Allergy testing in otology

The allergic etiologic factors in many otologic diseases are becoming increasingly apparent. Recent advances in the understanding of mechanisms in atopic allergic reactions have resulted in the development of highly accurate diagnostic tools. The development of the radioallergosorbent test (RAST) for determining specific IgE has lead to very effective techniques of immunotherapy. Unfortunately, the mechanisms involved in nonatopic sensitivity, such as that found in food and chemical allergies, are still poorly understood. It is hoped that research will reveal the mechanisms of nonatopic disease and lead to effective in vitro diagnosis and treatment. Regardless of which techniques are used in diagnosis and treatment, education of the allergy patient is imperative to ensure that long-lasting good results are obtained.