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At the same time, investigators excluded middle ear disorders and syndromic HL.
The most common primary referrals were mild anemia (14%), hearing or middle ear disorders (22%) and visual acuity disorders (12%).
They had normal auricular reflexes and underwent otoscopy to exclude middle ear disorders at the Experimental Animal Center of Nanjing Medical University (China).
In this study we excluded patients with external and middle ear disorders, because the focus was on pure severe-to-profound sensorineural hearing loss.
Referrals were categorized as follows: mild anemia, visual acuity disorders, hearing or middle ear disorders, behavioral disorders, developmental delay, problems requiring speech, physical or occupational therapy, HIV infection, dental problems and other disorders as determined by the study physicians.
We excluded smokers, people with any degree of hearing loss or middle ear disorders, subjects with related cardiorespiratory, metabolic, neurological, and/or any condition that prevented the individual to perform the procedures, and those users of drugs that alter cardiac autonomic regulation.
Similar(52)
In addition, middle ear disorder – a very common cause of mild and moderate hearing loss in Western school children – may not be as prevalent in Chinese school children [ 14, 15].
In addition, posteriorly translocated mandibular head (due to missing teeth, pathological teeth attrition, or trauma) may compress the tympanic artery and vein, leading to blood supply disorders within the middle ear and constituting an important cause of hearing disorders.
Conductive hearing loss in pre- and early school children is most commonly caused by dysfunction of the middle ear, which is caused by disorders in the ventilation of the tympanic cavity [ 10].
The diagnosis of conductive hearing loss occurred when the otorhinolaryngological evaluation revealed disorders of the middle ear by otoscopy associated with increased values of waves I, III, and V absolute latencies and normal I-III, II-V, and I-V interpeaks, plus no transient or distortion product otoacoustic emissions, tympanogram type B or C, and no acoustic reflex.
At this time, OME is suspected to be a complex immunologic disorder of the middle ear cleft, which is mediated by the interactions of persisting respiratory viruses and impaired immune responses [ 15, 16].
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