J Otolaryngol Ophthalmol Shandong Univ ›› 2013, Vol. 27 ›› Issue (6): 53-56.doi: 10.6040/j.issn.1673-3770.0.2013.189

• Articles • Previous Articles     Next Articles

Relationship between allergic rhinitis and secretory otitis media in children with adenoid hypertrophy

WU Jia-li, CHEN Shu-mei, TIAN Xin, ZHAO Li-min, NI Kun, GU Mei-zhen, CHEN Jia-rui, ZHOU Jia-lei, LI Xiao-yan   

  1. Department of Otolaryngology & Head and Neck Surgery, Shanghai Children′s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200040,China
  • Received:2013-06-23 Published:2013-12-16

Abstract:

Objective    To investigate the correlation between otitis media with effusion (OME) and allergic rhinitis(AR) in children with adenoid hypertrophy. Methods    870 patients under 12 years old with adenoid hypertrophy were collected for current retrospective analysis. Association between AR and eustachian tube dysfunction and OME was calculated by Chi-square test and logistic regression model. Results        The prevalence of allergic rhinitis children with adenoid hypertrophy was 30.11%. The prevalence of allergic rhinitis in different age groups had significant difference and increased with age(P< 0.01). The probability of eustachian tube dysfunction and OME occurring in patients younger than 6 years was high and reached the highest in 1 to 3 years old patients(P=0.001). OME prevalence was higher in spring(P=0.001) than in other seasons. The prevalence of allergic rhinitis with eustachian tube dysfunction was 1.4 times higher than those without allergic rhinitis(P=0.042). The detection rate of OME with AR was 0.32 times hihger than that of OME without AR(P=0.052). Conclusion    The structures, physiological and pathological characteristics of eustachian tube are the main factors causing eustachian tube dysfunction and high incidence of OME. Allergy maybe the secondary factor. With children′s growth,the pathogenicity of the former becomes lower and the latter becomes higher, but the incidence of otitis media with effusion decreases.

Key words: Otitis media with effusion, Eustachian tube dysfunction, Adenoid hypertrophy, Allergic rhinitis

CLC Number: 

  • R764.21
[1] WANG Tan, WU Ke, LI Lianqing, GONG Lili. Factors associated with systemic adverse reactions after subcutaneous immunotherapy injections and treatment options [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 71-74.
[2] LU Hangui, LIN Xinsheng, YAO Danmian, WEI Yongxin, LI Chuangwei. Expression of IL-35 in allergic rhinitis and its effect on the immunoregulation of T cells [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 66-70.
[3] WANG Chi, LIU Xing, KONG Lei, HONG Xinghe, NING Bo. Clinical efficacy of endoscopic plasma radiofrequency ablation in the treatment of adenoid hypertrophy and sinusitis in children and its effect on nasal mucociliary clearance [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 78-81.
[4] ZHOU Dingkun, CAI Yu,TIAN Yanhua, TENG Bo, FENG Qingjie. A case report of Grisel syndrome following adenoidectomy in Crouzon children [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 119-120.
[5] PU Hongbo, DU Xiaodong. Allergen test results in 2 000 patients with allergic rhinitis in Wuxi District [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 105-107.
[6] CHEN Ming, YU Xuefei. Opinions on the treatment of chronic rhinosinusitis with allergic rhinitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 18-22.
[7] WU Xiangping. Influence of patient management on the clinical effect of sublingual dermatophagoides farinae drops in patients [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 68-72.
[8] GAO Jinliang, NIAN Wanqing, LI Shuo. Evaluation of the clinical curative effect of nose surgery in combination with nasal corticosteroids in [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 38-42.
[9] LI Song, WANG Zonggui, YANG Jingpu, ZHANG Zhuping. Progress of transnasal endoscopic vidian neurectomy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 72-76.
[10] XIE Rilin, ZHANG Zhiping. Budesonide nasal drops in head extension position improve otitis media with effusion in children with adenoid hypertrophy: a case-study of 31 patients [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 65-67.
[11] MA Zhaoen, ZHAI Jinming, LIAO Libing, YANG Zhen. Short-term effect of eustachian tube balloon dilation in the treatment of chronic otitis media with effusion. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 54-56.
[12] ZHI Lili, SONG Daoliang. Expressions of eosinophils and IL5 in antrochoanal polyps and nasal polyps. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 43-46.
[13] WAN Wenjin, WANG Wen, CHENG Lei. A meta-analysis of subcutaneous immunotherapy and sublingual immunotherapy in the treatment of dust mite-allergic rhinitis. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 103-108.
[14] SHI Li, ZHAO Li, ZHANG Hongping. Long-term anti-inflammatory treatment of allergic rhinitis. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(3): 9-12.
[15] LIU Jing. Treatment of allergic rhinitis using syndrome differentiation based on the concept of “holism” in TCM. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(3): 28-30.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!