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PP-105 Pathology of the ear, nose and throat in children with autism spectrum disorders (ASD)
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  1. Madina Fatakhova1,
  2. Aleksandr Pashkov1,
  3. Natalia Ustinova1,
  4. Elena Vishneva1,
  5. Irina Zelenkova1,
  6. Victor Gankovsky1,
  7. Elena Gorbunova1,
  8. Safarbegim Sadilloeva1
  1. 1Pediatrics and Child Health Research Institute of Petrovsky National Research Center of Surgery, Moscow, Russia
  2. 2Scientific and Practical Center for Mental Health of Children and Adolescents named after G.E. Sukhareva, Moscow, Russia
  3. 3Federal State Autonomous Educational Institution of Higher Education «N.I. Pirogov Russian National Research Medical University» of the Ministry of Health of the Russian Federation

Abstract

Aim To study the nature of concomitant pathology of the ear, nose and throat in patients with ASD for the timely initiation of additional intervention

Material and Method The study is based on examination data of 78 patients aged from 18 months to 17 years (M = 10 ± 4.679) with a diagnosis of autism spectrum disorder (ASD). The diagnosis was made by a psychiatrist and confirmed using the Autism Diagnostic Interview, Revised (ADI-R). All children underwent an audiological examination and were examined by an otolaryngologist as part of research work. Examination methods: otoscopy, pharyngoscopy, anterior rhinoscopy, nasopharyngeal endoscopy, registration of otoacoustic emission, tympanometry, registration of auditory brainstem evoked potentials, auditory steady state response (ASSR-test).

Results ENT disorders were identified, such as adenoid hypertrophy was detected in 53 (68%), chronic otitis - in 9 (12%), chronic tonsillitis - in 5 (6.4%), acute adenoiditis - in 4 (5%), decreased hearing loss was detected in 4 (5%) cases, 1 (1.2%) had a cleft soft palate, a deviated nasal septum in 1 (1.2%), and recurrent nosebleeds in 1 (1.2%).

Conclusions There is a high prevalence of ENT pathology and cases of hearing loss in children with ASD. It is important to provide a special examination with objective methods to identify hearing loss and ENT diseases. Earlier diagnosis of hearing loss means earlier intervention.

  • autism spectrum disorders
  • hearing loss
  • ENT disorders
  • registration of auditory brainstem evoked potentials

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