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A study of the role of different forms of chronic rhinitis in the development of otitis media with effusion in children affected by adenoid hypertrophy.
Int J Pediatr Otorhinolaryngol. 2013 Dec; 77(12):1980-3.IJ

Abstract

OBJECTIVE

The aim of the present study was to evaluate the role of the different forms of chronic rhinitis in the pathogenesis of otitis media with effusion in children affected by obstructive adenoid hypertrophy.

METHODS

81 patients, aged between 4 and 15 years (mean age of 6.9 years), affected by obstructive adenoid hypertrophy were evaluated. All patients underwent accurate history taking, physical examination with endoscopy of the nasopharynx, skin prick test, nasal cytology and hearing evaluation.

RESULTS

Nasal citology showed that 21% of patients had a non-allergic rhinitis (NAR) subtype, 17.4% NAR overlapping with infectious rhinitis (IR), 29.6% IR, 4.9% allergic rhinitis (AR), 2.5% AR overlapping with IR and the remaining 24.6% a negative cytology. The presence of OME was positively correlated with neutrophils (p = 0.01) and mast cells (p = 0.022), while it was negatively correlated with the presence of eosinophils (p = 0.02) and bacteria (p = 0.02).

CONCLUSIONS

A chronic rhinitis was present in more than 70% of children with AH and 60% of them showed OME. Nasal cytology together with SPT showed that AR was rarely present in this group of children, while the mast-cells and neutrophils positively correlated with OME.

Authors+Show Affiliations

Section of Otolaryngology, Department of Basic Medical Science, Neuroscience and Sensory Organs, University of Bari, Italy. Electronic address: nicolaantonioadolfo.quaranta@uniba.it.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

24113158

Citation

Quaranta, Nicola, et al. "A Study of the Role of Different Forms of Chronic Rhinitis in the Development of Otitis Media With Effusion in Children Affected By Adenoid Hypertrophy." International Journal of Pediatric Otorhinolaryngology, vol. 77, no. 12, 2013, pp. 1980-3.
Quaranta N, Milella C, Iannuzzi L, et al. A study of the role of different forms of chronic rhinitis in the development of otitis media with effusion in children affected by adenoid hypertrophy. Int J Pediatr Otorhinolaryngol. 2013;77(12):1980-3.
Quaranta, N., Milella, C., Iannuzzi, L., & Gelardi, M. (2013). A study of the role of different forms of chronic rhinitis in the development of otitis media with effusion in children affected by adenoid hypertrophy. International Journal of Pediatric Otorhinolaryngology, 77(12), 1980-3. https://doi.org/10.1016/j.ijporl.2013.09.017
Quaranta N, et al. A Study of the Role of Different Forms of Chronic Rhinitis in the Development of Otitis Media With Effusion in Children Affected By Adenoid Hypertrophy. Int J Pediatr Otorhinolaryngol. 2013;77(12):1980-3. PubMed PMID: 24113158.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A study of the role of different forms of chronic rhinitis in the development of otitis media with effusion in children affected by adenoid hypertrophy. AU - Quaranta,Nicola, AU - Milella,Claudia, AU - Iannuzzi,Lucia, AU - Gelardi,Matteo, Y1 - 2013/09/23/ PY - 2013/05/27/received PY - 2013/09/11/revised PY - 2013/09/15/accepted PY - 2013/10/12/entrez PY - 2013/10/12/pubmed PY - 2014/9/11/medline KW - Adenoid hypertrophy KW - Allergy KW - Nasal cytology KW - Otitis media with effusion KW - Rhinitis SP - 1980 EP - 3 JF - International journal of pediatric otorhinolaryngology JO - Int J Pediatr Otorhinolaryngol VL - 77 IS - 12 N2 - OBJECTIVE: The aim of the present study was to evaluate the role of the different forms of chronic rhinitis in the pathogenesis of otitis media with effusion in children affected by obstructive adenoid hypertrophy. METHODS: 81 patients, aged between 4 and 15 years (mean age of 6.9 years), affected by obstructive adenoid hypertrophy were evaluated. All patients underwent accurate history taking, physical examination with endoscopy of the nasopharynx, skin prick test, nasal cytology and hearing evaluation. RESULTS: Nasal citology showed that 21% of patients had a non-allergic rhinitis (NAR) subtype, 17.4% NAR overlapping with infectious rhinitis (IR), 29.6% IR, 4.9% allergic rhinitis (AR), 2.5% AR overlapping with IR and the remaining 24.6% a negative cytology. The presence of OME was positively correlated with neutrophils (p = 0.01) and mast cells (p = 0.022), while it was negatively correlated with the presence of eosinophils (p = 0.02) and bacteria (p = 0.02). CONCLUSIONS: A chronic rhinitis was present in more than 70% of children with AH and 60% of them showed OME. Nasal cytology together with SPT showed that AR was rarely present in this group of children, while the mast-cells and neutrophils positively correlated with OME. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/24113158/A_study_of_the_role_of_different_forms_of_chronic_rhinitis_in_the_development_of_otitis_media_with_effusion_in_children_affected_by_adenoid_hypertrophy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(13)00464-3 DB - PRIME DP - Unbound Medicine ER -