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Erschienen in: Current Allergy and Asthma Reports 11/2014

01.11.2014 | OTITIS (DP SKONER, SECTION EDITOR)

Does the Type of Rhinitis Influence Development of Otitis Media with Effusion in Children?

verfasst von: Nicola Quaranta, Lucia Iannuzzi, Matteo Gelardi

Erschienen in: Current Allergy and Asthma Reports | Ausgabe 11/2014

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Abstract

Otitis media with effusion (OME) is characterized by the presence of fluid in the middle ear cavity behind an intact eardrum and is considered a multifactorial condition with Eustachian tube dysfunction as the underlying pathophysiologic condition. One of the most debated causes of OME is allergy, in particular allergic rhinitis. The aim of this paper is to review the role of rhinitis in the development of OME and in particular the role of both allergic (AR) and non-allergic rhinitis (NAR). Most of the recent literature confirms the role of AR in the development of OME, while there are few reports on the role of NAR. In non-allergic children affected by obstructive adenoid hypertrophy, the presence of mast cells in the nasal smear was associated with a high risk of developing a chronic OME.
Literatur
1.
Zurück zum Zitat Dejean Y. Rappel d’anatomie et de physiologie de la trompe d’Eustache. Ann Otolaryngol. 1981;94:443. Dejean Y. Rappel d’anatomie et de physiologie de la trompe d’Eustache. Ann Otolaryngol. 1981;94:443.
2.
Zurück zum Zitat Cunsolo E, Marchioni D, Leo G, et al. Functional anatomy of the Eustachian tube. Int J Immunopathol Pharmacol. 2010;23 Suppl 1:4–7.PubMed Cunsolo E, Marchioni D, Leo G, et al. Functional anatomy of the Eustachian tube. Int J Immunopathol Pharmacol. 2010;23 Suppl 1:4–7.PubMed
3.
Zurück zum Zitat Gaihede M, Padurariu S, Jacobsen H, et al. Eustachian tube pressure equilibration. Temporal analysis of pressure changes based on direct physiological recordings with an intact tympanic membrane. Hear Res. 2013;301(7):53–9.PubMedCrossRef Gaihede M, Padurariu S, Jacobsen H, et al. Eustachian tube pressure equilibration. Temporal analysis of pressure changes based on direct physiological recordings with an intact tympanic membrane. Hear Res. 2013;301(7):53–9.PubMedCrossRef
4.
Zurück zum Zitat Stool SE, Berg AO, Berman A et al. Otitis media with effusion in young children. Rockville (MD): U.S. Department of Health and Human Services; Clinical Practice Guideline No. 12; 1994; No. AHCRP Publication No. 94-0622. Stool SE, Berg AO, Berman A et al. Otitis media with effusion in young children. Rockville (MD): U.S. Department of Health and Human Services; Clinical Practice Guideline No. 12; 1994; No. AHCRP Publication No. 94-0622.
5.
Zurück zum Zitat Rosenfeld RM, Culpepper L, Doyle KJ, et al. Clinical practice guideline: otitis media with effusion. Otolaryngol Head Neck Surg. 2004;130 Suppl 5:95–118.CrossRef Rosenfeld RM, Culpepper L, Doyle KJ, et al. Clinical practice guideline: otitis media with effusion. Otolaryngol Head Neck Surg. 2004;130 Suppl 5:95–118.CrossRef
6.
Zurück zum Zitat Rovers MM, Stratman H, Ingels K, et al. The effect of short-term ventilation tubes versus watchful waiting on hearing in young children with persistent otitis media with effusion: a randomized trial. Ear Hear. 2001;22(3):191–9.PubMedCrossRef Rovers MM, Stratman H, Ingels K, et al. The effect of short-term ventilation tubes versus watchful waiting on hearing in young children with persistent otitis media with effusion: a randomized trial. Ear Hear. 2001;22(3):191–9.PubMedCrossRef
7.
Zurück zum Zitat Gultekin E, Develioglu ON, Yener M, et al. Prevalence and risk factors for persistent otitis media with effusion in primary school children in Istanbul, Turkey. Int J Pediatr Otorhinolaryngol. 2004;68(8):1069–74.CrossRef Gultekin E, Develioglu ON, Yener M, et al. Prevalence and risk factors for persistent otitis media with effusion in primary school children in Istanbul, Turkey. Int J Pediatr Otorhinolaryngol. 2004;68(8):1069–74.CrossRef
8.
Zurück zum Zitat Klein JO. The burden of otitis media. Vaccine. 2000;19 Suppl 1:2–8.CrossRef Klein JO. The burden of otitis media. Vaccine. 2000;19 Suppl 1:2–8.CrossRef
9.
Zurück zum Zitat Tos M. Epidemiology and natural history of secretory otitis. Am J Otol. 1984;5(6):459–62.PubMed Tos M. Epidemiology and natural history of secretory otitis. Am J Otol. 1984;5(6):459–62.PubMed
10.
Zurück zum Zitat Williamson IG, Dunleavey J, Bain J, et al. The natural history of otitis media with effusion—a three-year study of the incidence and prevalence of abnormal tympanograms in four South West Hampshire infant and first schools. J Laryngol Otol. 1994;108(11):930–4.PubMedCrossRef Williamson IG, Dunleavey J, Bain J, et al. The natural history of otitis media with effusion—a three-year study of the incidence and prevalence of abnormal tympanograms in four South West Hampshire infant and first schools. J Laryngol Otol. 1994;108(11):930–4.PubMedCrossRef
11.
Zurück zum Zitat Wallace IF, Berkman ND, Lohr KN, et al. Surgical treatments for otitis media with effusion: a systematic review. Pediatrics. 2014;133(2):296–311.PubMedCrossRef Wallace IF, Berkman ND, Lohr KN, et al. Surgical treatments for otitis media with effusion: a systematic review. Pediatrics. 2014;133(2):296–311.PubMedCrossRef
12.
Zurück zum Zitat Boonacker CW, Rovers MM, Browning GG, et al. Adenoidectomy with or without grommets for children with otitis media: an individual patient data meta-analysis. Health Technol Assess. 2014;18(5):1–118.PubMed Boonacker CW, Rovers MM, Browning GG, et al. Adenoidectomy with or without grommets for children with otitis media: an individual patient data meta-analysis. Health Technol Assess. 2014;18(5):1–118.PubMed
13.
Zurück zum Zitat Wright ED, Pearl AJ. Laterally hypertrophic adenoids as a contributing factor in otitis media. Int J Pediatr Otorhinolaryngol. 1998;45(3):208–14.CrossRef Wright ED, Pearl AJ. Laterally hypertrophic adenoids as a contributing factor in otitis media. Int J Pediatr Otorhinolaryngol. 1998;45(3):208–14.CrossRef
14.
Zurück zum Zitat Kuo CL, Lien CF, Chu CH, et al. Otitis media with effusion in children with cleft lip and palate: a narrative review. Int J Pediatr Otorhinolaryngol. 2013;77(9):1403–9.PubMedCrossRef Kuo CL, Lien CF, Chu CH, et al. Otitis media with effusion in children with cleft lip and palate: a narrative review. Int J Pediatr Otorhinolaryngol. 2013;77(9):1403–9.PubMedCrossRef
15.
Zurück zum Zitat Austeng ME, Akre H, Øverland B, et al. Otitis media with effusion in children with in Down syndrome. Int J Pediatr Otorhinolaryngol. 2013;77(8):1329–32.PubMedCrossRef Austeng ME, Akre H, Øverland B, et al. Otitis media with effusion in children with in Down syndrome. Int J Pediatr Otorhinolaryngol. 2013;77(8):1329–32.PubMedCrossRef
16.
Zurück zum Zitat Yazici H, Soy FK, Kulduk E, et al. Comparison of nasal mucociliary clearance in adenoid hypertrophy with or without otitis media with effusion. Int J Pediatr Otorhinolaryngol. 2014;78(7):1143–6.PubMedCrossRef Yazici H, Soy FK, Kulduk E, et al. Comparison of nasal mucociliary clearance in adenoid hypertrophy with or without otitis media with effusion. Int J Pediatr Otorhinolaryngol. 2014;78(7):1143–6.PubMedCrossRef
17.
Zurück zum Zitat Abrahams SW, Labbok MH. Breastfeeding and otitis media: a review of recent evidence. Curr Allergy Asthma Rep. 2011;11(6):508–12.PubMedCrossRef Abrahams SW, Labbok MH. Breastfeeding and otitis media: a review of recent evidence. Curr Allergy Asthma Rep. 2011;11(6):508–12.PubMedCrossRef
18.
Zurück zum Zitat Kong K, Coates HL. Natural history, definitions, risk factors and burden of otitis media. Med J Aust. 2009;191(9 Suppl):39–43. Kong K, Coates HL. Natural history, definitions, risk factors and burden of otitis media. Med J Aust. 2009;191(9 Suppl):39–43.
19.
Zurück zum Zitat Tavakol M, Kouhi A, Abolhassani H, et al. Otological findings in pediatric patients with hypogammaglobulinemia. Iran J Allergy Asthma Immunol. 2014;13(3):166–73.PubMed Tavakol M, Kouhi A, Abolhassani H, et al. Otological findings in pediatric patients with hypogammaglobulinemia. Iran J Allergy Asthma Immunol. 2014;13(3):166–73.PubMed
20.
Zurück zum Zitat Chonmaitree T, Howie VM, Truant AL. Presence of respiratory viruses in middle ear fluids and nasal wash specimens from children with acute otitis media. Pediatrics. 1986;77(5):698–702.PubMed Chonmaitree T, Howie VM, Truant AL. Presence of respiratory viruses in middle ear fluids and nasal wash specimens from children with acute otitis media. Pediatrics. 1986;77(5):698–702.PubMed
21.
Zurück zum Zitat Hurst DS. The role of allergy in otitis media with effusion. Otolaryngol Clin N Am. 2011;44(3):637–54.CrossRef Hurst DS. The role of allergy in otitis media with effusion. Otolaryngol Clin N Am. 2011;44(3):637–54.CrossRef
22.
Zurück zum Zitat Stenstorm C, Ingvarsson L. General illness and need of medical care in otitis prone children. Int J Pediatr Otorhinolaryngol. 1994;29(1):23–32.CrossRef Stenstorm C, Ingvarsson L. General illness and need of medical care in otitis prone children. Int J Pediatr Otorhinolaryngol. 1994;29(1):23–32.CrossRef
23.
Zurück zum Zitat Chantzi FM, Kafetzis DA, Bairamis T, et al. IgE sensitization, respiratory allergy symptoms, and heritability idependently increase the risk of otitis media: factors associated with poor outcome. Acta Otolaryngol. 1997;117(2):278–83.CrossRef Chantzi FM, Kafetzis DA, Bairamis T, et al. IgE sensitization, respiratory allergy symptoms, and heritability idependently increase the risk of otitis media: factors associated with poor outcome. Acta Otolaryngol. 1997;117(2):278–83.CrossRef
24.
Zurück zum Zitat Gelardi M, Fiorella ML, Russo C, et al. Role of nasal cytology. Int J Immunophatol Pharmacol. 2010;23 Suppl 1:45–9. Gelardi M, Fiorella ML, Russo C, et al. Role of nasal cytology. Int J Immunophatol Pharmacol. 2010;23 Suppl 1:45–9.
25.••
Zurück zum Zitat Gelardi M, Marseglia GL, Amelia L. Nasal cytology in children: recent advances. Ital J Pediatr. 2012;38:51–8. This paper highlights, for the first time, cytological aspects not only in allergic rhinitis but also in cellular non-allergic rhinitis (NARNE, NARES, NARMA, NARESMA) and overlapped rhinitis.PubMedCrossRef Gelardi M, Marseglia GL, Amelia L. Nasal cytology in children: recent advances. Ital J Pediatr. 2012;38:51–8. This paper highlights, for the first time, cytological aspects not only in allergic rhinitis but also in cellular non-allergic rhinitis (NARNE, NARES, NARMA, NARESMA) and overlapped rhinitis.PubMedCrossRef
26.
Zurück zum Zitat Pelikan Z, Pelikan-Filipek M. Cytological changes in the nasal secretions during the immediate nasal response. J Allergy Clin Immunol. 1988;82(6):1103–12.PubMedCrossRef Pelikan Z, Pelikan-Filipek M. Cytological changes in the nasal secretions during the immediate nasal response. J Allergy Clin Immunol. 1988;82(6):1103–12.PubMedCrossRef
27.
Zurück zum Zitat Pelikan Z, Pelikan-Filipek M. Cytological changes in the nasal secretions during the late nasal response. J Allergy Clin Immunol. 1989;83(6):1068–79.PubMedCrossRef Pelikan Z, Pelikan-Filipek M. Cytological changes in the nasal secretions during the late nasal response. J Allergy Clin Immunol. 1989;83(6):1068–79.PubMedCrossRef
28.
Zurück zum Zitat Ciprandi G, Buscaglia S, Pesce G, et al. Minimal persistent inflammation is present at mucosal level in asymptomatic rhinitis patients with allergy due to mites. J Allergy Clin Immunol. 1995;96(6):971–9.PubMedCrossRef Ciprandi G, Buscaglia S, Pesce G, et al. Minimal persistent inflammation is present at mucosal level in asymptomatic rhinitis patients with allergy due to mites. J Allergy Clin Immunol. 1995;96(6):971–9.PubMedCrossRef
29.
Zurück zum Zitat Ricca V, Landi M, Ferrero P. Minimal persistent inflammation is also present in patients with seasonal allergic rhinitis. J Allergy Clin Immunol. 2000;105(1):54–7.PubMedCrossRef Ricca V, Landi M, Ferrero P. Minimal persistent inflammation is also present in patients with seasonal allergic rhinitis. J Allergy Clin Immunol. 2000;105(1):54–7.PubMedCrossRef
30.
Zurück zum Zitat Gelardi M, Russo C, Fiorella ML, et al. Inflammatory cell types in nasal polyps. Cytopathology. 2009;21(3):201–3.PubMedCrossRef Gelardi M, Russo C, Fiorella ML, et al. Inflammatory cell types in nasal polyps. Cytopathology. 2009;21(3):201–3.PubMedCrossRef
31.
Zurück zum Zitat Gelardi M, Fiorella ML, Fiorella R. When allergic rhinitis is not only allergic. Am J Rhinol. 2009;23(3):312–5.CrossRef Gelardi M, Fiorella ML, Fiorella R. When allergic rhinitis is not only allergic. Am J Rhinol. 2009;23(3):312–5.CrossRef
32.••
Zurück zum Zitat Kreiner-Møller E, Chawes BL, Caye-Thomasen P, et al. Allergic rhinitis is associated with otitis media with effusion: a birth cohort study. Clin Exp Allergy. 2012;42(11):1615–20. This study underlines the significant association between OME and allergic rhinitis explaining its mechanisms.PubMedCrossRef Kreiner-Møller E, Chawes BL, Caye-Thomasen P, et al. Allergic rhinitis is associated with otitis media with effusion: a birth cohort study. Clin Exp Allergy. 2012;42(11):1615–20. This study underlines the significant association between OME and allergic rhinitis explaining its mechanisms.PubMedCrossRef
33.
Zurück zum Zitat Kwon C, Lee HY, Kim MG, et al. Allergic diseases in children with otitis media with effusion. Int J Pediatr Otorhinolaryngol. 2013;77(2):158–61.PubMedCrossRef Kwon C, Lee HY, Kim MG, et al. Allergic diseases in children with otitis media with effusion. Int J Pediatr Otorhinolaryngol. 2013;77(2):158–61.PubMedCrossRef
34.
Zurück zum Zitat Yeo SG, Park DC, Eun YG. The role of allergic rhinitis in the development of otitis media with effusion: effect on Eustachian tube function. Am J Otolaryngol. 2007;28(3):148–52.PubMedCrossRef Yeo SG, Park DC, Eun YG. The role of allergic rhinitis in the development of otitis media with effusion: effect on Eustachian tube function. Am J Otolaryngol. 2007;28(3):148–52.PubMedCrossRef
35.
Zurück zum Zitat Tomonaga K, Kurono Y, Mogi G. The role of nasal allergy in otitis media with effusion. A clinical study. Acta Otolaryngol Suppl. 1988;458:41–7.PubMedCrossRef Tomonaga K, Kurono Y, Mogi G. The role of nasal allergy in otitis media with effusion. A clinical study. Acta Otolaryngol Suppl. 1988;458:41–7.PubMedCrossRef
36.
Zurück zum Zitat Caffarelli C, Savini E, Giordano S, et al. Atopy in children with otitis media with effusion. Clin Exp Allergy. 1998;28(5):591–6.PubMedCrossRef Caffarelli C, Savini E, Giordano S, et al. Atopy in children with otitis media with effusion. Clin Exp Allergy. 1998;28(5):591–6.PubMedCrossRef
37.•
Zurück zum Zitat Lack G, Caulfield H, Penagos M. The link between otitis media with effusion and allergy: a potential role for intranasal corticosteroids. Pediatr Allergy Immunol. 2011;22(3):258–66. This review analyzes the importance of medical management in the treatment of OME.PubMedCrossRef Lack G, Caulfield H, Penagos M. The link between otitis media with effusion and allergy: a potential role for intranasal corticosteroids. Pediatr Allergy Immunol. 2011;22(3):258–66. This review analyzes the importance of medical management in the treatment of OME.PubMedCrossRef
38.
Zurück zum Zitat Alles R, Parikh A, Hawk L. The prevalence of atopic disorders in children with chronic otitis media with effusion. Pediatr Allergy Immunol. 2001;12(2):102–6.PubMedCrossRef Alles R, Parikh A, Hawk L. The prevalence of atopic disorders in children with chronic otitis media with effusion. Pediatr Allergy Immunol. 2001;12(2):102–6.PubMedCrossRef
39.
Zurück zum Zitat Sobol SE, Taha R, Schloss MD, et al. TH2 cytokine expression in atopic children with otitis media with effusion. J Allergy Clin Immunol. 2002;110(1):125–30.PubMedCrossRef Sobol SE, Taha R, Schloss MD, et al. TH2 cytokine expression in atopic children with otitis media with effusion. J Allergy Clin Immunol. 2002;110(1):125–30.PubMedCrossRef
40.
Zurück zum Zitat Hurst DS, Venge P. Evidence of eosinophil, neutrophil, and mast-cell mediators in the effusion of OME patients with and without atopy. Allergy. 2000;55(5):432–41.CrossRef Hurst DS, Venge P. Evidence of eosinophil, neutrophil, and mast-cell mediators in the effusion of OME patients with and without atopy. Allergy. 2000;55(5):432–41.CrossRef
41.
Zurück zum Zitat Krouse JH. The unified airway. Otolaryngol Clin N Am. 2008;41(2):257–66.CrossRef Krouse JH. The unified airway. Otolaryngol Clin N Am. 2008;41(2):257–66.CrossRef
42.
Zurück zum Zitat Quaranta N, Milella C, Iannuzzi L, et al. A study of the role of different forms of chronic rhinitis in the development of otitis media with effusion in children affected by adenoid hypertrophy. Int J Pediatr Otorhinolaryngol. 2013;77(12):1980–3.PubMedCrossRef Quaranta N, Milella C, Iannuzzi L, et al. A study of the role of different forms of chronic rhinitis in the development of otitis media with effusion in children affected by adenoid hypertrophy. Int J Pediatr Otorhinolaryngol. 2013;77(12):1980–3.PubMedCrossRef
43.
Zurück zum Zitat Nguyen LH, Manoukian JJ, Yoskovitch A, et al. Adenoidectomy: selection criteria for surgical cases of otitis media. Laryngoscope. 2004;114(5):863–6.PubMedCrossRef Nguyen LH, Manoukian JJ, Yoskovitch A, et al. Adenoidectomy: selection criteria for surgical cases of otitis media. Laryngoscope. 2004;114(5):863–6.PubMedCrossRef
44.
Zurück zum Zitat Collins MP, Chuch MK, Bakhshi KN, et al. Adenoid histamine and its possible relationship to secretory otitis media. J Laryngol Otol. 1994;99(7):685–91.CrossRef Collins MP, Chuch MK, Bakhshi KN, et al. Adenoid histamine and its possible relationship to secretory otitis media. J Laryngol Otol. 1994;99(7):685–91.CrossRef
45.
Zurück zum Zitat Hoa M, Tomovic S, Nistico L, et al. Identification of adenoid biofilms with middle ear pathogens in otitis-prone children utilizing SEM and FISH. Int J Pediatr Otorhinolaryngol. 2009;73(9):1242–8.PubMedCrossRef Hoa M, Tomovic S, Nistico L, et al. Identification of adenoid biofilms with middle ear pathogens in otitis-prone children utilizing SEM and FISH. Int J Pediatr Otorhinolaryngol. 2009;73(9):1242–8.PubMedCrossRef
46.
Zurück zum Zitat Berger G, Ophir D. Possible role of adenoid mast cells in the pathogenesis of secretory otitis media. Ann Otol Rhinol Laryngol. 1994;103(8):632–5.PubMed Berger G, Ophir D. Possible role of adenoid mast cells in the pathogenesis of secretory otitis media. Ann Otol Rhinol Laryngol. 1994;103(8):632–5.PubMed
47.
Zurück zum Zitat Saafan ME, Ibrahim WS, Tomoum MO. Role of adenoid biofilm in chronic otitis media with effusion in children. Eur Arch Otorhinolaryngol. 2013;270(9):2417–25.PubMedCrossRef Saafan ME, Ibrahim WS, Tomoum MO. Role of adenoid biofilm in chronic otitis media with effusion in children. Eur Arch Otorhinolaryngol. 2013;270(9):2417–25.PubMedCrossRef
48.
Zurück zum Zitat Seckin O, Ulualp Sahin D, Yilmaz N, et al. Increased adenoid mast cells in patients with otitis media with effusion. Int J Pediatr Otorhinolaryngol. 1998;49(2):107–11. Seckin O, Ulualp Sahin D, Yilmaz N, et al. Increased adenoid mast cells in patients with otitis media with effusion. Int J Pediatr Otorhinolaryngol. 1998;49(2):107–11.
49.
Zurück zum Zitat Meltzer EO, Orgel HA, Jalowayski AA. Histamine levels and nasal cytology in children with chronic otitis media and rhinitis. Ann Allergy Asthma Immunol. 1995;74(5):406–10.PubMed Meltzer EO, Orgel HA, Jalowayski AA. Histamine levels and nasal cytology in children with chronic otitis media and rhinitis. Ann Allergy Asthma Immunol. 1995;74(5):406–10.PubMed
50.
Zurück zum Zitat Saylam G, Tatar EC, Tatar I, et al. Association of adenoid surface biofilm formation and chronic otitis media with effusion. Arch Otolaryngol Head Neck Surg. 2010;136(6):550–5.PubMedCrossRef Saylam G, Tatar EC, Tatar I, et al. Association of adenoid surface biofilm formation and chronic otitis media with effusion. Arch Otolaryngol Head Neck Surg. 2010;136(6):550–5.PubMedCrossRef
51.
Zurück zum Zitat Gelardi M, Passalacqua G, Fiorella ML, et al. Nasal cytology: the infectious spot, an expression of a morphological-chromatic biofilm. Eur J Clin Microbiol Infect Dis. 2011;30(9):1105–9.PubMedCrossRef Gelardi M, Passalacqua G, Fiorella ML, et al. Nasal cytology: the infectious spot, an expression of a morphological-chromatic biofilm. Eur J Clin Microbiol Infect Dis. 2011;30(9):1105–9.PubMedCrossRef
52.
Zurück zum Zitat Caffarelli C, Cavagni G, Giordano S, et al. Increased nasal eosinophils in children with otitis media with effusion. Otolaryngol Head Neck Surg. 1996;115(5):454–7.PubMedCrossRef Caffarelli C, Cavagni G, Giordano S, et al. Increased nasal eosinophils in children with otitis media with effusion. Otolaryngol Head Neck Surg. 1996;115(5):454–7.PubMedCrossRef
Metadaten
Titel
Does the Type of Rhinitis Influence Development of Otitis Media with Effusion in Children?
verfasst von
Nicola Quaranta
Lucia Iannuzzi
Matteo Gelardi
Publikationsdatum
01.11.2014
Verlag
Springer US
Erschienen in
Current Allergy and Asthma Reports / Ausgabe 11/2014
Print ISSN: 1529-7322
Elektronische ISSN: 1534-6315
DOI
https://doi.org/10.1007/s11882-014-0472-2

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