Department of Otorhinolaryngology, University of Pavia, IRCCS Policlinico S. Matteo Foundation, Pavia, Italy.
Int J Immunopathol Pharmacol. 2010 Jan-Mar;23(1 Suppl):38-40.
Rhinosinusitis and otitis media are very common diseases observed in pediatric patients. A clear association has been reported in literature between these two conditions. Even concordance in the microbiologic findings has been reported. These findings lead to a discussion in regard to a possible relationship between the two diseases and an eventual interference of another concomitant condition promoting this association. A key role in the linkage between rhinosinusitis and otitis media has been attributed to hypertrophic adenoidal tissue because of its mechanical obstruction of both choanae and Eustachian tube orifices. Recently some works in literature evidenced the presence of bacterial biofilms on adenoids and suggested a responsibility of bacterial biofilms in both chronic rhinosinusitis and otitis media. The debate is still active and more investigations are needed to clarify these topics.
鼻窦炎和中耳炎是儿科患者中非常常见的疾病。文献中已经报道了这两种疾病之间存在明显的关联。甚至已经报道了微生物学发现的一致性。这些发现导致了关于这两种疾病之间可能存在的关系以及另一种伴随疾病促进这种关联的可能性的讨论。由于腺样体组织的机械性阻塞了后鼻孔和咽鼓管咽口,因此在鼻窦炎和中耳炎之间的联系中起着关键作用。最近一些文献研究表明腺样体上存在细菌生物膜,并提出了细菌生物膜在慢性鼻窦炎和中耳炎中的作用。争论仍在进行中,需要更多的研究来澄清这些问题。