Otitis Media and Related Complications Among Children with Autism Spectrum Disorders

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• 作者：Daniel J. Adams ; Apryl Susi…
• 关键词：Autism spectrum disorders ; Child development disorders ; pervasive ; Otitis media ; Mastoiditis
• 刊名：Journal of Autism and Developmental Disorders
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：46
• 期：5
• 页码：1636-1642
• 全文大小：363 KB
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• 作者单位：Daniel J. Adams (1)
  Apryl Susi (1)
  Christine R. Erdie-Lalena (2)
  Gregory Gorman (1)
  Elizabeth Hisle-Gorman (1)
  Michael Rajnik (1)
  Marilisa Elrod (3)
  Cade M. Nylund (1)
  
  1. Department of Pediatrics, Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD, 20814, USA
  2. Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD, USA
  3. Department of Pediatrics, Madigan Army Medical Center, Tacoma, WA, USA
  
• 刊物类别：Behavioral Science
• 刊物主题：Psychology
  Child and School Psychology
  Pediatrics
  
• 出版者：Springer Netherlands
• ISSN：1573-3432

文摘

Acute otitis media (AOM) symptoms can be masked by communication deficits, common to children with autism spectrum disorders (ASD). We sought to evaluate the association between ASD and otitis media. Using ICD-9-CM diagnostic codes, we performed a retrospective case-cohort study comparing AOM, and otitis-related diagnoses among children with and without ASD. Children with ASD had a significantly increased rate of AOM, otitis media with effusion, otorrhea, and PE tube placement. Children with ASD were more than twice as likely to develop mastoiditis, and to undergo mastoidectomy and tympanoplasty. Children with ASD are more likely to have middle ear infections and otitis-related complications, highlighting the importance of routine middle ear examinations and close attention to hearing impairment in this population.