RESUMEN
Las infecciones de oído son frecuentes en la edad pediátrica, son resultado de la afectación de las vías respiratorias superiores, y una de las principales causas de atención médica. La otalgia, otorrea e hipoacusia son los signos y síntomas predominantes cuya atención no sólo reducirá la morbilidad, además evita complicaciones y secuelas. La hipoacusia es la causal más importante de sordos en nuestro país. Su conocimiento, atención y prevención evitarán complicaciones que pongan en riesgo no sólo la función auditiva, sino la vida, situación que puede ser evitada en su totalidad. El tratamiento oportuno de la hipoacusia ofrece una reducción de la morbimortalidad y una mejor calidad de vida.
Ear infections are frequent in children, as a consequence of disease in the upper airway; and also are one of the main causes for medical care. Otalgia, otorrhea and hypoacusis are the predominant signs and symptoms, whose treatment not only will decrease morbidity, but also avoid complications and sequelae such as hearing impairment, the most important cause for deafness in our country. Knowledge, care and prevention will prevent complication that threaten not only function but also life itself; situation that may be completely helped. Timely treatment reduces morbid-mortality and improves quality of life.
RESUMEN
Objective To identify the risk factors of refractory secretory otitis and analyse the results .Meth-ods The study subjects were 42 patients(56 ears) with secretory secretory otitis media from June 2003 to June 2011 ,all patients were performed with ears ,nose ,pharynx and throat routine inspection and mastoid HRCT .All patients were retrospectively analyzed possible risk factors :suchas history ,infection ,eustachian tube dysfunction , chronic sinusitis ,deflection of nasal septum ,nose pharynx ministry malignant tumor ,tonsillitis ,adenoid hypertro-phy ,allergic rhinitis ,etc .Results In the multivariate analysis of 42 patients(56 ears) with refractory secretory oti-tis media and the control group of 50 patients(66 ears) ,statistically significant in the history (χ2 = 9 .814 ,P<0 .01) ,mastoid pneumatization adverse (χ2 =15 .301 ,P<0 .01) ,and allergic rhinitis (χ2 =32 .614 ,P<0 .01)were observed .Two of them were found to be significant in the logistic regression model :mastoid pneumatization adverse (OR=4 .44) ,and allergic rhinitis(OR = 15 .13) .Patients of mastoid pneumatization adverse with refractory otitis media is 4 .164 times (95% CI ,1 .903 ~9 .112);patients of allergic rhinitis was 17 .192 times higher than that of in no allergic patients (95% CI ,5 .850 ~ 50 .524) .Conclusion Mastoid pneumatization adverse and allergic rhinitis are the risk factors for refractory secretory otitis media .