Pattern of paediatric ear, nose and throat disorders in a district hospital
Keywords:Pattern, Paediatric, ENT disorders
Background: ENT disorders such as otitis media, serous otitis media, sinusitis, and tonsillitis are among the commonest childhood disorders and important reasons for parents and children to visit the physicians/otolaryngologists. The pattern of ENT disorders also varies from community to community or hospital to hospital based on the availability of specialist personnel or facilities for the management. Present study was carried out with the objective of to study the pattern of paediatric ENT disorders in our Government district hospital.
Methods: The patients of both gender and age between 0 to 16 years and presenting with ENT problems were screened. The patients having END disorders diagnosed by ENT surgeon were enrolled into the study. All information to accomplish objectives was collected by studying the patients’ treatment record and by personal interview of each of the study participants/parents for 5 to 10 minutes using case record form.
Results: Children from rural community were more affected than children from urban community. The maximum children were suffered from ear disorders (49.32%) followed by throat disorders (34.55%); and nose disorders (16.14%). CSOM found the commonest ENT disorder, OME, AOM, tonsillitis, adenoid hypertrophy, and acute pharyngitis. In 0-5 years-age-group, AOM and OME were the commonest; CSOM and OME in 5-10 years age group while acute pharyngitis and CSOM were the commonest in age-group of 10-16 years.
Conclusions: These results of the present study clearly show the wide prevalence of ENT disorders, particularly in the rural communities. There is urgent need to establish better healthcare especially ENT services for the rural population of our country. The general physicians and paediatricians should be trained and taught enough recognize common ENT disorders promptly; therefore they are able to refer early and prevent complication.
Ashworth M, Latinovic R, Charlton J, Cox K, Rowlands G, Gulliford M. Why has antibiotic prescribing for respiratory illness declined in primary care? A longitudinal study using the General Practice Research Database. J Public Health. 2004;26:268–74.
Hamid A, Sattar F, Shah-e-Din. Prevalence rate and morbidity pattern of common ENT Diseases and disorders in infants and children. JPMI. 1991;5(2):59-67.
Kishve SP, Kumar N, Kishve PS, Syed MMA, Kalakoti P. Ear Nose and Throat disorders in paeditric patients at a rural hospital in India. AMJ. 2010;3(12):786-90.
Gul AA, Ali L, Rahim E, Ahmed S. Chronic suppurative otitis media; frequency of Pseudomonas aeruginosa in patients and its sensitivity to various antibiotics. Professional Med J. 2007;14:411-5.
Morris PS, Leach AJ, Silberberg P, Mellon G, Wilson C, Hamilton E, et al. Otitis media in young Aboriginal children from remote communities in Northern and Central Australia: a cross-sectional survey. BMC Pediatr. 2005;5:27.
Dumade AD, Molabi OA, Eletta AP. Challenges of otolaryngologic referrals in a Nigerian tertiary hospital. East Central J Surg. 2010;15(1).
Am-usa YB, Ogunniyi TA, Onayade OO, Okeowo PA. Acute otitis media, malaria and pyrexia in the under-five age group. West Mr J Med. 2005;24(3):239-41.
Akinpelu OV, Amusa YB, Komolafe EO, Adeolu AA, Oladele AO, Ameye SA. Challenges in management of chronic suppurative otitis media in a developing country. J Laryngol Otol. 2008;122(1):16-20.
Kitcher ED, Jangu A, Baidoo K. Emergency Ear Nose and Throat admissions at the Korle-Bu Teaching Hospital. Ghana Medical J. 2007;41(1):9-11.
Njoroge GN, Bussmann RW. Traditional management of ear, nose and throat (ENT) diseases in Central Kenya. J Ethnobiol Ethnomed. 2006;2:54.
Pittman AL, Stelmachowicz PG. Hearing loss in children and adults: audiometric configuration, asymmetry and progression. Ear Hear. 2003;24(3):198-205.
Adhikari P. Pattern of otological diseases in school going children of Kathmandu valley. Int Arch Otorhinolaryngol Sao Paulo. 2008;12(4):502-5.
Brook I, Frazier E. Microbial dynamics of persistent purulent otitis media in children. J Pediatrician. 1996;128(2):237-40.
Lbekwe MU, Mbalaso OC. Pattern of Paediatric Ear, Nose and Throat Diseases in Port Harcourt, South-South, Nigeria. Nig Health J. 2015;5(2).
Nepali R, Sigdel B. Prevalence Of ENT Diseases In Children: Hospital Based Study. Int J Otorhinolaryngol. 2012;14(2).
Bhattia PL, Varughese R. Pattern of otorhinolaryngological diseases in Jos community. Nig Med J. 1987;17:67-73.
Fasunla AJ, Lasisi OA. Sinonasal Malignancies: A 10-year review in a Tertiary Health Institution. J Natl Med Assoc. 2007;99:1407-10.
Isaacs SL, Schroeder SA. Class - The ignored determinant of the nation’s health. N Engl J Med. 2004;351(11):1137-42.
Fasunla AJ, Samdi M, Nwaorgu OG. An audit of ear, nose and throat diseases in a tertiary health institution in South-western Nigeria. Pan Afr Med J. 2013;14:1.
Chaudhari BC, Gautam D, Pantha TB, Arun KC., Sharma A. Spectrum of ear, nose and throat disorders among children reporting to the out-patient department of a tertiary care center, Nepal. Int J Otorhinolaryngol Head Neck Surg. 2018;4(5):1125-29.
Lehmann D, Arumugaswamy A, Elsbury D, Finucane J, Stokes A, Monch R, et al. Paediatr Perinat Epidemiol. 2008;22:60–71.
Okafor BC. Pattern of diseases of the ear: Otolaryngology in South-Eastern Nigeria. Nig Med J. 1983;13(1):11–19.
Jackson JM, Mourino AP. Pacifier use and otitis media in infants twelve months of age or younger. Pediatr Dent. 1999;21:255–60.
Nepali R, Sigdel B. Prevalence of ENT diseases in children: Hospital Based Study. Int J Otorhinolaryngol. 2012;14(2):1-5.
Thakur SK, Acharya R, Singh SK, Ghimire N. Ear diseases in school going children of sunsari and morang districts of Nepal. J Chitwan Med Coll. 2017;7(19):16-9.
Acharya A, Singh MM, Shrestha A, Pokharel B. Ear Nose Throat (ENT) disorders in government schools of far-western Nepal. L M Coll J. 2013;1(2):86-8.