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[Correlation analysis between the otitis media with effusion and allergic rhinitis in children with adenoidal

Kun Ni1, Xiaoyan Li

  • 1Department of Otolaryngology Head and Neck Surgery, Children's Hospital of Shanghai, Shanghai Jiao Tong University School of Medcine, Shanghai, 200040, China.

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology Head and Neck Surgery
|January 5, 2013
PubMed

Insights

Allergic rhinitis is linked to otitis media with effusion in children with adenoidal hypertrophy. Nasal steroid use significantly reduces this condition's incidence, suggesting a therapeutic role.

Area of Science:

  • Otolaryngology
  • Pediatric Allergy
  • Immunology

Context:

  • Adenoid hypertrophy is common in children and can be associated with otitis media with effusion (OME).
  • Allergic rhinitis is a prevalent condition in pediatric populations.
  • The interplay between adenoid hypertrophy, allergic rhinitis, and OME requires further elucidation.

Purpose:

  • To investigate the correlation between allergic rhinitis and otitis media with effusion in children diagnosed with adenoidal hypertrophy.
  • To assess the impact of nasal steroid hormone therapy on the incidence of OME in this patient group.

Summary:

  • A retrospective analysis of 287 children with adenoidal hypertrophy revealed no significant difference in OME incidence between those with and without allergic rhinitis when nasal steroid hormones were not considered.
  • However, in children not using nasal steroid hormones, the combined incidence of allergic rhinitis and OME was significantly higher (51.11%) compared to the control group (32.26%).
  • Treatment with nasal steroid hormones in children with allergic rhinitis and OME significantly reduced the OME incidence to 12.50% compared to the non-treatment group.

Impact:

  • Allergic rhinitis is identified as a significant contributing factor to secretory otitis media in children with adenoidal hypertrophy.
  • Nasal steroid hormone therapy demonstrates potential in reducing OME incidence and may offer therapeutic benefits for OME.
  • Further research is needed to confirm the efficacy and understand the treatment mechanisms of nasal steroid hormones in managing OME associated with allergic rhinitis and adenoid hypertrophy.
Abstract

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