Risk factors for otitis media with effusion: Case–control study in Sicilian schoolchildren

Martines, Francesco; Bentivegna, Daniela; Maira, E.; Sciacca, Vincenzo; Martines, Enrico

doi:10.1016/j.ijporl.2011.01.031

Cited by 70 publications

(88 citation statements)

References 27 publications

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“…Within our patient population, this likely represents the fact that these children have been tied in to the healthcare network and those younger patients with history of recurrent tonsillitis and/or snoring would be considered as candidates for tonsillectomy and adenoidectomy in conjunction with any tympanostomy tube insertion procedures. The close relationship between snoring and otitis media has been confirmed across numerous studies [4][5][6][7]11]. While it is important to note that this risk decreased significantly between the 6-7 year-olds and 8-12 year-olds, the overall rate of snoring within our older cohort is still relatively high (47.6%).…”

Section: Discussionsupporting

confidence: 73%

“…Perhaps more interesting is examining the rate of parental smoking exposure. Compiling rates from the previous literature, approximately 14.2% of those with OM had exposure to passive smoke [4,[6][7][8]11,12]. In contrast, our patients who have undergone PET insertion for COM/ROM had exposure rates of 22.2-31.4%.…”

Section: Discussionmentioning

confidence: 48%

“…The influence of gender is controversial with some studies showing a higher prevalence in males [10,11], other studies in females [7], and the remainder failing to show an effect of gender on otitis media [4,5,8]. Our results showed that males were found to undergo tympanostomy tube insertion slightly more than females (55.1, 95% CI 49.1-61.0 vs. 44.9, 95% CI 39.0-50.9, respectively).…”

Section: Discussionmentioning

confidence: 99%

“…Upper respiratory tract infections (URTIs) have been universally identified as a significant prognostic factor for COM/ROM [5][6][7][8]. Studies have shown that the opening and closing function of the eustachian tube (ET) [13], as well as the extent of inflammation on ET mucosa [14] are affected by URTIs.…”

Section: Discussionmentioning

confidence: 99%

“…An extensive literature review was conducted to identify risk factors for COM/ROM with a particular focus on those studies in school-age children [3][4][5][6][7][8][9][10][11][12]. Based on this information, a data collection form with pertinent factors relating to demographics, social environment, and patient history was developed.…”

Section: Methodsmentioning

confidence: 99%

See 4 more Smart Citations

Risk Factors for Refractory and Delayed De Novo Otitis Media Requiring Pressure Equalization Tube Insertion

Bowe¹,

Vargo²,

Abramoff³

et al. 2014

Otolaryngol.--head neck surg.

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Objective-Limited data exists regarding risk factors for otitis media in older children and specifically those for which surgical intervention is performed. This study investigated potential risk factors in this older age group who required pressure equalization tube (PET) insertion. Study design-Retrospective cohort study Setting-Tertiary care pediatric academic medical centerSubjects and methods-Children 6-12 years old undergoing PET insertion between October 1, 2010 and September 30, 2011. Data was stratified into two separate age cohorts (6-7 versus 8-12-year-olds) and compared using chi-square analysis.Results-A total of 263 patients met study criteria. PET insertion was most common in 6 yearolds (36%, 95/263). Presence of siblings (p=0.03) and history of recurrent upper respiratory tract infection (p<0.01), otalgia (p<0.05), otorrhea (p<0.001), and nasal discharge (p<0.001) were common in the older cohort. No statistical difference was found for history of recurrent acute otitis media, allergy, asthma, or atopy between the two groups (p=0.23-0.92), although the overall prevalence of these conditions was high in both cohorts. Conclusion-The 8-12-year-olds had a history of recurrent upper respiratory tract infection and more infectious symptoms than the 6-7-year-olds. Atopy can lead to a heightened susceptibility to upper respiratory tract infections and potential increase in the relative risk of otitis media. In our patient population, while there was no statistically significant difference in history of asthma, allergy, or atopy, the overall prevalence within both cohorts was relatively high. Therefore, this This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionsupporting

confidence: 73%