Related Experiment Video
Updated: Aug 25, 2026
Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber
Published on: March 3, 2023
[The results of tympanometry in children with adenoid hypertrophy and coexisting allergy]
Marek Modrzyński1, Edward Zawisza, Janusz Królikiewicz
1Poradnia Alergologiczna NZOZ Euromedica 86-300 Grudziadz, ul. Chełmska 74.
Insights
Children with upper respiratory allergies often develop Eustachian tube dysfunction, a key cause of otitis media with effusion (OME). Tympanometry can help identify children needing further investigation for OME.
Area of Science:
- Pediatric Otolaryngology
- Allergy and Immunology
- Pediatric Audiology
Context:
- Adenoid, nasal, and middle ear diseases are common in young children.
- Upper respiratory allergic diseases are increasingly linked to Eustachian tube dysfunction.
- Eustachian tube dysfunction is a primary cause of otitis media with effusion (OME).
Purpose:
- To investigate the impact of atopy (allergic predisposition) on the development of OME in children.
- To analyze the relationship between allergic sensitization and middle ear conditions.
Summary:
- A study of 89 children (ages 4-10) with adenoid hypertrophy and abnormal audiometry examined the influence of atopy on OME.
- Skin tests revealed allergies in 36 children, primarily to pollen and house dust.
- Tympanometry showed a statistically significant difference between allergy-positive and allergy-negative groups: 72% of allergic children had Type B tympanograms (indicating middle ear effusion), compared to 21% of non-allergic children. Conversely, 70% of non-allergic children had Type C tympanograms (indicating Eustachian tube dysfunction), versus 19% of allergic children.
Impact:
- Findings suggest a strong association between atopy and OME in children with adenoid hypertrophy.
- Highlights the importance of considering allergic conditions in the diagnosis of pediatric middle ear issues.
- Recommends tympanometry screening for OME in children with allergic upper respiratory disorders.
Unlabelled:
Adenoid, nasal and middle ear diseases are frequent health problems for young children. Allergic diseases of the upper respiratory tract are becoming one of the leading factors in the etiology of Eustachian tube dysfunctions and this dysfunction is the most significant etiologic factor of secretory otitis (OMS). To examine the influence of atopy on the OMS we studied 89 children ages 4 to 10 years, with an average age of 6.2 who had adenoid hypertrophy and pathologic audiometry. In 36 children the skin tests showed an allergy, mostly to different kinds of pollen or house dust. There was a statistically significant difference in tympanometry by chi-square analysis, between allergy positive and allergy negative group. Type B tympanogram was found in 72% children whit coexisting atopy and in 21% without atopy however type C only in 19% allergic children and in 70% children without atopy.
Conclusion:
Children with allergic disorders of upper respiratory tract should be investigated by tympanometry for OMS.
More Related Videos
14:05Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
03:40Acupoint Catgut Embedding Therapy in Traditional Chinese Medicine for Managing Allergic Rhinitis
Published on: December 20, 2024
