Eustachian Tube Dysfunction, Eustachian Tube Dysfunction of Both Ears, Tonsillar Hypertrophy, Tympanic Membrane Disorder
Conditions
Keywords
Eustachian tube, Tubal dysfunction, Tympanometry, High-frequency tympanometry, Eustachian tube dysfunction
Brief summary
In children undergoing tonsillectomy ± adenoidectomy without eustachian dysfunction, the objective is to control tubal functions with tympanometry utilising probes at 226 Hz and 1000 Hz, as well as measuring the ipsilateral and contralateral acoustic reflexes with a 226 Hz probe. An eustachian function test with a 226 Hz probe (automatic Williams test) and play audiometry are to be conducted on young children, while pure tone audiometry is to be conducted on older children, in the preoperative period, on the first day after surgery and in the second week after surgery. The primary objective is to ascertain whether the tubal functions, which are hypothesised to be impaired on the first day, return at the latest in the second week, with all tests evaluating the eustachian tube both directly and indirectly. The secondary objective is to determine whether this recovery occurs earlier with the 226 Hz probe or the 1000 Hz probe.
Interventions
DIAGNOSTIC_TESTEustachian tube function test with 226 and 1000 Hz probes
In children undergoing tonsillectomy ± adenoidectomy without eustachian dysfunction, tympanometry with 226 Hz and 1000 Hz probes, ipsi and contralateral acoustic reflexes with 226 Hz probe, eustachian function test with 226 Hz probe (automatic Williams test) and play audiometry in young children and pure tone audiometry in older children are aimed to control tubal functions in preoperative period, postoperative day 1 and week 2.
Sponsors
Sumeyra DOLUOGLU
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
4 Years to 15 Years
Healthy volunteers
No
Inclusion criteria
* 4-15 years old child patient * No preoperative tubal dysfunction detected in the patient * Willingness to participate in the study by the patient and his/her parents * The patient has no craniofacial anomaly, genetic disorder, cleft palate-lip anomaly * No bleeding disorder or disease
Exclusion criteria
* \<3 years old, \>15 years old paediatric patient * Tubal dysfunction detected preoperatively * Not wanting to participate in the study at any stage of the study * The patient has craniofacial anomaly, genetic disorder, cleft palate-lip anomaly * Having a bleeding disorder or disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation the functionality of the eustachian tube with odiometric tests | 14 days | Evaluation the functionality of the eustachian tube, which was presumed to be compromised on the initial post-adenotonsillectomy day, and ascertainment whether it had recuperated by the second week. Tympanometry with 226 and 1000 Hz probes, eustachian function test with 226 Hz probe, ipsi and contralateral acoustic reflexes with 226 Hz probe and pure tone-play audiometry were performed in all patients one day before the operation. All tests were repeated on postoperative day 1 before the patient was discharged. All tests were repeated at the 2nd postoperative week. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation the functionality of the eustachian tube with tympanometry the 226 Hz and 1000 Hz probes | 21 days | It was investigated which of the 226 Hz and 1000 Hz probes used in these tests detected earlier recovery findings. |
Countries
Turkey (Türkiye)
Outcome results
None listed