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Otitis Media in Childhood and Disease in Adulthood: A 40-Year Follow-Up Study

Lisa Aarhus1, Preben Homøe2, Bo Engdahl3

  • 1Department of Occupational Medicine and Epidemiology, National Institute of Occupational Health, Oslo, Norway.

Ear and Hearing
|April 19, 2019
PubMed

Insights

Childhood chronic suppurative otitis media (CSOM) is strongly linked to adult hearing loss and tinnitus. However, this study found no clear association between childhood CSOM and later immune-related inflammatory disorders or cardiovascular disease.

Area of Science:

  • Otolaryngology
  • Immunology
  • Epidemiology

Background:

  • Chronic suppurative otitis media (CSOM) involves complex microbial, immunologic, and genetic factors.
  • The link between childhood otitis media, immune regulation, and adult chronic diseases remains understudied.

Purpose of the Study:

  • To investigate if childhood CSOM predicts adult immune-related inflammatory disorders or cardiovascular disease.
  • To assess the association between childhood CSOM and adult oto-vestibular diseases.

Main Methods:

  • A Norwegian population cohort study included 51,626 participants.
  • 189 participants diagnosed with CSOM in childhood (ages 7-13) were compared to 51,437 controls.
  • Logistic regression analyses were used to estimate associations with adult diseases from the Norwegian Patient Registry.

Main Results:

  • Childhood CSOM was associated with adult chronic sinusitis (OR 3.13), cardiovascular disease (OR 1.38), hearing loss (OR 5.58), and tinnitus (OR 2.62).
  • Adult hearing loss was predominantly sensorineural.
  • No significant increased risk was found for asthma, inflammatory bowel disease, inflammatory joint disease, systemic tissue disease, or vestibulopathy.

Conclusions:

  • Childhood CSOM is strongly associated with adult tinnitus and sensorineural hearing loss.
  • The study did not establish a clear association between childhood CSOM and later immune-related inflammatory disorders or cardiovascular disease.
Abstract

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