Management dilemma of otitis media with effusion [OME]

The aim of this study was to propose a management protocol for OME and to assess the role of different treatment modalities cited in the literatures. Our hypothesis was that presence of adenoid enlargement in cases of OME usually necessitates surgical treatment in the form of adenoidectomy with or without ventilation tubes insertion. Retrospective study that included 175 patients complaining of OME, between 1996 and 2004 with a minimum follow up of 6 months. Patients were divided into 2 groups according to presence or absence of adenoid enlargement; data concerning management and follow up were gathered and statistically analyzed

Studies on the audiological changes following minor head injury

Thirty patients were suffering from trauma to a moving head with no audiological changes [60%], six patients were suffering from trauma to a moving head with audiological changes [12%], ten eases were suffering from mild trauma to fixed head with audiological changes [20%], while four cases were suffering from mild trauma to a fixed with less than 5 hours in all cases. In this study the incidence of hearing loss in the immediate post- injury period was 20% and it was of sensorineural type. The change in hearing was found to be contra or homolateral to the injured side but more commonly bilateral high tone deficit, mostly around 4000 Eight cases [80%] out of the ten cases with sensorineural hearing loss were found to be due to cochlear lesion as manifested by audiological tests, while the other two cases [20%] were found to be due to retrocochlear lesion, but central hearing impairment was not observed. Three months later the situation has changed quite dramatically, as all cases [ten cases] recovered completely in this period. I.e. They have suffered a concussion type injury. The incidence of hearing loss was 27.2% for occipital injuries and 26.3%, 12.5% and 0% for temporal, frontal and vertical injuries respectively

Sensory-neural hearing loss in Still's disease

Our study was carried out on twenty patients suffering of Still's disease. The incidence of sensori-neural hearing loss in these patients is statistically insignificant Either the auditory system escapes the effects of this disease, the duration of the disease is too short to involve the auditory system or the early corticosteroid therapy protects the auditory system