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  • Title: Increased risk of otitis media with effusion in allergic children presenting with adenoiditis.
    Author: Marseglia GL, Pagella F, Caimmi D, Caimmi S, Castellazzi AM, Poddighe D, Klersy C, Ciprandi G.
    Journal: Otolaryngol Head Neck Surg; 2008 May; 138(5):572-5. PubMed ID: 18439460.
    Abstract:
    OBJECTIVE: Otitis media with effusion (OME) is a common disorder in childhood. The aim of the study was to assess the association of atopy and endoscopic features with the presence of OME. SUBJECTS AND METHODS: This cross-sectional study evaluated 287 children presenting with acute upper-airway infections persistent for at least ten days and tested through nasal endoscopy and skin-prick test. RESULTS: Fifty-three patients had a diagnosis of OME; out of them, 23 showed acute rhinosinusitis, ten adenoiditis, and 20 both features. OME was diagnosed in 26 atopic children and in 27 nonatopic ones. On a multivariable analysis, allergic rhinitis, endoscopic pattern of adenoiditis, and younger age were all shown to be independently associated with a diagnosis of OME. CONCLUSIONS: This study suggests that allergic rhinitis and adenoiditis are significant risk factors to OME development and that the risk becomes higher when these two conditions are concomitantly present.
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