Prevalence of Otitis Media with Effusion in Children with Hearing Loss

  • Suchina Parmar
  • Jai Lal Davessar
  • Gurbax Singh
  • Nitin Arora
  • Latika Kansal
  • Jyoti Singh
Original Article


Otitis media is an inflammation of the middle ear cleft, with or without intact tympanic membrane. Otitis media is known to be one of the most common childhood infections. Middle ear effusions have been recognized to grab increasing attention because of the problems they pose in both the diagnosis and the treatment, and because of the fear that effusion is the cause of learning difficulties, irreversible middle ear disease, or both. To study prevalence of otitis media with effusion in children with hearing loss. Materials and methods: This prospective study was conducted on children with hearing loss ageing between 3 and 15 years presenting to ENT OPD of GURU GOBIND SINGH MEDICAL COLLEGE FARIDKOT with complaint of hearing loss from January 2015 to June 2016. Total of 125 children were taken in study. Detailed history and complete ENT examination was done along with pure tone audiometery and impedence audiometery. Most common complaints of patient were otalgia on ototscopic examination majority of patients had congested tympanic membranes. Otitis media with effusion was most common cause of hearing loss. Majority of children diagnosed with otitis media with effusion were in age group of 6–8 years of age. Patients with mild hearing loss due to otitis media with effusion, on pure tone audiometery was more as compared to moderate hearing loss. B type of tympanogram was found in majority of cases. The potential of otitis media with effusion to cause a series of sequels and complications such as tympanosclerosis, retraction pockets, adhesive otitis media and hearing or speech impairment makes the disease an important public health problem. To prevent delayed diagnosis which leads to development of this disease, parents must be informed about the preventable risk factors and symptoms for the development of otitis media with effusion.


Otitis media with effusion School going children Hearing loss Sequele of otitis media with effusion 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


  1. 1.
    Healy GB (1996) Otitis media and middle ear effusions. In: Ballenger JJ (ed) The ear. Williams and Williams, Baltimore, pp 1003–1009Google Scholar
  2. 2.
    Politzer A (1861) Diseases of ear, vol 17, 5th edn. Lea Brothers & Company, New York, p 244Google Scholar
  3. 3.
    Schilder AG (1999) Assessment of complications of the condition and of the treatment of otitis media with effusion. Int J Pediatr Otolaryngol 49:247–251CrossRefGoogle Scholar
  4. 4.
    Robinson GC, Anderson DO, Moghadam HL, Cambon KG, Murray B (1967) A survey of hearing loss in Vancouver school children Vancouver, B.C. Can Med Assoc J 97:1199–1207PubMedPubMedCentralGoogle Scholar
  5. 5.
    Olusanya BO, Okolo AA, Ijaduola GT (2000) The hearing profile of Nigerian school children. Int J Paediatr Otorhinolaryngol 55(3):173–178CrossRefGoogle Scholar
  6. 6.
    Sharma K, Mehan R, Arora A (2015) Clinico-audio-radiological and operative evaluation of otitis media with effusion. Indian J Otol 21(3):174–178CrossRefGoogle Scholar
  7. 7.
    Kim CS, Jong H, Young YWK (1993) Prevalence of otitis media and its allied diseases in north Korea. J Korean Med Sci 8(1):34–40CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Kalpna R, Chamyal PC (1997) Study of prevalence and aetiology of the hearing loss amongst school going children. Indian J Otolaryngol Head Neck Surg 49(2):142–144Google Scholar
  9. 9.
    Abdullah B, Hassan S, Sidek D (2007) Clinical and audiological profiles in children with chronic otitis media with effusion requiring surgical intervention. Malays J Med Sci 14(2):22–27PubMedPubMedCentralGoogle Scholar
  10. 10.
    Mozaffarinia K, Teimouri Y, Sarrafinejad A (2010) Serous Otitis Media in Preschool Children. Iran J Otorhinolaryngol 22(60):87–92Google Scholar
  11. 11.
    Nathan S, Minutha R (2012) Hearing loss in otitis media with effusion-types and management-a study of hundred cases. GJMEDPH 1(5):6–10Google Scholar
  12. 12.
    Humaid AH, Ashraf AH, Masood KA, Nuha AH, Saleh AD, Awadh AM (2014) Prevalence and risk factors of Otitis Media with effusion in school children in Qassim Region of Saudi Arabia. Int J Health Sci (Qassim) 8(4):325–334Google Scholar
  13. 13.
    Maharjan M, Bhandari S, Singh I, Mishra SC (2006) Prevalence of otitis media in school going children in Eastern Nepal. Kathmandu Univ Med J 4(4):479–482Google Scholar
  14. 14.
    Yamamah G, Mabrouk A, Ghorab E, Ahmady M, Abdulsalam H (2012) Middle ear and hearing disorders of schoolchildren aged 7–10 years in South Sinai, Egypt. East Mediterr Health J 18(3):255–260CrossRefPubMedGoogle Scholar
  15. 15.
    Rowaily MA, Alfayez AI, Aljomiey MS, Albadr AM, Abolfotouh MA (2012) Hearing impairments among Saudi preschool children. Int J Pediatr Otorhinolaryngol 23:1674–1677CrossRefGoogle Scholar
  16. 16.
    Sanli A, Tasdemir O, Eken M, Celebi O, Yilmaz SH (2014) Prevalence of otitis media with effusion among primary school age-children and etiopathogenic examination.Indian. J Otolaryngol Head Neck Surg 66(1):95–98Google Scholar
  17. 17.
    Alharbi FA, Ahmed RA (2015) Evaluation of hearing among kindergarten children in Jazan (Kingdom of Saudi Arabia). Interv Med Appl Sci 7(3):91–94PubMedPubMedCentralGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  • Suchina Parmar
    • 1
  • Jai Lal Davessar
    • 1
  • Gurbax Singh
    • 1
  • Nitin Arora
    • 1
  • Latika Kansal
    • 1
  • Jyoti Singh
    • 1
  1. 1.Department of ENTGuru Gobind Singh Medical College and HospitalpunjabIndia

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