Abstract

CASTRO PEREZ, Fidel; ARADA RODRIGUEZ, Amaelis; SANABRIA NEGRIN, José G  and  PAZ CORDOBES, Antonio. An alternative surgical method in the serous otitis media due to adenoid hypertrophia: Pinar del Rio, 2008. Rev Ciencias Médicas [online]. 2008, vol.12, n.2, pp.185-197. ISSN 1561-3194.

Hypoakusia has a negative repercussion in learning and social behaviour in children so it is mandatory the implementation of surgical techniques in order to minimize this condition.. A new descriptive longitudinal and prospective technique was performed in children suffering from conductive hypoakusia due to serous otitis media secondary to adenoid hypertrophia attending to the hearing care office at "Pepe Portilla"Pediatric Hospital and "Dr.Ernesto Guevara "Policlinic in Sandino in order to show the efficacy of a new definitive surgical technique (adenotomy and double miringotomy with aspiration of the seromucus content ) and to propose an strategy for a definitive surgical solution in the secondary level being preventive at primary level. Universe was comprised of all the children suffering from conductive hypoakusia who were recorded in the auditory care office, the sample had 109 patients coming from 10 municipalities of our province and suffering from hipoakusia due to serous otitis media secondary to adenoid hypertrophia, they were 4 and 12 year old. All the patients were given otolaringologic examinations and tonal audiometry. Survey methods, documental analisis and descriptive statistic method were applied using relative and absolute percentage frequency measurements.Confidence intervals for some relative frequencies and previous informed consent were estimated; patients were surgically treated and reevaluated at the office showing that 108 patients had a satisfactory natural history and concluding that it is an efficient technique.

Keywords : Hypoakusia; Miringotomy; New Surgical Modality; Adenotomy; Strategy; Health Primary Care; Health Secondary Care.

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