过敏：在分泌性中耳炎中起主要作用。

Allergy: a leading role in otitis media with effusion.

作者信息

Bellioni P, Cantani A, Salvinelli F

机构信息

Department of Otorhinolaryngology, Catholic University of the Sacred Heart, Rome, Italy.

出版信息

Allergol Immunopathol (Madr). 1987 Jul-Aug;15(4):205-8.

PMID:3318349

Abstract

We have studied 35 children with seasonal allergic rhinitis confirmed by positive skin tests and RAST to grass pollen. Intranasal antigen provocation was performed to evaluate the function of the eustachian tube (ET) and middle ear pressure (MEP). Tympanometry was used to evaluate the changes in MEP, while Valsava and Toynbee tympanometric tests were employed to study the ET function, and the changes in nasal airway resistance were measured by anterior rhinomanometry. ET dysfunction (ETD) and a decrease in MEP and nasal airway resistance were demonstrated in the children under study as compared with the controls. The results suggest a role for allergy in ETD and for the development of OME.

摘要

我们研究了35名经皮肤试验和针对草花粉的放射变应原吸附试验（RAST）呈阳性确诊为季节性变应性鼻炎的儿童。进行鼻内抗原激发试验以评估咽鼓管（ET）功能和中耳压力（MEP）。采用鼓室导抗图来评估MEP的变化，同时采用瓦尔萨尔瓦动作（Valsava）和陶因比鼓室导抗试验来研究ET功能，并用前鼻测压法测量鼻气道阻力的变化。与对照组相比，研究中的儿童表现出咽鼓管功能障碍（ETD）、MEP降低和鼻气道阻力降低。结果表明变应性在ETD中起作用，并与中耳炎（OME）的发生有关。