The prevalence of otitis media with effusion: a critical review of the literature

Zielhuis, Gerhard A.; Rach, Gerold H.; Bosch, Arna Van Den; Broek, Paul van den

doi:10.1111/j.1365-2273.1990.tb00787.x

Cited by 145 publications

(90 citation statements)

References 28 publications

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“…Many episodes resolve spontaneously within 3 months, but about 30% to 40% of children have recurrent OME, and 5% to 10% of episodes last 1 year or longer [6][7][8]. Reviewing some articles about the issue, Zielhuis et al [9] used the age-specific prevalence rate and came to the conclusion that the rate has two peaks: one at about 2 years of age, probably leading to immaturity of function of the immune system and to anatomic and functional diversity of the eustachian tube (ie, nearly horizontal orientation), and the other at about 5 years of age, probably because children attend the same classes at school, with consequent increased susceptibility to infectious and allergic agents. With increasing age, the prevalence rate of MEE decreased.…”

Section: Advances In Epidemiologymentioning

confidence: 99%

Audiological Investigation of Otitis Media in Children with Atopy

Martines

Bentivegna

2011

Curr Allergy Asthma Rep

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Otitis media (OM) describes an inflammatory process within the middle ear space that is generally associated with accumulation of fluid and that may lead to hearing loss, learning difficulties, and delays in language development. The pathogenesis of OM is multifactorial, involving the adaptive and native immune system, eustachian tube dysfunction, viral and bacterial load, and genetic and environmental factors. The involvement of IgEmediated allergic reactions in the pathogenesis of OM has been suggested by clinical observations of a high prevalence of OM among patients with allergies. Evidence from studies involving tympanometric measurements, audiometric measurements, and otoscopic examination confirms the role of atopy in the development and persistence of OM.

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Section: Advances In Epidemiologymentioning

confidence: 99%

Audiological Investigation of Otitis Media in Children with Atopy

Martines

Bentivegna

2011

Curr Allergy Asthma Rep

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“…A few studies have shown a statistically significant influence on the presence of otitis media [2,4], while others have failed to identify a relationship [5,11]. The likelihood that a child in the 8-12 year-old cohort had siblings in the home was increased compared to those in the younger group (OR 1.72, p = 0.03).…”

Section: Discussionmentioning

confidence: 93%

“…Age is one of the most important risk factors for otitis media and, as a result, only a small subset of children will require PET insertion after age 6 [2][3][4]11]. In the present study, tympanostomy tube insertion was most common amongst 6 year-olds (36.1%, 95/263) and decreased substantially with increasing age, such that only 3% of PET insertions were performed on 12 year-olds (8/263) ( Figure 1).…”

Section: Discussionmentioning

confidence: 99%

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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“…Opptil 80% av alle førskolebarn har hatt sekretorisk otitt før fire års alder. Av disse barna spontanhelbredes omlag 50% i løpet av måneder (13,14). Imidlertid får halvparten av dem tilbakefall de neste to årene (13,14).…”

Section: Sykdomsforekomstunclassified

“…Av disse barna spontanhelbredes omlag 50% i løpet av måneder (13,14). Imidlertid får halvparten av dem tilbakefall de neste to årene (13,14). Det synes å vaere et topuklet forløp av sykdommen, med høyeste insidens ved henholdsvis to og fem år (14).…”

Section: Sykdomsforekomstunclassified

Ørebetennelser hos barn – "alle har noen, men gutter har flest"

Kværner¹

2009

Nor J Epidemiol

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SAMMENDRAGMellomørebetennelse, eller otitis media, er en infeksjons-eller inflammasjonsprosess i mellomøret som også rammer de tilgrensende avsnitt av denne delen av øvre luftveier, dvs. tuba auditiva og mastoidcellene, selv om disse sjelden gir manifeste symptomer. OM er nesten alltid sekundaert til en oppadstigende slimhinnepatologi i nesen, epipharynx og tuba auditiva.Kvaerner KJ. Otitis media in children. Nor J Epidemiol 1999; 9 (2): 123-127. ENGLISH SUMMARYOtitis media refers to an infection or inflammation of the middle ear cavity that also affects the eustachian tube and the mastoid cells. Otitis media is almost always caused by an ascending pathology of the epithelial and subepithelial layers of the middle ear mucoperiostium. This paper firstly describes the classification and distribution of otitis media. Next, using Norwegian data, host related risk factors for otitis media are discussed, particularly focusing on gender differences.I denne artikkelen beskrives inndeling og forekomst av sykdommen, som er hyppig i barneårene og avtar med økende alder. Det er en betydelig genetisk disposisjon for mellomøresykdom. Med utgangspunkt i norske data vil vertsrelaterte og miljørelaterte risikofaktorer for sykdommen bli presentert. Spesielt er vertsforhold og kjønnsulikheter vektlagt i diskusjonen. INNDELING AV MELLOMØREBETENNELSEROtitis media er definert som en inflammasjon eller betennelsestilstand av mellomøret. Sekretorisk otitt etterfølger vanligvis akutt otitt. Kronisk otitt med påfølgende skade på mellomørebena og trommehinnen kan etterfølge gjentatte akutte otitter og langvarig sekretorisk otitt, men sees også uten tidligere symptomer fra ørene (1). Paparella og medarbeidere har vist i eksperimentelle studier at de histopatologiske forandringene i mellomøret som følger de ulike sykdommene er manifestasjoner av samme sykdom, i ulike faser (1).Akutt otitis media er definert som en klinisk identifiserbar mellomøreinfeksjon, akutt innsettende og av kort varighet. Akutt otitt er vanlig i barneårene, omlag 3/4 av alle barn har hatt minst en ørebetennelse før fem års alder (2). Enkeltepisoder er forbigående og oftest ukompliserte, mens barn med stadig tilbakevendende akutte otitter, «ørebarna», representerer en tidkrevende og behandlingsmessig komplisert gruppe. «Ørebarna» representerer en liten gruppe barn som debuterer tidlig med stadig tilbakevendende akutte øreinfeksjoner (3,4). I forskningssammenheng er begrepet «ørebarn» brukt om barn som har tre eller flere otitter i løpet av et halvt år eller fire eller flere otitter i løpet av ett år (5,6). Barna er lett karakteriserbare i den kliniske hverdag. De har stadige tilbakevendende øre-infeksjoner, og en er ofte i tvil om hvorvidt det har vaert en infeksjonsfri periode mellom to episoder. Bestrebelser er gjort for å identifisere disse barna tidlig, for å kunne gi dem optimal profylakse og behandling.Sekretorisk otitt, eller mellomørekatarr, er definert som tilstedevaerelse av vaeske bak en intakt trommehinne, uten akutte sykdomstegn eller symptomer, og er leds...

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The prevalence of otitis media with effusion: a critical review of the literature

Cited by 145 publications

References 28 publications

Audiological Investigation of Otitis Media in Children with Atopy

Audiological Investigation of Otitis Media in Children with Atopy

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

Ørebetennelser hos barn – "alle har noen, men gutter har flest"

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