Role of Nasal Allergy in Chronic Secretory Otitis Media

Overview

Journal Curr Allergy Asthma Rep

Specialties Allergy & Immunology
Pulmonary Medicine

Date 2009 Feb 13

PMID 19210899

Citations 5

Authors

Zdenek Pelikan

Affiliations

Soon will be listed here.

Abstract

Nasal allergy seems to be one of the important causes of chronic secretory otitis media (SOM) in children and adults. Chronic SOM is unequivocally related to disturbed function of the eustachian tube, which facilitates communication of the middle ear with the nasopharynx, nasal cavity, and indirectly with paranasal sinuses. The most serious consequences of chronic SOM are decreased elasticity of the tympanic membrane and hearing impairment. Allergic reactions in the nasal mucosa leading to release of various mediators result in development of three types of nasal response characterized predominantly by nasal obstruction. Eustachian tube functions can be affected directly by the mediators released in the nasal mucosa or indirectly by the nasal obstruction. Nasal challenges with allergens performed by rhinomanometry, combined with tympanometry and eventually audiometry, may be a useful diagnostic supplement for this disorder.

Citing Articles

Audiometric Outcomes of Ventilation Drainage Treatment for Otitis Media with Effusion in Children: Implications for Speech Development and Hearing Loss.

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PMID: 37752698 PMC: 10543299. DOI: 10.12659/MSM.941350.

Otitis media with effusion and atopy: is there a causal relationship?.

Zernotti M, Pawankar R, Ansotegui I, Badellino H, Croce J, Hossny E World Allergy Organ J. 2017; 10(1):37.

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Detection of bacteria in middle ear effusions based on the presence of allergy: does allergy augment bacterial infection in the middle ear?.

Kim W, Kim B, Chang K, Oh J J Otolaryngol Head Neck Surg. 2015; 44:58.

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Pro-inflammatory interleukins in middle ear effusions from atopic and non-atopic children with chronic otitis media with effusion.

Zielnik-Jurkiewicz B, Stankiewicz-Szymczak W Eur Arch Otorhinolaryngol. 2015; 273(6):1369-78.

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Nasal Allergy and Otitis Media: A real correlation?.

Passali D, Passali G, Lauriello M, Romano A, Bellussi L, Passali F Sultan Qaboos Univ Med J. 2014; 14(1):e59-64.

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