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Occurence of the hypertrophie adenoids in allergic children
Hubínková, Jana ; Voldánová, Jana (advisor)
This study tries to prove the relation between the occurence of adenoid vegetation hypertrophy and allergies in children. In a group od 299 patients from the ages of 3 to 5, who were in the period from 1.1.2008 to 31.12.2008 at the Otolaryngological clinic FNKV given an adenotomy, there is evidence of the occurence of allergies, asthma and secretorial otitid. The occurence of allergies was confirmed among 104 children and occurence of recidivial otitid among 152 children. The most prevalent was respiratory alergy in 35,6% of the children and atopic eczema in 24% of the children. The most common allergen was pollen in 52%. Recurring secretorial otitid was present in 152 children, that is in 50.8% of the total number of children. Current occurence of allergies and secretorial otitid was confirmed in 17% of children. On the whole allergies were found to be more prevalent in boys. I compared the data from my research with statistics from the State Medical Institute from the year 2006. Current life style, environment and prolonged pollen season contribute to the appearance of allergies. From the results of my research I proved that adenoid vegetation hypertrophy also contributes to the onset of allergies (SZÚ: prevalence of allergic children in the Czech Republic to the age of five is 27,9%, ORL FNKV: 34,8%). In...
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Endoscopic adenoidectomy - the most important moment in otitis media treatment
Čemusová, Barbora ; Voldánová, Jana (advisor)
This work proves the importance of endoscopic adenoidectomy in secretory otitis media treatment. Efficacy of this operation is considered for all the patients with "glue ear" (177 patients) whitin the group of patients who underwent adenoidectomy or tympanostomy at ENT Clinique FNKV from the 1st of January 2006 to the 31th of December 2006 (total 307 patients). The effectiveness of the therapy is evaluated according to tympanometric and audiometric values and according to the amount of peristent secretory otitis, when reoperation is necessary. The tympanometric values confirm possitive effect of endoscopic adenoidectomy for complete cure of secretory otitis media. The fluid in the middle ear was eliminated in 75 percent of pacients. There is also less readenoidectomies after endoscopic adenoidectomy - as compared to adenoidectomy in inhalation anesthetic. The amount of necessary tympanostomies is reduced too. Significant reduction in morbidity from secretory otitis media after adenoidectomy is shown in few randomized clinical trials mentioned in the text.
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Occurence of the hypertrophie adenoids in allergic children
Hubínková, Jana ; Voldánová, Jana (advisor)
This study tries to prove the relation between the occurence of adenoid vegetation hypertrophy and allergies in children. In a group od 299 patients from the ages of 3 to 5, who were in the period from 1.1.2008 to 31.12.2008 at the Otolaryngological clinic FNKV given an adenotomy, there is evidence of the occurence of allergies, asthma and secretorial otitid. The occurence of allergies was confirmed among 104 children and occurence of recidivial otitid among 152 children. The most prevalent was respiratory alergy in 35,6% of the children and atopic eczema in 24% of the children. The most common allergen was pollen in 52%. Recurring secretorial otitid was present in 152 children, that is in 50.8% of the total number of children. Current occurence of allergies and secretorial otitid was confirmed in 17% of children. On the whole allergies were found to be more prevalent in boys. I compared the data from my research with statistics from the State Medical Institute from the year 2006. Current life style, environment and prolonged pollen season contribute to the appearance of allergies. From the results of my research I proved that adenoid vegetation hypertrophy also contributes to the onset of allergies (SZÚ: prevalence of allergic children in the Czech Republic to the age of five is 27,9%, ORL FNKV: 34,8%). In...
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Endoscopic adenoidectomy - the most important moment in otitis media treatment
Čemusová, Barbora ; Voldánová, Jana (advisor)
This work proves the importance of endoscopic adenoidectomy in secretory otitis media treatment. Efficacy of this operation is considered for all the patients with "glue ear" (177 patients) whitin the group of patients who underwent adenoidectomy or tympanostomy at ENT Clinique FNKV from the 1st of January 2006 to the 31th of December 2006 (total 307 patients). The effectiveness of the therapy is evaluated according to tympanometric and audiometric values and according to the amount of peristent secretory otitis, when reoperation is necessary. The tympanometric values confirm possitive effect of endoscopic adenoidectomy for complete cure of secretory otitis media. The fluid in the middle ear was eliminated in 75 percent of pacients. There is also less readenoidectomies after endoscopic adenoidectomy - as compared to adenoidectomy in inhalation anesthetic. The amount of necessary tympanostomies is reduced too. Significant reduction in morbidity from secretory otitis media after adenoidectomy is shown in few randomized clinical trials mentioned in the text.
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