EVALUATION OF MUCOCILLIARY FUNCTION OF EUSTACHIAN TUBE IN CHILDREN WITH CHRONIC OTITIS MEDIA MUCOSAL TYPE

Abstract

Objective:

To assess eustachian tube mucocilliary function in children with chronic otitis media mucosal type.

Material and methods:

It is a prospective comparative analytical study carried out in Ganesh Man Singh Memorial (GMSM) Academy of ENT and Head and Neck Studies, Kathmandu over duration of 19 months. Patients of COM mucosal with 3 to12 years of age and both gender were taken. Revision cases, conditions with obvious eustachian tube dysfunction and caretaker of children not giving consent for eustachian tube evaluation were excluded. Dye used was 0.25% Gentian Violet and flexible nasopharyngoscopy was done to see if eustachian tube opening was stained with dye.  Eustachian tube was labelled as patent if staining was there otherwise labelled as obstructed.

Results:

Thirty eight patients were included in study, out of which 19 (50%) had patent tube. Out of 8 cases in £ 7years age group, 6 (75%) had obstructed eustachian tube. In ³ 8years age group, 13(43.33%) had obstructed eustachian tube.

Conclusion:

Mucociliary function of eustachian tube evaluation by dye method in COM mucosal type in children shows equal proportion of patency and obstruction.

Keywords: dye test, Eustachian tube, mucocilliary function