Secretory otitis media—Evidence for an inherited aetiology

Rockley, T. J.; Evans, Peter H.

doi:10.1017/s0022215100099370

Cited by 18 publications

(9 citation statements)

References 11 publications

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“…Familial factors have also been shown to be important in the aetiology of OM [5,17,18]. We confirmed that a family history of ear infection was a predictor of effusion in this population.…”

Section: Risk Factors For Presence Of Effusionsupporting

confidence: 80%

Middle ear effusion: rate and risk factors in Australian children attending day care

et al. 1999

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There have been no previous longitudinal studies of otitis media conducted in non-Aboriginal Australian children. This paper describes the rate and risk factors for middle ear effusion (MEE) in children attending day care in Darwin, Australia. A prospective cohort study of 252 children under 4 years was conducted in 9 day care centres over 12 fortnights between 24 March and 15 September 1997. Tympanometry was conducted fortnightly and multivariate analysis used to determine risk factors predicting MEE. The outcome of interest was the rate of type B tympanograms per child detected in either ear at fortnightly examinations. After adjusting for clustering by child, MEE was detected on average 4.4 times in 12 fortnights (37% of all examinations conducted). Risk factors associated with presence of effusion were younger age, a family history of ear infection, previous grommets (tympanostomy tubes), ethnicity and the day care centre attended. A history of wheeze appeared protective. These effects were modest (RR 0.57-1.70). Middle ear effusion is very common in children attending day care in Darwin. This has clinical importance, since MEE during early childhood may affect optimal hearing, learning and speech development. There is little scope for modification for many of the risk factors for MEE predicted by this model. Further study of the day care environment is warranted.

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“…Familial factors have also been shown to be important in the aetiology of OM [5,17,18]. We confirmed that a family history of ear infection was a predictor of effusion in this population.…”

Section: Risk Factors For Presence Of Effusionsupporting

confidence: 80%

Middle ear effusion: rate and risk factors in Australian children attending day care

et al. 1999

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“…On the other hand, some investigators have reported the course of SOM to be more favourable in girls than in boys, and tympanic membrane scarring to be more common in parents of children with chronic SOM than in parents of healthy children. indicating that the existence of some hereditary factor can not be excluded (28,29). Although our rAOM children had significantly more SOM periods of several months' duration than the "healthy" children, none of them had middle ear secretion at 10-y follow-up.…”

Section: Discussionmentioning

confidence: 73%

Sequelae of recurrent acute otitis media. Ten‐year follow‐up of a prospectively studied cohort of children

et al. 1997

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In a cohort of 113 children prospectively followed from birth to the age of 3, two subgroups were discerned: one with recurrent acute otitis media (rAOM), the other subgroup with no AOM at all ("healthy" children). At further follow-up at the age of 10, no child had AOM or secretory otitis media (SOM), but between 3 and 7 y of age the rAOM subgroup was characterized by a significantly higher incidence of AOM as well as protracted secretory otitis media (SOM) episodes than was the "healthy" subgroup. The two subgroups did not differ significantly in hearing-thresholds at pure tone audiometry. After the age of 7, the incidence of AOM was the same in both groups. It is concluded that children with frequent AOM episodes before the age of 3 need long-term follow-up to school age, but seem not be predisposed to chronic SOM.

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“…A trend for SOM to heal more rapidly in girls than in boys has also been observed (Fiellau-Nikolajsen, 1979a;. Another observation is that the parents of children with long-lasting SOM, more fre quently than parents of children without ear problems, have significantly more scars in the tympanic membrane consistent with former episodes of otitis media (Rockley & Rhys Evans, 1986).…”

Section: Selected Congenital and Hereditary Factorsmentioning

confidence: 77%

Factors Disposing for Otitis Media

Prellner¹

1995

Semin Hear

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Secretory otitis media—Evidence for an inherited aetiology

Cited by 18 publications

References 11 publications

Middle ear effusion: rate and risk factors in Australian children attending day care

Middle ear effusion: rate and risk factors in Australian children attending day care

Sequelae of recurrent acute otitis media. Ten‐year follow‐up of a prospectively studied cohort of children

Factors Disposing for Otitis Media

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