Autonomic dysfunction in the inner ear

Hilger, Jerome A.

doi:10.1288/00005537-194901000-00001

Cited by 17 publications

(7 citation statements)

References 4 publications

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“…5 In fact, it is likely that many of our patients' symptoms and physical findings are multifactorial in nature so that the patient who has the common symptoms of nasal obstruction and congestion, sneezing, burning, and drainage and who is found to have positive allergy test results will be categorized as having "allergic rhinitis" but may still have a combination of allergic and nonallergic rhinitis. 8,21 The true wastebasket diagnosis is "nonallergic rhinitis," since it includes rhinitis medicamentosa, rhinitis of pregnancy, nonallergic rhinitis with eosinophilia syndrome, and vasomotor rhinitis, to name a few. The fact is, after eliminating allergy as a possible cause, the diagnosis of nonallergic rhinitis is lazily offered unless obvious factors such as pregnancy or topical decongestant misuse are present, in which case the diagnosis is further specified.…”

Section: Bottom Linementioning

confidence: 99%

“…[7][8][9][10] These authors discuss the role of the autonomic nervous system in maintaining sinonasal health through the regulation of vascularity and mucosal gland function, and they speculate that the autonomic nervous system regulates the reactivity of the nasal and sinus mucous membranes and glands. They note that the inferior turbinate in particular contains mucous and serous glands, vascular channels, and autonomic nervous system branches that constitute a delicately sensitive and reactive organ.…”

Section: Introductionmentioning

confidence: 99%

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Vasomotor Rhinitis Is Not a Wastebasket Diagnosis

Smith¹

2003

Arch Otolaryngol Head Neck Surg

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Section: Bottom Linementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Vasomotor Rhinitis Is Not a Wastebasket Diagnosis

Smith¹

2003

Arch Otolaryngol Head Neck Surg

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“…The significance of the clinical burden of the ANS on otorhinolaryngologic disorders was highlighted by Hilger 102 over 60 years ago. However, our understanding of the pathophysiology of ANS dysfunction is limited by mostly level 5 evidence in small studies with a lack of recent updates.…”

Section: Resultsmentioning

confidence: 99%

Autonomic nervous system dysfunction and sinonasal symptoms

Yao

Wilson

Ball

2018

Allergy�Rhinol (Providence)

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BackgroundThe autonomic nervous system (ANS) richly innervates the nose and paranasal sinuses, and has a significant role in lower airway diseases, e.g., asthma. Nonetheless, its contribution to sinonasal symptoms is poorly understood. This review aimed to explore the complex relationship between the ANS and sinonasal symptoms, with reference to systemic diseases and triggers of ANS dysfunction.MethodsA review of articles published in English was conducted by searching medical literature databases with the key words “autonomic nervous system” and (“sinusitis” or “nose” or “otolaryngology”). All identified abstracts were reviewed, and, from these, relevant published whole articles were selected.ResultsThe ANS has a significant role in the pathophysiologic mechanisms that produce sinonasal symptoms. There was limited evidence that describes the relationship of the ANS in sinonasal disease with systemic conditions, e.g. hypertension. There was some evidence to support mechanisms related to physical and psychological stressors in this relationship.ConclusionThe role of ANS dysfunction in sinonasal disease is highly complex. The ANS sits within a web of multiple factors, including personality and psychological distress, that contribute to sinonasal symptoms. Further research will help to clarify the etiology of ANS dysfunction and its contribution to common systemic conditions.

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“…More recent work has supported the notion of hypothyroidism (Freeman and Freeman, 1960;Bierman and Furukawa, 1978), though acknowledging it as responsible in only a small number of cases. The autonomic nervous system was the other control system attracting much attention (Suehs, 1952); Hilger (1949) suggested that autonomic disturbances could underlie some glue ear cases and Hoople (1950) challenged his colleagues to 'ferret out' such cases. There is no evidence from the medical literature that they responded to this challenge.…”

Section: (C) Constitutional Disordersmentioning

confidence: 99%

Causes of glue ear

Black

1985

J. Laryngol. Otol.

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Over the past one hundred years medical views on the cause of glue ear have frequently changed. The medical literature was reviewed to see if these changes reflected advances in the level of scientific support for different causes. This revealed that only a few of the many proposed causes command any scientific support. An explanation for the changing pattern of views on the aetiology of glue ear was therefore sought by considering secular changes in medical knowledge and belief in general. This suggested that the views held on the cause of glue ear at any given time are influenced and largely determined by the prevailing knowledge and beliefs of medicine as a whole. This phenomenon is not peculiar to glue ear--though conditions about which there is considerable uncertainty are probably more susceptible to such influences.

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Autonomic dysfunction in the inner ear

Cited by 17 publications

References 4 publications

Vasomotor Rhinitis Is Not a Wastebasket Diagnosis

Vasomotor Rhinitis Is Not a Wastebasket Diagnosis

Autonomic nervous system dysfunction and sinonasal symptoms

Causes of glue ear

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