ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 27 of 46
Up
JMBS 2022, 7(1): 197–202
https://doi.org/10.26693/jmbs07.01.197
Social medicine and organization of health care

The Prevalence and Structure of ENT Diseases in Children

Zaidov E. Ya.
Abstract

The purpose of the study was to analyze information on the structure and prevalence of ENT diseases in children. Materials and methods. For the analysis of morbidity, the structure of diseases, long-term morbidity, its trends and periodicity were assessed. The intensity and dynamics of the epidemic process of diseases of the upper respiratory tract were studied. According to the developed questionnaire, an anamnesis was collected, the conditions and place of residence, the frequency of visits to medical institutions, the level of medical care provided, the presence of diseases of the ENT organs and other organs and systems of the body were clarified. A detailed statistical analysis of the structure and prevalence of diseases of the ENT organs was carried out according to the extract from the case histories of patients in the ENT departments of the clinical hospital during 2015-2019. The bulk of the examined children were aged 4-7 years (40.0%) and 8-14 years (60.0%). Results and discussion. Angina and chronic tonsillitis can be a common reason for the high incidence of various forms of infectious heart disease and cardiomyopathies. The transnasal route of penetration provides the damaging effect of the new coronavirus infection (COVID-19) on the ENT organs. In the study of the structure of the incidence of ENT organs for the period from 2015 to 2019 on the basis of specialized medical institutions and ENT departments, we found that the largest nosological group is diseases of the nasal cavity and paranasal sinuses, an average of 55.7%, which corresponds to the data of international literary sources. In second place in terms of frequency of occurrence is ear pathology – an average of 37.5%. Diseases of the pharynx and larynx are in third place in terms of general ENT morbidity, on average 6.9%. In the structure of diseases of the nasal cavity and paranasal sinuses, on average for 5 years, purulent diseases of the paranasal sinuses prevail: acute sinusitis 20.7% and chronic sinusitis 7.8%. Conclusion. When studying the incidence of the upper respiratory tract and ear according to statistical data, reflecting the main indicators of the health of the child population of the country aged 4 to 14 years, it was found that diseases of the nose and paranasal sinuses have the largest share in the structure of the incidence of children. The share of chronic ear diseases in the structure of the total morbidity is 37.5±1.2%, while there is a tendency to increase in prevalence in the first four years

Keywords: ENT diseases, children, ear diseases, prevalence

Full text: PDF (Eng) 263K

References
  1. Galchenko MT, Subbotina MV, Shuvakina TN, Verkhoturova NA, Trishchenko YuK, Sinitsa MYu. Vliyaniye zagryazneniya atmosfernogo vozdukha na razvitiye patologii LOR organov u detey Irkutskoy oblasti [Influence of atmospheric air pollution on the development of pathology of ENT organs in children of the Irkutsk region]. Vestnik Obshchestvennoy organizatsii Assotsiatsiya khirurgov Irkutskoy oblasti. 2017;17:64-65. [Russian]
  2. Kryukov AI, Ivoylov AYU, Kulagina MI, Kravchuk AP. Ostryy tonzillit u detey: diagnostika prognosticheskoye znacheniye, sovremennoye lecheniye [Acute tonsillitis in children: diagnosis, prognostic value, modern treatment]. Meditsinskiy sovet. 2015;3:56–59. [Russian]. https://doi.org/10.21518/2079- 701X-2015-3-56-59
  3. Mashkova TA, Sorokina MS, Mal'tsev AB. Faktory riska razvitiya abdominal'nykh oslozhneniy ostrogo i khronicheskogo tonzillita u detey [Risk factors for the development of abdominal complications of acute and chronic tonsillitis in children]. Rossiyskaya otorinolaringologiya. 2019;18(4):75–81. [Russian]. https://doi.org/10.18692/1810-4800-2019-4-75-81
  4. Getaneh A, Ayalew G, Belete D, Jemal M, Biset S. Bacterial Etiologies of Ear Infection and Their Antimicrobial Susceptibility Pattern at the University of Gondar Comprehensive Specialized Hospital, Gondar, Northwest Ethiopia: A Six-Year Retrospective Study. Infect Drug Resist. 2021;14:4313-4322. PMID: 34707376. PMCID: PMC8542893. https://doi.org/10.2147/IDR.S332348
  5. Jensen RG, Koch A, Homøe P. The risk of hearing loss in a population with a high prevalence of chronic suppurative otitis media. Int J Pediatr Otorhinolaryngol. 2013;77(9):1530–1535. PMID: 23906989. https://doi.org/10.1016/j.ijporl.2013.06.025
  6. Subbotina MV, Borisenko GN, Bryukhanova SV, Naumova OA, Bitkov MA, Vasina AI, et al. Analiz obrashchayemosti detey s ostrym srednim otitom v kabinet ekstrennoy otolaringologicheskoy pomoshchi [Analysis of the appealability of children with acute otitis media to the office of emergency otolaryngological care]. Materialy mezhregional'noy nauchno-prakticheskoy konferentsii otorinolaringologov Sibiri i Dal'nego Vostoka s mezhdunarodnym uchastiyem Aktual'nyye voprosy otorinolaringologii. Pod obshchey redaktsiyey AA Blotskogo. Blagoveshchensk, 2020. 2020;18:14-16. [Russian]
  7. Maharjan M, Phuyal S, Shrestha M, Bajracharya R. Chronic otitis media and subsequent hearing loss in children from the Himalayan region residing in Buddhist Monastic schools of Nepal. J Otol. 2020;15(4):144–148. PMID: 33293915. PMCID: PMC7691833. https://doi.org/10.1016/j.joto.2020.09.001
  8. Kirasirova YEA, Piminidi OK, Lafutkina NV, Mamedov RF, Savchenko VA. Rol' patologii serdechnososudistoy sistemy v razvitii pareza vozvratnogo gortannogo nerva [The role of the pathology of the cardiovascular system in the development of paresis of the recurrent laryngeal nerve]. Annaly khirurgii. 2016;21(6):372–376. [Russian]
  9. Akdis CA, Agache I, Eds. Global atlas of allergic rhinitis and chronic rhinosinusitis. Zurich: EAACI; 2017. 452 p.
  10. Cevc G. Differential diagnosis and proper treatment of acute rhinosinusitis: Guidance based on historical data analysis. Allerg Rhinol. 2017;8(2):e45-e52. PMID: 28583227. PMCID: PMC5468756. https://doi.org/10.2500/ar.2017.8.0206
  11. Ramazanova BA, Yeraliyeva LT, Mustafina KK, Koloskova YEA. Mul'titsentrovoye issledovaniye rasprostranonnosti nazofaringeal'nogo nositel'stva Streptococcus pneumoniae na otdel'nykh territoriyakh Respubliki Kazakhstan do i posle nachala protivopnevmokokkovoy vaktsinatsii [Multicenter study of the prevalence of nasopharyngeal carriage of Streptococcus pneumoniae in certain areas of the Republic of Kazakhstan before and after the start of pneumococcal vaccination]. Antibiotiki i khimioterapiya. 2017;5-6(62):35-42. [Russian]
  12. Djugai S, Boeger D, Buentzel J, Esser D, Hoffmann K, Jecker P, et al. Chronic vocal cord palsy in Thuringia, Germany: a population-based study on epidemiology and outcome. Eur Arch Oto-Rhino-Laryngol. 2014;271(2):329–335. PMID: 23974329. https://doi.org/10.1007/ s00405-013-2655-1
  13. Graydon K, Waterworth C, Miller H, Gunasekera H. Global burden of hearing impairment and ear disease. J Laryngol Otol. 2019;133(1):18-25. PMID: 30047343. Doi :10.1017/S0022215118001275
  14. Raju MRK, Fareeduddin M. Prevalence of ear, nose and throat disorders in children at government district hospital Vizianagaram. Int J Otorhinolaryngol Head Neck Surg. 2020;6:497-500. https://doi.org/10.18203/issn.2454-5929.ijohns20200623
  15. Sharma K, Bhattacharjya D, Barman H, Goswami SC. Common Ear, Nose, and Throat Problems in Pediatric Age Group Presenting to the Emergency Clinic: Prevalence and Management: A Hospital B-ased Study. Indian J Clin Pract. 2014;24(8)756-60.
  16. Lindquist NR, Feng Z, Patro A, Mukerji SS. Age-related causes of emergency department visits after pediatric adenotonsillectomy at a tertiary pediatric referral center. Int J Pediatr Otorhinolaryngol. 2019;127:109668. PMID: 31526936. https://doi.org/10.1016/j.ijporl.2019.109668
  17. GBD 2019 Diseases and Injuries Collaborators. Vos T, Lim SS, Abbafati C, Abbas KM, Abbasi M, Abbasifard M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204–1222. PMID: 33069326. PMCID: PMC7567026. https://doi.org/10.1016/S0140-6736(20)30925-9
  18. Tarantino V, Savaia V, D'Agostino R, Silvestri M, Ciprandi G. Bacteriotherapy for preventing recurrent upper respiratory infections in children: a real-world experience. Otolaryngol Pol. 2018;72(3):33-38. PMID: 29989557. https://doi.org/10.5604/01.3001.0012.0482
  19. Casselbrant ML, Mandel EM. Otitis Media in the Age of Antimicrobial Resistance. In: EM Mandel, CA Rosen, Eds. Bailey’s Head & Neck Surgery-Otolaryngology. 5th ed. Lippincott Williams & Wilkins; 2014.
  20. Megrelishvili SM, Shcherbakova YAL, Sugarova SB, Kanina AD, Pykhteyeva AP. Nevrologicheskiye i otorinolaringologicheskiye proyavleniya pri COVID-19 [Neurological and otorhinolaryngological manifestations in COVID-19]. Ros otorinolaringol. 2021;20(4):72–78. [Russian]. https://doi.org/10.18692/1810-4800-2021-4-72-78
  21. Koumpa FS, Forde CT, Manjaly JG. Sudden irreversible hearing loss post COVID-19. BMJ Case Reports. 2020;13(11):e238419. PMID: 33051251. PMCID: PMC7554505. https://doi.org/10.1136/bcr-2020-238419
  22. Badr DT, Gaffin JM, Phipatanakul W. Pediatric Rhinosinusitis. Curr Treat Options Allergy. 2016;3(3):268-281. PMID: 28042527. PMCID: PMC5193235. https://doi.org/10.1007/ s40521-016-0096-y
  23. Durgut O, Dikici O. The effect of adenoid hypertrophy on hearing thresholds in children with otitis media with effusion. Int J Pediatr Otorhinolaryngol. 2019;124:116-119. PMID: 31176025. https://doi.org/10.1016/j.ijporl.2019.05.046
  24. Khanam A, Akhtar G, Hossain F, Chowdhury NN, Rahman MA. Pattern of Otolaryngological Diseases among Paediatric Population Attending ENT OPD in a Tertiary Care Centre, Dhaka. Delta Med College J. 2017;5(1):30–34. https://doi.org/10.3329/dmcj.v5i1.31434
  25. Sayed Toutounchi SJ, Eydi M, Golzari SE, Ghaffari MR, Parvizian N. Vocal cord paralysis and its etiologies: a prospective study. J Cardiovasc Thorac Res. 2014;6:47–50. https://doi.org/10.5681/jcvtr.2014.009