Niedzielska Graiyna
Katedra i Klinika Otolaryngologii Dzieciecej, Foniatrii i Audiologii AM w Lublinie.
Otolaryngol Pol. 2006;60(5):683-9.
Otitis media with effusion (OME) is one of the most often diagnosed diseases in the pre-school children. OME is defined as the presence of effusion behind the intact tympanic memebrane without symptoms of acute infection. Pathogenesis of OME is multifactorial and represents the interactions between environmental, social, anatomical and infectious factors and an allergy. Due to the hearing impairment accompanying this disease, effective prevention and treatment are necessary. This publication presents current knowledge concerning etiopathogenesis of OME taking into consideration the role of Eustachian tube, infectious factor, allergy, immunological factors, NO and gastroesophageal reflux disease. Recommended methods of treatment depending on the clinical condition and the age of children are also presented. The initiation of appropriate therapy is crucial because of the possibility of remote complications.
中耳积液（OME）是学龄前儿童中最常被诊断出的疾病之一。OME被定义为在完整鼓膜后存在积液且无急性感染症状。OME的发病机制是多因素的，代表了环境、社会、解剖、感染因素与过敏之间的相互作用。由于该疾病伴有听力障碍，有效的预防和治疗是必要的。本出版物介绍了关于OME病因发病机制的当前知识，同时考虑了咽鼓管、感染因素、过敏、免疫因素、一氧化氮和胃食管反流病的作用。还介绍了根据儿童临床状况和年龄推荐的治疗方法。由于可能出现远期并发症，开始适当的治疗至关重要。
