[Approaches to the correction of auditory tube dysfunction in children with allergic rhinitis]

Allergic diseases are a global public health problem. One of the most common among them is allergic rhinitis (AR), which affects up to 40% of adults and 2-25% of children.

To assess the state of ventilation of the middle ear in various forms of AR in children and the effectiveness of drug correction.

We conducted a comprehensive examination of 100 children with various forms of AR. The examination complex included the analysis of anamnestic data, the clinical picture of the disease, subjective otological symptoms, data from otoscopy, acoustic impedansometry and tonal threshold audiometry.

There are 3 groups of children.

Group 1 - 40 children suffering from intermittent allergic rhinitis with pollen sensitization.

Group 2 - 20 children with persistent allergic rhinitis with household sensitization.

Group 3 - 40 children suffering from persistent allergic rhinitis in combination with an allergic form of bronchial asthma.

1. Regardless of the form of AR, every third patient has auditory tube dysfunction, which develops mainly on both sides, is asymptomatic and is not accompanied by otoscopic changes.

2. As a result of combination therapy, including irrigation agents, montelukast and cetirizine, an improvement in the ventilation of the tympanic cavity was noted with a decrease in the number of recording tympanograms of type «B» and «C» from 30.5 to 22.0%.