title: Middle ear pathology in day-care centre children.
abstract: BACKGROUND
  Middle ear pathology, either otitis media with effusion or tubal dysfunction, is frequently seen in day-care centre children. Recognition and early treatment of this condition is crucial to the prevention of chronic otitis media, which is a major cause of hearing loss in later life.
  
  
  OBJECTIVE
  We aimed to reveal the incidence of silent otitis media in day-care centre children and to determine the predisposing factors, risk factors and the awareness of the parents of the middle ear disease of their children.
  
  
  METHODS
  Two hundred and thirteen children, aged 3-6 years, were screened in four daycare centres. A questionnaire was prepared that would reveal the predisposing factors. Information was gathered from both the parents and teachers. Children were examined by otoscopy, pneumotoscopy, tympanometry and X-rays for sinus pathology.
  
  
  RESULTS
  Forty-three of 213 children had middle ear pathology; 39 of them were confirmed by tympanometry; 56.1 % of children had some degree of sinus pathology. We revealed that, although most of the children do not have the risk factors, they develop middle ear pathology. Among the parents, 81.4% of them were unaware of the condition.
  
  
  CONCLUSIONS
  Early diagnosis of middle ear pathologies is necessary for prevention of future complications. In early stages the condition is silent. We emphasize the importance of the primary care physician's role in diagnosing the early stages of middle ear pathologies and recommend that teaching of otoscopic and pneumotoscopic skills should be part of the training for family physicians.
authors.affiliation: Department of Otolaryngology, School of Medicine, Adnan Menderes University, Aydin, Turkey.
authors.forename: O
authors.initials: O
authors.lastname: Odabaşi
authors.forename: O
authors.initials: O
authors.lastname: Başak
authors.forename: S
authors.initials: S
authors.lastname: Başak
authors.forename: C
authors.initials: C
authors.lastname: Mutlu
authors.forename: G
authors.initials: G
authors.lastname: Erpek
mesh_terms: D002648:Child; D002656:Child Day Care Centers; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D010033:Otitis Media / Q000175:diagnosis* / Q000453:epidemiology* / Q000517:prevention & control; D010290:Parents; D014421:Turkey / Q000453:epidemiology