الفهرس 
Recurrent acute otitis mediaOnly 14 pages are availabe for public view
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Abstract
The aim of our work is to investigate the relationship between
iron-deficiency anemia and or magnesium deficiency in the development
of recurrent acute otitis media in children, and subsequently evaluate the
effect of restoring normal hemoglobin or magnesium levels by external
supplementation on the frequency of such infection in children
So 30 patients were selected with
Inclusion criteria:
• Age ranging from 2 to 12 years.
• Recurrent episodes of acute otitis media more than 3 episodes
within 6 months.
And Exclusion criteria:
• Adenoid diagnosed by x rays soft tissue film on nasopharynx,
lateral view.
• Eustachian tube dysfunction diagnosed by tympanometry.
• Cleft palate.
• Immunocompromized patients (diabetic, chemo and radiotherapy,
renal and hepatic failure).
• Underweight for corresponding age.
• Severe anemia, Hb% ≤ 4 gm/dl.
• Persisting otitis media with effusion with no symptoms and sign of
acute inflammation
• Exclusion of the other causes of hypochromic microcytic anemia
Summary
86
i.e Beta.Thalassemia, anemia of chronic disease & chronic
bleeding.
Patients were divided into three groups A, B, and C according to the
presence or absence of iron deficiency anemia and/or magnesium
deficiency
Then treatment this different groups by specific treatment
The result showed that there is a significant relationship between low
HB levels (below 9.5g/dl) and frequency of acute otitis media in six
months and no significant relationship between magnesium levels
and frequency of acute otitis media in six months
Therefore, we recommend that, hemoglobin level should be
evaluated in every child with recurrent episodes of acute otitis media
And confirm that treatment of iron-deficiency anemia by iron
supplementation is an important factor to avoid recurrent acute
otitis media in children