Increased risk of otitis media with effusion in allergic children presenting with adenoiditis
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文摘
Retrospective chart review of 76 patients referred to a tertiary care institution for evaluation of a failed newborn hearing screening test.

Setting:

Arkansas Children's Hospital, Little Rock, Arkansas.

Results:

Seventy-six patients were referred for failed OAEs and complete otolaryngology evaluation. Mean age at the time of referral was 3 months (0.25 years) old. OME was identified in 64.5 % of the patients. ABR confirmed a suspected hearing loss in 15 patients (78.9 % ) without middle ear disease. Effusion resolved without surgical intervention in 65.3 % of infants, while 17 (34.7 % ) of the infants required tubes. SNHL was subsequently identified in 11 % of infants after resolution of the effusion.

Conclusions:

OME is a common cause of failed infant hearing screens, and should be looked for prior to definitive diagnostic hearing testing. OME resolves in the majority of infants, but tube insertion is necessary to allow for diagnostic testing in nearly one third of infants. The majority of infants without OME had SNHL confirmed. SNHL was also identified in 11 % of infants with OME after resolution of the effusion.


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gif"" alt="""">how('infobubble_3','mlktLink_3')"" onMouseOut=""InfoBubble.timeout()"">Diseases of the ear
Journal of Allergy and Clinical Immunology
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Journal of Allergy and Clinical Immunology, Volume 81, Issue 5, Part 2, May 1988, Pages 1009-1014
C. Warren Bierman, William E. Pierson

Abstract
Otitis media with effusion is a major disorder in children and the most common cause for both major surgery (adenoidectomy with or without tonsillectomy) and minor surgery (middle ear ventilating tubes) in both the United States and Britain. It is frequently associated with respiratory allergy. Medical evaluation, diagnosis, and therapy are discussed. Environmental control measures and pharmacotherapy are reviewed, with a critical review of published appropriately designed studies for its treatment and prevention.

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gif"" width=""1"" height=""10"" border=""0"" alt="""">doi:10.1016/j.otohns.2008.01.020 gif"" width=""136"" height=""14"" alt=""How to Cite or Link Using DOI (Opens New Window)"" title=""How to Cite or Link Using DOI (Opens New Window)"" border=""0"" align=""absmiddle"">
Copyright © 2008 American Academy of Otolaryngology–Head and Neck Surgery Foundation Published by Mosby, Inc.

Original research—pediatric otolaryngology

Increased risk of otitis media with effusion in allergic children presenting with adenoiditis

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