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Association of recurrent acute otitis media with nasopharynx dimensions in children.
J Laryngol Otol. 1994 Apr; 108(4):299-302.JL

Abstract

The purpose of this study was to evaluate the hypothesis that the nasopharyngeal anatomy has influence in the risk of recurrent acute otitis media (AOM) attacks. We analysed the occurrence of acute otitis media in 238 healthy schoolchildren who were X-rayed for orthodontic purposes. Six measurements reflecting the size and shape of the bony nasopharynx were recorded from lateral cephalograms. The means for almost all the dimensions of the bony nasopharynx measured were smaller in the children with two or more attacks of AOM in their history than in those with no attack or only one attack. Logistic multivariate modelling showed the distance from the posterior nasal spine to the sella-basion line to be a significant risk factor for recurrent otitis media in girls (difference 1.0 mm; 95 per cent confidence interval 0.1-2.0 mm; p = 0.04) and the shape of the nasopharynx (roundness) in boys (difference 1.9 mm; 95 per cent confidence interval 0.1-4.0 mm; p = 0.01). Measuring the nasopharyngeal bony dimensions may help to identify those children with a risk of recurrent otitis media, at whom prophylactic therapies should be targeted.

Authors+Show Affiliations

Department of Paediatrics, University of Oulu, Finland.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

8182313

Citation

Niemelä, M, et al. "Association of Recurrent Acute Otitis Media With Nasopharynx Dimensions in Children." The Journal of Laryngology and Otology, vol. 108, no. 4, 1994, pp. 299-302.
Niemelä M, Uhari M, Lautala P, et al. Association of recurrent acute otitis media with nasopharynx dimensions in children. J Laryngol Otol. 1994;108(4):299-302.
Niemelä, M., Uhari, M., Lautala, P., & Huggare, J. (1994). Association of recurrent acute otitis media with nasopharynx dimensions in children. The Journal of Laryngology and Otology, 108(4), 299-302.
Niemelä M, et al. Association of Recurrent Acute Otitis Media With Nasopharynx Dimensions in Children. J Laryngol Otol. 1994;108(4):299-302. PubMed PMID: 8182313.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association of recurrent acute otitis media with nasopharynx dimensions in children. AU - Niemelä,M, AU - Uhari,M, AU - Lautala,P, AU - Huggare,J, PY - 1994/4/1/pubmed PY - 1994/4/1/medline PY - 1994/4/1/entrez SP - 299 EP - 302 JF - The Journal of laryngology and otology JO - J Laryngol Otol VL - 108 IS - 4 N2 - The purpose of this study was to evaluate the hypothesis that the nasopharyngeal anatomy has influence in the risk of recurrent acute otitis media (AOM) attacks. We analysed the occurrence of acute otitis media in 238 healthy schoolchildren who were X-rayed for orthodontic purposes. Six measurements reflecting the size and shape of the bony nasopharynx were recorded from lateral cephalograms. The means for almost all the dimensions of the bony nasopharynx measured were smaller in the children with two or more attacks of AOM in their history than in those with no attack or only one attack. Logistic multivariate modelling showed the distance from the posterior nasal spine to the sella-basion line to be a significant risk factor for recurrent otitis media in girls (difference 1.0 mm; 95 per cent confidence interval 0.1-2.0 mm; p = 0.04) and the shape of the nasopharynx (roundness) in boys (difference 1.9 mm; 95 per cent confidence interval 0.1-4.0 mm; p = 0.01). Measuring the nasopharyngeal bony dimensions may help to identify those children with a risk of recurrent otitis media, at whom prophylactic therapies should be targeted. SN - 0022-2151 UR - https://www.unboundmedicine.com/medline/citation/8182313/Association_of_recurrent_acute_otitis_media_with_nasopharynx_dimensions_in_children_ L2 - https://medlineplus.gov/earinfections.html DB - PRIME DP - Unbound Medicine ER -