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In children undergoing tonsillectomy ± adenoidectomy without eustachian dysfunction, the objective is to control tubal functions with tympanometry utilising probes at 226 Hz and 1000 Hz, as well as measuring the ipsilateral and contralateral acoustic reflexes with a 226 Hz probe. An eustachian function test with a 226 Hz probe (automatic Williams test) and play audiometry are to be conducted on young children, while pure tone audiometry is to be conducted on older children, in the preoperative period, on the first day after surgery and in the second week after surgery. The primary objective is to ascertain whether the tubal functions, which are hypothesised to be impaired on the first day, return at the latest in the second week, with all tests evaluating the eustachian tube both directly and indirectly. The secondary objective is to determine whether this recovery occurs earlier with the 226 Hz probe or the 1000 Hz probe.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Children undergoing tonsillectomy ± adenoidectomy without tubal dysfunction |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Eustachian tube function test with 226 and 1000 Hz probes | Diagnostic Test | In children undergoing tonsillectomy ± adenoidectomy without eustachian dysfunction, tympanometry with 226 Hz and 1000 Hz probes, ipsi and contralateral acoustic reflexes with 226 Hz probe, eustachian function test with 226 Hz probe (automatic Williams test) and play audiometry in young children and pure tone audiometry in older children are aimed to control tubal functions in preoperative period, postoperative day 1 and week 2. |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation the functionality of the eustachian tube with odiometric tests | Evaluation the functionality of the eustachian tube, which was presumed to be compromised on the initial post-adenotonsillectomy day, and ascertainment whether it had recuperated by the second week. Tympanometry with 226 and 1000 Hz probes, eustachian function test with 226 Hz probe, ipsi and contralateral acoustic reflexes with 226 Hz probe and pure tone-play audiometry were performed in all patients one day before the operation. All tests were repeated on postoperative day 1 before the patient was discharged. All tests were repeated at the 2nd postoperative week. | 14 days |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation the functionality of the eustachian tube with tympanometry the 226 Hz and 1000 Hz probes | It was investigated which of the 226 Hz and 1000 Hz probes used in these tests detected earlier recovery findings. | 21 days |
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Inclusion Criteria:
Exclusion Criteria:
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Pediatric patients aged 4-15 years who underwent tonsillectomy ± adenoidectomy for chronic tonsillitis or sleep breathing disorder without eustachian tube dysfunction were included in the study.
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| Name | Affiliation | Role |
|---|---|---|
| Sumeyra Doluoglu, MD | Saglik Bilimleri Universitesi | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ankara Etlik City Hospital | Ankara | 06010 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40663994 | Derived | Doluoglu S, Gazeloglu AZ, Ulger N, Camalan BV, Dagli M. Evaluation of Eustachian tube function with dynamic and static tests in children undergoing adenotonsillectomy: A prospective clinical study. Int J Pediatr Otorhinolaryngol. 2025 Sep;196:112488. doi: 10.1016/j.ijporl.2025.112488. Epub 2025 Jul 14. |
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