Incidence of Otitis Media with Effusion in Adenoid Hypertrophy with Allergic Rhinitis in Children
- VernacularTitle:儿童腺样体肥大合并变应性鼻炎对分泌性中耳炎发生率的影响
- Author:
Huiyi DENG
;
Qintai YANG
;
Weihao WANG
;
Xuekun HUANG
;
Jiancong HUANG
;
Yulian CHEN
;
Peng LI
;
Gehua ZHANG
- Keywords:
adenoid hypertrophy;
otitis media with effusion;
allergic rhinitis;
lateral airway inflammation
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2017;38(1):101-105
- CountryChina
- Language:Chinese
-
Abstract:
Objective]In order to study the impact of adenoid hypertrophy(AH)with allergic rhinitis(AR)in the otitis media with effusion(OME)in children,as well as to discuss the risk factors on the inducement of OME in patients with AH.[Methods]The clinical materials were collected and analyzed from 205 children with AH who admitted for surgical treatment between 2013 and 2015, including medical history and signs,acoustic immittance measurement,allergy screen as well as blood routine,and to evaluate the situation of OME and AR in patients with AH. All the data were analyzed by SPSS 20.0.[Results]Among the 205 AH children,66 cases(32.20%)were accompanying with OME. The AH patients aged 3-5 years had the highest incidence of OME,which decreased with age(P=0.018). It is significant on the prevalence of the OME in patients with AH between the two groups with and without AR (P = 0.010). In the logistic model investigating the risk factors of inducing OME among patients with AH,the third-degree AH, Type-three and the accompanying with AR were significant. The third-degree and third-type AH children were 2.729 and 6.390-folds higher than others respectively (P = 0.047,P = 0.001). The incidence of OME appeared to be 1.212-folds higher among patients with AR(P = 0.010).[Conclusion]Mechanical obstruction and AR played a superimposed role in the inducement of OME among patients with AH,which was effected by multiple factors. We should pay attention to the“lateral respiratory”allergic diseases on eustachian tube and middle ear.
