الفهرس 
etiologyOnly 14 pages are availabe for public view
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Abstract
Acute otitis media is one of the most common infections in
children. Complications occur rather frequently unless adequate
antibiotics therapy for otitis media is used.
The question of the bacteriological correlation between acute
otitis media and nasopharynx is still unsatisfactorily answered.
The present study aims of identifying the relation between
organisms isola ted from the nasopharynx and those from cases
of acute otitis media with or without perforation one hundred
patients with a diagnosis of Aute otitis media were included
in the study. 10 patient were excluded. 60 patients (66.7%
of 90 patients) showed a full correlation between microbes from
the nasopharynx and the middle ear 3 patients (3.3% of 90 patients)
showed a partiel correlation between microbes from the nasopharynx
and the middle ear while 27 patients (30% of 90 patients)
showed no correlation between microbes from the nasopharynx
and the middle ear.
In the present study 7 patients with subacute otitis media
(70% of 10 patients) showed a correlation between microbes from
the nasopharynx and that inside the adenoid tissues while 3 patients
(30% of 10 patients) showed no correlation between microbes
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from the nasopharynx and that inside the adenoid tissue.
from our study we can conclude thatr-
1- for determination of the bacteriologic etiology of individual
cases of otitis media, it appears logical to culture the
nasopharynx wich constitutes the reservoir of middle ear pathogens.
2- infected adenoids may be the direct source of the primary infections
or continous microbial irritation in the nasopharynx may
indirectly be the cause of otitis media as persistant infection
and oedema maintain chronic dysfunction of the eustachian tube ,
Thus adenoidectomy may be beneficial in the treatment of
subacute otitis media •