Relationship between serum Vitamin D levels and otic affection in preschool children

Introduction:

In recent years, various approaches have been used to assess vitamin D serum levels in pediatric patients. The purpose of this study was to establish a correlation between recurrent acute ENT (Ear, Nose, and Throat) infections in pediatric patients and their vitamin D serum levels.

Materials and Methods:

We included pediatric patients who presented with recurrent acute suppurative otitis media (more than 3 episodes in the last 6 months). We conducted accurate objective ENT endocavitary examinations and thorough medical histories to assess the developmental conditions and onset of unilateral and bilateral acute otitis media. The study group consisted of children aged between 2 and 6 years who presented with fever, otalgia, nasal obstruction, and purulent rhinorrhea. Otoscopy was used to evaluate the condition of the tympanic membrane during suppuration, with or without perforation. All children underwent serological testing to determine their vitamin D serum levels.

Results:

The current study revealed a notable prevalence of otitis media, with a higher incidence observed in boys. There was a significant correlation found between vitamin D deficiency and the prevalence of these conditions. Ensuring optimal vitamin D levels may play an integral role in reducing the recurrence of suppurative otitis media in preschool-aged children.

In recent years, the necessity of vitamin D supplementation, particularly in cases where sun exposure is insufficient, has been increasingly recognized.