Otitis media with effusion (OME) is characterized by the fluid present in the middle ear, behind an intact tympanic membrane, and without signs and symptoms of an acute infection (1). OME is very common because it has been reported that about 90% of children suffer from OME before school age (2). Physiologically, the middle ear is aerated 3-4 times /min from the Eustachian tube (ET) during swallowing. If ET function is compromised, a relative negative pressure develops in the middle ear, promoting fluid accumulation (3). In children, ET dysfunction mainly depends on post-infective or allergic inflammation and/or adenoid hypertrophy. Symptoms include hearing loss and feeling of ear fullness accentuated at night in the supine position. OME diagnosis is made through micro-otoscopy and tympanometry (1).
Allergen immunotherapy in children with otitis media with effusion: A preliminary experience
Ignazio La MantiaPrimo
Conceptualization
;
2021-01-01
Abstract
Otitis media with effusion (OME) is characterized by the fluid present in the middle ear, behind an intact tympanic membrane, and without signs and symptoms of an acute infection (1). OME is very common because it has been reported that about 90% of children suffer from OME before school age (2). Physiologically, the middle ear is aerated 3-4 times /min from the Eustachian tube (ET) during swallowing. If ET function is compromised, a relative negative pressure develops in the middle ear, promoting fluid accumulation (3). In children, ET dysfunction mainly depends on post-infective or allergic inflammation and/or adenoid hypertrophy. Symptoms include hearing loss and feeling of ear fullness accentuated at night in the supine position. OME diagnosis is made through micro-otoscopy and tympanometry (1).File | Dimensione | Formato | |
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