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[Recurrent otitis media with effusion in childhood : when should an otolaryngologist consider an allergic etiology?].
HNO. 2013 Oct; 61(10):843-8.HNO

Abstract

Up to 80 % of children can develop otitis media with effusion (OME) between birth and school age. Responsible are longstanding impairments of tubal ventilation which are based primarily on mechanical or functional obstructions. A quarter of the subjects affected by OME show either recurrent episodes over 3 months or protracted clinical courses and in these children an extended diagnosis is required. Besides infection-related adenoid hypertrophy, the differential diagnosis should include ciliary dysfunction, chronic rhinosinusitis, craniofacial malformations, gastroesophageal reflux, tumors and cancer treatment in the nasopharynx and in particular allergies. Clinical and experimental studies have indicated that respiratory allergies promote both adenotonsillar hypertrophy as well as inflammatory alterations in the mucous membranes of the Eustachian tube and middle ear and can thus promote the formation and persistence of OME. Because of a sensitization rate of about 30% in the general population at the predilection age from 3-6 years (KiGGS study), standard diagnosis (e.g. otoscopy and audiometry) should be extended by allergy diagnostic testing, especially in cases of recurrent or prolonged courses of OME. The most common classes of medications used for childhood allergies are antihistamines and nasal steroids, which could optimize the standard treatment of OME.

Authors+Show Affiliations

HNO-Uniklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland, michael.damm@uni-koeln.de.No affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

23913190

Citation

Damm, M, et al. "[Recurrent Otitis Media With Effusion in Childhood : when Should an Otolaryngologist Consider an Allergic Etiology?]." HNO, vol. 61, no. 10, 2013, pp. 843-8.
Damm M, Jayme KP, Klimek L. [Recurrent otitis media with effusion in childhood : when should an otolaryngologist consider an allergic etiology?]. HNO. 2013;61(10):843-8.
Damm, M., Jayme, K. P., & Klimek, L. (2013). [Recurrent otitis media with effusion in childhood : when should an otolaryngologist consider an allergic etiology?]. HNO, 61(10), 843-8. https://doi.org/10.1007/s00106-013-2700-9
Damm M, Jayme KP, Klimek L. [Recurrent Otitis Media With Effusion in Childhood : when Should an Otolaryngologist Consider an Allergic Etiology?]. HNO. 2013;61(10):843-8. PubMed PMID: 23913190.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Recurrent otitis media with effusion in childhood : when should an otolaryngologist consider an allergic etiology?]. AU - Damm,M, AU - Jayme,K P, AU - Klimek,L, PY - 2013/8/6/entrez PY - 2013/8/6/pubmed PY - 2014/6/6/medline SP - 843 EP - 8 JF - HNO JO - HNO VL - 61 IS - 10 N2 - Up to 80 % of children can develop otitis media with effusion (OME) between birth and school age. Responsible are longstanding impairments of tubal ventilation which are based primarily on mechanical or functional obstructions. A quarter of the subjects affected by OME show either recurrent episodes over 3 months or protracted clinical courses and in these children an extended diagnosis is required. Besides infection-related adenoid hypertrophy, the differential diagnosis should include ciliary dysfunction, chronic rhinosinusitis, craniofacial malformations, gastroesophageal reflux, tumors and cancer treatment in the nasopharynx and in particular allergies. Clinical and experimental studies have indicated that respiratory allergies promote both adenotonsillar hypertrophy as well as inflammatory alterations in the mucous membranes of the Eustachian tube and middle ear and can thus promote the formation and persistence of OME. Because of a sensitization rate of about 30% in the general population at the predilection age from 3-6 years (KiGGS study), standard diagnosis (e.g. otoscopy and audiometry) should be extended by allergy diagnostic testing, especially in cases of recurrent or prolonged courses of OME. The most common classes of medications used for childhood allergies are antihistamines and nasal steroids, which could optimize the standard treatment of OME. SN - 1433-0458 UR - https://www.unboundmedicine.com/medline/citation/23913190/[Recurrent_otitis_media_with_effusion_in_childhood_:_when_should_an_otolaryngologist_consider_an_allergic_etiology]_ L2 - https://dx.doi.org/10.1007/s00106-013-2700-9 DB - PRIME DP - Unbound Medicine ER -