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No1(2) 2019

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DOI 10.37219/2528-8253-2019-1-71
Shidlovskaya TA, Kurenova KYu, Poimanova OS, Molochek YuA, Korovai OO
Detection of concomitant pathology of the middle ear according to tympanometry in children with hoarseness
Shidlovskaya Tetiana A.
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine. Chief Researcher, Laboratory for Occupational Voice and Hearing Disorders (with phoniatrics group), Doctor of Medical Sciences, Professor.
E-mail: doctor_sh@ukr.net
Orchid ID: https://orcid.org/0000-0002-7894-359X


Kurenyova Kateryna Yu.
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine. Senior Researcher, Laboratory for Occupational Voice and Hearing Disorders (with phoniatrics group), PhD.
E-mail: ketlor@bigmir.net

Poimanova Elena S.
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine. Junior Researcher, Laboratory for Occupational Voice and Hearing Disorders (with phoniatrics group).

Molochek Yurii A.
National Children's Specialized Hospital of the Ministry of Health of Ukraine "OHMATDIT", Head of the Department of Otolaryngology, PhD.
E-mail: gw1268@ua.fm

Abstract

Aim: to study of the state of the vocal apparatus in children with hoarseness using videolaryngoscopy and assessment of the state conducting part of the auditory analyzer according impedance audiometry.
Materials and methods: 24 children aged 4 to 10 years old were examined, whose parents complained of hoarseness in children (from several weeks to 1 year). Perceptual voice assessment in children showed hoarseness of the voice of varying degrees. Videolaryngoscopic examination was performed using a videolaryngoscope of the company «Karl Shtorz» (Germany), impedancemetry – using a clinical impedancemeter «Siemens SD-30» (Germany).
Results: After examining the state of the voice apparatus and the middle ear in children with complaints about the hoarseness, we have found that according to videolaryngoscopy, they have changes in the form of swollenness, a slight hyperemia of vocal folds. According to the impedance measurement, in 17 out of 24 patients, a tympanogram of type «C» was detected, and in 7 of them there was a pronounced reduction of compilation of the tympanogram, indicating certain violations in the sound conduction system.
Conclusion: When examining children with voice impairment, it is important to adhere to a comprehensive approach to diagnosis and to evaluate not only the state of the vocal apparatus, but also to remember the possible accompanying pathology of the nasopharynx, the nose and the auditory analyzer.

Keywords

videolaryngostroboscopy, impedance audiometry, hoarseness, tympanometry, childhood.


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