Atopy in children with otitis media with effusion

Caffarelli, Carlo; Savini, E; Giordano, Salvatore; Gianlupi, G; Cavagni, Giovanni

doi:10.1046/j.1365-2222.1998.00284.x

“…During the last few decades, the etiologic relationship between rhinitis and otitis media, especially the role of allergy in OME, has been the subject of much controversy (15,2131,2132).…”

Section: Otitis Media With Effusion (Ome)mentioning

confidence: 99%

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Bousquet¹,

Khaltaev²,

Cruz³

et al. 2008

Allergy

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“…Alguns autores não observaram interação 22,25 , enquanto outros verificaram associação positiva, sendo os fenômenos atópi-cos considerados fatores de risco para as otites [26][27][28] .…”

Section: Resultsunclassified

Secretion of middle ear in infants - occurrence, recurrence and related factors

Saes¹,

Goldberg²,

Montovani³

2005

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Objective: The present study aimed at evaluating the occurrence and recurrence of middle ear effusion and possible associated factors in the first two years of life of 190 newborns and infants, participants in the interdisciplinary prevention, detection, and intervention program at the Clínica de Educação para Saúde of Universidade do Sagrado Coração.Methods: Newborns and infants were monthly submitted to anamneses, otoscopy, behavioral hearing assessment using sound instruments and pure tones (pediatric audiometry) and tympanometry. Results:The results revealed that 68.4% of infants presented one or more episodes of middle ear effusion during their two first years, with more recurrence among males. Peak occurrence was between four and 12 months of age and, the earlier the first episode, the higher the probability of recurrence. Greatest incidence was during May and August. It was found that, of the variables investigated, the period of exclusive breastfeeding actuated as a protector factor. With respect of risk factors, it was observed that passive smoking, gastro-esophageal reflux and respiratory allergy were related with the recurrences of effusion. Conclusion:Findings revealed the importance of periodic auditory follow-up for infants during their first two years of life, considered to be the critical period of auditory system maturation, during which sensory deprivation can be responsible for damage to the development of speech, language and other auditory abilities.J Pediatr (Rio J). 2005;81(2):133-8: Otoscopy, otitis media, acoustic impedance tests. ResumoObjetivo: O presente estudo objetivou avaliar a ocorrência e recorrência de secreção na orelha média e os possíveis fatores associados, em 190 recém-nascidos e lactentes observados nos 2 primeiros anos de vida, participantes de um programa de prevenção, detecção e intervenção interdisciplinar desenvolvido na Clínica de Educação para Saúde da Universidade do Sagrado Coração.Métodos: Os recém-nascidos e lactentes foram submetidos mensalmente a anamnese, otoscopia, avaliação audiológica comportamental por meio de instrumentos sonoros e tons puros (audiometria pediátrica) e timpanometria.Resultados: Os resultados revelaram que 68,4% dos lactentes apresentaram um ou mais episódios de secreção na orelha média nos 2 primeiros anos, com maior recorrência para o sexo masculino. A idade de maior ocorrência foi entre 4 e 12 meses. Quanto mais cedo ocorreu o primeiro episódio, maior foi a probabilidade de recorrência. Os meses do ano de maior incidência foram de maio a agosto. Das variáveis estudadas, constatou-se que o período de aleitamento materno exclusivo atuou como um fator protetor. Quanto aos fatores de risco, verificou-se que a presença tabagismo passivo, refluxo gastroesofági-co, alergia respiratória esteve relacionada à recorrência de efusão.Conclusão: Os achados revelaram a importância do acompanhamento auditivo periódico para lactentes nos 2 primeiros anos de vida, considerando ser o período crítico para o processo de maturação do sistema auditiv...

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“…Some authors did not observe any interaction, 22,25 while others found a positive association, with atopic phenomena being considered as risk factors for otitis. [26][27][28] Overall, the results of such studies and of this one warn of the need for continuous research into the subject and allergic control of patients suffering from middle ear secretion, which could reduce or extinguish these occurrences and their complications, promoting better quality of life for patients.…”

Section: Discussionmentioning

confidence: 99%

Secreção na orelha média em lactentes - ocorrência, recorrência e aspectos relacionados

Saes¹,

Goldberg²,

Montovani³

2005

J. Pediatr. (Rio J.)

19

0

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Objective: The present study aimed at evaluating the occurrence and recurrence of middle ear effusion and possible associated factors in the first two years of life of 190 newborns and infants, participants in the interdisciplinary prevention, detection, and intervention program at the Clínica de Educação para Saúde of Universidade do Sagrado Coração.Methods: Newborns and infants were monthly submitted to anamneses, otoscopy, behavioral hearing assessment using sound instruments and pure tones (pediatric audiometry) and tympanometry. Results:The results revealed that 68.4% of infants presented one or more episodes of middle ear effusion during their two first years, with more recurrence among males. Peak occurrence was between four and 12 months of age and, the earlier the first episode, the higher the probability of recurrence. Greatest incidence was during May and August. It was found that, of the variables investigated, the period of exclusive breastfeeding actuated as a protector factor. With respect of risk factors, it was observed that passive smoking, gastro-esophageal reflux and respiratory allergy were related with the recurrences of effusion. Conclusion:Findings revealed the importance of periodic auditory follow-up for infants during their first two years of life, considered to be the critical period of auditory system maturation, during which sensory deprivation can be responsible for damage to the development of speech, language and other auditory abilities. J Pediatr (Rio J)

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Atopy in children with otitis media with effusion

Cited by 72 publications

References 39 publications

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Secretion of middle ear in infants - occurrence, recurrence and related factors

Secreção na orelha média em lactentes - ocorrência, recorrência e aspectos relacionados

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