Epidemiologic variation in pediatric ear, nose, and throat diseases: pediatric emergency admissions in two different regions of Turkey

Sabiha Sahin, Tuba Bayindir, Cemal Cingi, Nagehan Erdogmus, Melek Kezban Gurbuz, Hamdi Cakli, Ercan Kaya
4.167 1.033


Introduction: Acute pediatric ear, nose, and throat (ENT) diseases are common, but the causes may vary in different regions. Early diagnosis and suitable management modalities can decrease morbidity and/or mortality rates.

Method: In two different university hospitals in Turkey, pediatric ENT diseases were evaluated retrospectively and recorded. We evaluated 5473 patients at Eskisehir Osmangazi University, and 1954 patients at Malatya Inonu University, during the 3- year study period.

Results: The study population included 3013 males (56.5%) and 2460 females (43.5%) from Eskisehir Osmangazi University and 852 males (43.6%) and 1102 females (56.4%) from Inonu University. The age range of all patients was from 1 month to 17 years; mean age was 6.3 years for patients from Eskisehir Osmangazi and 9.6 years for patients from Inonu. At Eskisehir Osmangazi, the most common causes of admittance were acute tonsillitis (2314 cases, 42.3%), upper respiratory tract infections  (1763, 32.22%), acute otitis media (453, (8.28%), foreign bodies (106,1.94%), and epistaxis (141, 2.58%). Other less common causes included maxillofacial traumas (2.74%), croup (2.76%), epiglottitis (0.09%), retropharyngeal abscess (0.03%), otitis externa (2.16%) and acute sinusitis (4.9%). At Inonu, 930 (47.6%) patients had acute otitis media, 272 (13.9%) patients had epistaxis, 265 (13.6%) patients had acute tonsillitis, and 233 (11.9%) patients had upper respiratory tract infection. Other causes included foreign bodies (10.6%), dysphagia (0.8%), and otitis externa (1.6%). Infectious diseases were more common in patients aged 1-6 months at Eskisehir and in patients aged 1 month to2 years at Inonu.

Conclusion: Pediatric emergency physicians successfully treated more than 90% of the ENT patients in our study population. Training for emergency room management of pediatric ENT diseases is important to prevent unnecessary hospitalizations. The etiology of pediatric emergency cases differs greatly between regions, even in the same country.


Pediatric emergency, ENT diseases, emergency

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Pracy R. Introduction. In: Evans JNG (ed) Scott-Brown's Otolaryngology, 5th edn. vol 6, Butterworth, London, pp 13, 1987

Kitcher E, Jangu A, Baidoo K Emergency ear, nose and throat admissions at the korlebu teaching hospital. Ghana Med J 2007;41:9-11

Timsit CA, Bouchene K, Olfatpour B, Herman P, Tran Ba Huy P Epidemiology and clinical findings in 20,563 patients attending the Lariboisiere Hospital ENT adult Emergency Clinic. Ann Otlaryngol Chir Cervicofac. 2001;118:215-224

Pérez Obón J, Rivares Esteban J, Leache Pueyo J, Fernández Liesa R, Marín García J, Sevil Navarro J, Mateo Blanco A. An outpatient study in ENT (otorhinolaryngology) emergencies at a general hospital. Acta Otorrinolaringol Esp. 1995;46:298-304

Rodríguez Rosell V, Rodríguez Asensio J. Urgencias ORL en hospitales locales. Acta Otorrinolaringol Esp 1994;45:41-44

Mukherjee A, Haldar D, Dutta S, Dutta M, Saha J, Sinha R . Ear, nose and throat foreign bodies in children: a search for sociodemographic correlates. Int J Pediatr Otorhinolaryngol 2011;75:510-512

Bressler K, Shelton C. Ear foreign body removal: a review of 98 consecutive cases. Laryngoscope 1993; 103:367-370

Lopez Amando M, Garcia Sarandeses A, Herranz Gonzalez-Botas, Lopez Blanco G, Martinez Vidal J. Appropriateness of emergency hospital admissions at an ORL service of a third level hospital. ActaOtorinolaringol Esp 1993; 44: 31-34

Ijaduola GTA, Okeowo PA. Foreign body in the ear and its importance: the Nigerian experience. J. Trop. Paediatr 1986;32: 4–6 www.uptodate.com . Epidemiology and etiology of epistaxis in children 2011

Weindling M. Nose bleeds, child protection and the difficulties faced by paediatricians. Acta Pediatrica 2008; 97: 1318–1320

Wheatley AH, Temple RH, Camilleri AE, Jones PH. ENT open access clinic: an audit of a new service. J Laryngol Otol 1999;113: 657–660

Gallo A, Moi R, Minni A, Simonelli M, de Vincentis M. Otorhinolaryngology emergency unit care: the experience of a large university hospital in Italy. Ear Nose and Throat J 2000; 79: 155-158

Symvoulakis EK, Klinis S, Alegakis A, Kyrmizakis DE, Drivas EI, Rachiotis G, Philalithis A, Velegrakis GA. Epidemiologic profile of otorhinolaryngological, head and neck disorders in a tertiary hospital unit in Greece: a challenge for general practitioners?. BMC Ear Nose Throat Disord 2006;6:12