The Turkish Journal of Pediatrics
2012 , Vol 54 , Num 5
The Prevalence of Middle Ear Diseases among 7- to 13-Year-Old Primary School Students in Yozgat Province
Department of Otolaryngology, Head and Neck Surgery, Bozok University Faculty of Medicine, Yozgat, Turkey.
E-mail: drzeliha19@hotmail.com
External and/or middle ear pathologies are commonly encountered by
otolaryngologists, family practitioners and pediatricians. If left undiagnosed,
these conditions may result in significant irreversible damage such as varying
degree of hearing loss that can affect the social or professional performance of
the individuals in later stages of life. In this study, we aimed to investigate the
prevalence of several external and/or middle ear diseases among 7-13-year-old
primary school students in Yozgat province. The province of Yozgat serves as a
transition point between the Central Anatolian and Black Sea regions of Turkey.
Nine hundred and seventy-eight primary school students were included in the
study between March 1, 2012 and March 15, 2012. All subjects underwent a
routine ear examination in school with a diagnostic otoscope. The students
with pathologic ear findings were further evaluated to identify the underlying
process. The age range of 978 students (527 males, 451 females) was 7 to
13 (mean: 10.5) years. Tympanic membrane (TM) pathology was detected in
33 (3.37%) of the cases overall. Of the cases, 3 (0.30%) had TM perforation,
11 (1.12%) had myringosclerosis (MS), 13 (1.32%) had serous otitis media, 1
(0.10%) had atresia of the left ear, and 4 (0.40%) had retraction pocket. One
patient (0.10%) had undergone a left cochlear implantation procedure. The
results of our study seem to be comparable with the other studies reported
in the literature. Routine periodic ear examinations during the primary school
ages are mandatory to obtain the exact prevalence of these pathologies in
the entire population. We believe that early childhood screening of middle
ear disease will have a positive effect on treatment.
Keywords :
student, middle ear disease, prevalence.