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Original Article |
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The role of allergy in recurrent otitis media with
effusion |
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F. Döner*, M. Yariktas**, M.
Demirci** |
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* Süleyman Demirel University, Faculty
of Medicine, Department of Otorhinolaryngology, ISPARTA/TURKEY,
** Süleyman Demirel University, Faculty of Medicine,
Department of Microbiology and Clinical Microbiology
ISPARTA/TURKEY. |
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J Invest Allergol Clin Immunol
2004; Vol. 14(4): 154-158 |
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Abstract |
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Objective: To
compare the OME
groups that improved
when treated with
adenoidectomy, VT
and medication, and
which of them
recurred.
Methods:
Twenty-two
consecutive children
with recurrent OME
(11%) were selected
among 200 children
who had
adenoidectomies and
had been inserted a
ventilation tube
(VT) for OME. The
patients were
selected for allergy
evaluation because
of recurrent OME not
responsive to
medical therapy and
adenoidectomy,
requiring more than
one myringotomy with
tubes. The control
group consisted of
24 healthy children
that were treated
with adenoidectomy
and VT, and had no
recurrence.
Results:
Eight (36.4%)
patients had
positive skin tests
for inhalant and
food allergens. Two
subjects of the
control group (8.3%)
had positive skin
tests for inhalant
and food allergens.
This was
statistically
significant (p:0.
032). A pattern to
multiple positive
nasal and food
reactions was shown
in the study group
rather than in the
control subjects.
Conclusions:
The possibility of
allergy should be
considered in OME
cases that did not
improve with drug
treatment and
adenoidectomy and VT
insertion but
recurred, and a
thorough search for
allergen was made
for proper
diagnostic and
therapeutic
management.
Key words:
Allergy, otitis
media with effusion. |
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