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鼻甲肥大、变应性鼻炎和中耳炎。

Turbinate Hypertrophy, Allergic Rhinitis, and Otitis Media.

机构信息

, Allergy Clinic, Casa di Cura Villa MontallegroVia P. Boselli 5, 16146, Genoa, Italy.

, Allergy Center, Istituto Giannina Gaslini, Genoa, Italy.

出版信息

Curr Allergy Asthma Rep. 2021 Aug 14;21(7):40. doi: 10.1007/s11882-021-01016-9.

Abstract

PURPOSE OF REVIEW

Otitis media (OM) is a disease with high prevalence in infancy; it has a substantial burden on healthcare resources and a relevant impact on the quality of life of families. The link between OM and allergic rhinitis (AR) is still debated. However, there is agreement about the relevance of type 2 inflammation on turbinate hypertrophy (TH) generation. There is also evidence that TH is associated with middle ear dysventilation: a pathogenic factor promoting OM. Therefore, a vicious circle among AR, TH, and OM may occur.

RECENT FINDINGS

There are some recent studies exploring this issue through different approaches, such as epidemiological, mechanistic, and therapeutic. Identifying allergy as a pathogenic factor for OM could improve the management of OM patients. Vice versa, suspecting AR in OM patients could be reasonable in selected patients. The current narrative review provides an overview of the evidence concerning the potential role of AR, and associated TH, in OM patients.

摘要

综述目的

中耳炎(OM)是一种在婴儿中发病率很高的疾病;它对医疗资源有很大的负担,对家庭的生活质量有重大影响。中耳炎与过敏性鼻炎(AR)之间的联系仍存在争议。然而,人们普遍认为 2 型炎症与鼻甲肥大(TH)的产生有关。也有证据表明,TH 与中耳通气不良有关:这是一种促进 OM 的致病因素。因此,AR、TH 和 OM 之间可能存在恶性循环。

最近的发现

有一些最近的研究通过不同的方法探讨了这个问题,如流行病学、机制和治疗。将过敏鉴定为 OM 的致病因素可以改善 OM 患者的管理。反之,在 OM 患者中怀疑 AR 在某些特定患者中也是合理的。本综述概述了有关 AR 及相关 TH 在 OM 患者中潜在作用的证据。

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