Clinical Incidence and Management of Otitis Media with Effusion in Vietnamese Children

Abstract

Learning Objectives: Subject: Researching clinical incidence and active management of Otitis Media with Effusion in Vietnamese children and how OME often occurs together with other diseases of Recurrent Upper Respiratory Infections and Gastro Esophageal Reflux Disease.The diagnosis and treatment of GERD and RURIs sometime is essential in the treatment of OME. Study: Retrospective review study. Method: A clinical study of 300 Vietnamese children of RURIs, ages 6 months to 7 years at Thuy Tran ENT Clinic from 09/2008 to 04/2015. OME was diagnosed by endoscopy of the tympanic membranes and tympanogram. Treatment of OME was carried out by the traditional procedures and adenoidectomy if indicated. Treatment of recurrent nasopharyngitis consisted of daily endoscopic irrigation for 5-7 days of the nasal passage and Eustachian tubes with Natri Chloride 0,9% and topical antibiotic solution. Results: 1/Incidence of OME/RURIs is 234/300: 78%. In which OME + Recurrent Nasopharyngitis + Adenoiditis + GERD: 115; OME + RN + Adenoiditis:49; OME+ RN + GERD: 46; OME + RN: 24. 2/Hearing recovery: 192/234. 3/Symptoms of RURIs were completely resolved for all patients without tonsillectomy. Follow up period: 6-12 months. Conclusion: 1/The incidence of OME/RURIs is 234/300. 2/Management of RN and GERD on the patients of OME is necessary. 3/RN in all cases of OME treated with the Modified Thuy Tran Technique yields good results without tonsillectomy. 4/Limited antibiotics. Discussion: 1/The incidence of OME/RURIs of Vietnamese children is high. 2/By the Modified Thuy Tran technique, endoscopic nasal irrigation cleans the nasal passage and Eustachian tube. 3/A national program of OME in the developing countries should be considered. 4/Public education on OME and GERD in children is necessary.