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[变应性鼻炎与分泌性中耳炎的关系。咽鼓管的作用]

[Relations between allergic rhinitis and otitis media with effusion. The role of the Eustachian tube].

作者信息

Ruggeri C, Barberio G, Pajno G B, Putortì A, Morabito L, Pollicino A, Febbraro R

机构信息

Istituto di Clinica Pediatrica, Università degli Studi di Messina.

出版信息

Minerva Pediatr. 1990 Nov;42(11):481-3.

PMID:2082174
Abstract

It was recently observed that otitis media with perfusion (OME) occurs in 35-50% of children suffering from allergic rhinitis. The main pathogenetic mechanism was identified as the dysfunction of the eustachian tube (ET) following its impairment during nose allergy infection. As a result of this dysfunction, the tympanic cavity is affected by: accumulated secretion, proliferation of germs and changes of the hypersecretion of the lining mucous. The long-term persistence of these secretions may damage the normal functions of the ossicular chain and thus the transmission of sounds, leading to the onset of hypoacusis which may interfere negatively with the child's mental-physical development.

摘要

最近观察到,患有过敏性鼻炎的儿童中,35%至50%会发生分泌性中耳炎(OME)。主要发病机制被确定为鼻过敏感染期间咽鼓管(ET)受损后其功能障碍。由于这种功能障碍,鼓室受到以下影响:分泌物积聚、细菌增殖以及衬里黏膜分泌过多的变化。这些分泌物的长期持续存在可能会损害听骨链的正常功能,进而影响声音的传导,导致听力减退的发生,这可能会对儿童的身心发育产生负面影响。

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