Ear, nose, and throat examinations
Nasal examination was pathological in 64 (52.9%) patients in last
visit. The most common findings were polyp (17.4%), purulent secretion
(17.4%), mucous secretion (12.4%) and serous secretion (5.8%),
respectively. Tonsillar hypertrophy was seen in 18 (14.9%) patients.
Mostly grade 1 (5%) and grade 2 (5.8%) hypertrophy were detected. Six
(5%) patients had adenoid hypertrophy, while 8 (6.6%) patients were
adenoidectomized (Table 3). Otoscopic examination revealed similar
damage to the left (60.3%) and right (57.8%) eardrums (Table 4). A
total of 45 patients had audiograms and the most common finding was
conductive hearing loss (53.3%). Hearing loss was unilateral in 16%
and bilateral in 84% of 45 patients (Table 5). No statistically
significant association was detected between the aforementioned
otorhinolaryngological findings and gender, age or age at diagnosis
(p>0.19). While ARS (OR: 3, 95% CI: 1.3-7, p=0.011) and
CRS (OR: 3.9, 95% CI: 1.6-9.6, p=0.003) were risk factors for nasal
inflammatory changes, they were not associated with tonsillar and
adenoid hypertrophy (Figure 2). Meanwhile, no statistical relationship
was demonstrated between tympanic membrane injury and AOM or COM, it was
revealed that OME (OR: 8.6, 95% CI: 3.6-20.3, p<0.001)
significantly increased this risk (Figure 3). Although not statistically
significant, in last visit, hearing loss was more common in patients who
had OME compared to those who did not (76.5% vs. 45.5%, OR: 3.9, 95%
CI: 0.94-16.2, p=0.062, Figure 4).