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Year : 2002  |  Volume : 4  |  Issue : 2  |  Page : 37-41

Adult-onset otitis media with effusion

Senior Registrar, Department of Otorhinolaryngology, King Abdulaziz University Hospital, P.O. Box 245, Riyadh 11411, Saudi Arabia

Correspondence Address:
MD Ahmad Al-Arfaj
Department of Otorhinolaryngology King Abdulaziz University Hospital P.O. Box 244, Riyadh 11411
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.337363

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Objective: This study was conducted to analyze the data concerning adult-onset otitis media with effusion (OME) in order to configure its clinical profile, etiology, diagnostic approaches, and therapeutic management. Design: A retrospective study. Materials and Methods: Sevety seven consecutive eases (105 ears) of OME were seen. All the patients were older than 16 years. Initial symptoms, physical examination, operative findings, underlying diseases, and therapy were analyzed. Results: Hearing impairment (94.8.3%) was the most prevalent initial symptom, followed by ear stuffiness (54.5%). The condition was bilateral in 39 patients (50.6%) and unilateral in 28 patients (49.4%). Both mucoid and serous effusion occurred with predominance of the former.The most common two associated etiological conditions were sinusitis (22.2%) and nasopharyngeal malignancy (11.1%). Other factors included adenoid, allergy, and nasopharyngitis. No etiological factor was detected in 10 patients (13%). Conclusion: Sinusitis and nasopharyngeal carcinoma were the main associated etiologic factors OME in adults. In addition to treatment of sinusitis, nasopharyngeal check-up is mandatory in the management of adults with OME.

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