Increased risk of otitis media with effusion in allergic children presenting with adenoiditis

Gian Luigi Marseglia1, Fabio Pagella, Davide Caimmi

  • 1Dipartimento di Scienze Pediatriche, Università di Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. gl.marseglia@smatteo.pv.it

Insights

Allergic rhinitis and adenoiditis are key risk factors for childhood otitis media with effusion (OME). The risk of developing OME increases significantly when these conditions occur together.

Area of Science:

  • Pediatrics
  • Otolaryngology
  • Allergy and Immunology

Background:

  • Otitis media with effusion (OME) is a prevalent condition in pediatric populations.
  • Understanding risk factors for OME is crucial for effective management and prevention strategies.

Purpose of the Study:

  • To investigate the association between atopy, specific endoscopic findings, and the presence of OME in children.
  • To identify independent predictors of OME in pediatric patients with persistent upper-airway infections.

Main Methods:

  • A cross-sectional study involving 287 children with acute upper-airway infections lasting at least ten days.
  • Utilized nasal endoscopy and skin-prick tests to evaluate participants.
  • Multivariable analysis was employed to determine independent associations.

Main Results:

  • Fifty-three children were diagnosed with OME.
  • OME was associated with allergic rhinitis, adenoiditis observed during endoscopy, and younger age.
  • Concomitant presence of allergic rhinitis and adenoiditis showed a higher risk for OME.

Conclusions:

  • Allergic rhinitis and adenoiditis are significant risk factors for the development of OME in children.
  • The combined presence of allergic rhinitis and adenoiditis elevates the risk of OME.
  • Early identification and management of these conditions may help mitigate OME development.
Abstract

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