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).