Service d'ORL et CCF, CHU-Hôpital Central, Nancy Cedex, France.
Curr Allergy Asthma Rep. 2011 Dec;11(6):521-5. doi: 10.1007/s11882-011-0229-0.
The association between otitis media with effusion (OME) and nasal polyposis (NP) is poorly described. However, two different approaches to this problem seem to come from the few studies concerning both otitis media and NP in the literature. One study was based on the assessment of a population of patients presenting with NP, with the authors interested in patients among the studied population who complained of ear-related symptoms and developed OME (rhinologic approach). Other studies were based on the assessment of a population of patients developing a particular OME, with the authors interested in characterizing this condition they named eosinophilic otitis media (otologic approach). The article reviews currents concepts in the relationship between OME and NP. It appears that regardless of the approach to the problem of interest (rhinologic or otologic approach), OME and NP seem to be closely related. Moreover, some striking similarities can be noted between the different entities described in the different studies reviewed, and all authors seem to agree that the middle ear has a central role in the concept of united airways inflammatory disease. Otologists and rhinologists should work together on a single approach that allows for better management of inflammatory disease leading to the formation of polyps, development of concurrent asthma, appearance of aspirin intolerance, and finally involvement of the middle ear.
中耳积液（OME）与鼻息肉（NP）之间的关联描述甚少。然而，对于文献中中耳和 NP 的少数研究，似乎有两种不同的方法来解决这个问题。一项研究基于对患有 NP 的患者人群的评估，作者对研究人群中抱怨与耳部相关症状和 OME 发展的患者（鼻科学方法）感兴趣。其他研究基于对出现特定 OME 的患者人群的评估，作者对他们命名为嗜酸性中耳炎（耳科学方法）的这种病症进行了特征描述。本文回顾了 OME 和 NP 之间关系的当前概念。似乎无论关注问题的方法如何（鼻科学方法还是耳科学方法），OME 和 NP 似乎密切相关。此外，在回顾的不同研究中描述的不同实体之间可以注意到一些明显的相似之处，并且所有作者似乎都同意中耳在联合气道炎症性疾病的概念中具有核心作用。耳科医生和鼻科医生应该共同采用一种单一的方法，以更好地管理导致息肉形成、同时发生哮喘、出现阿司匹林不耐受以及最终中耳受累的炎症性疾病。
