of 5.6% in typically developing children. We hope that a more conservative approach to the management of chronic otitis media and using ventilation tubes with smaller diameters will prevent tympanic membrane perforations in Down syndrome patients.
Authors and Affiliations
Syed Kamil
Keywords
Related Articles
- EP ID EP290987
- DOI -
- Views 122
- Downloads 0
Significance of Posterior Septectomy in the Management of Choanal Atresia in Young Adults
Unilateral choanal atresia is more common than bilateral cases. Unilateral cases may present later in life with unilateral nasal congestion and mucoid rhinorrhea. Pure bony atresia represents 30% of cases while mixed bon...
Chronic laryngitis in CHU Yalgado Ouedraogo: Epidemiological and Diagnostic Aspects
Introduction: The chronic laryngitis is a persistent inflammation evolving since more than 2 weeks of the laryngeal mucosa. The possible degeneration of the white forms constitutes the haunting of the practitioner. The o...
It’s not always The Airway! – Learning Points in Airway Management
Task fixation has been identified in aviation and medical emergency management as an obstruction to successful resolution of a situation.
Correlation of Dysfunction and Clinical Recovery in Ischemic Stroke
1.1. Objective: To correlate the neurological scales National Institutes of Health Stroke Scale (NIHSS) and the Modified Rankim Scale (MRS) with speech therapy scales Functional Oral Intake Scale (FOIS®) and the Severity...
Tuberculous Otitis Media with Facial Paralysis-Case Report and Review of Literature
Tuberculous otitis media is characterised by non-specific symptoms. Its diagnosis is confirmed with histological and gene amplification tests. We present a case report of a patient presenting with an ear discharge and fa...