Sadé J, Fuchs C
Ear Research Laboratory, Sackler School of Medicine and Bioengineering Program, Tel-Aviv University, Israel.
Ann Otol Rhinol Laryngol. 1996 Aug;105(8):643-7. doi: 10.1177/000348949610500810.
We analyzed clinically 102 ears with secretory otitis media (SOM) belonging to 72 adult patients who during their adult life had not suffered previously from ear disease. As in children, most of the cases (63%) could be traced directly to an upper respiratory tract infection. The most striking finding was the preponderance of poorly pneumatized mastoids-which were measured planimetrically-among our SOM cohort. This was found in adult SOM ears compared to contralateral healthy ears (4.59 versus 7.88 cm2), as well as when all 102 SOM ears were compared with values of the normal population (5.41 versus 12.9 cm2). This study showed that poorly pneumatized mastoids are a significant risk factor as far as adult SOM is concerned.
我们对72名成年患者的102只分泌性中耳炎（SOM）耳朵进行了临床分析，这些患者在成年期之前未曾患过耳部疾病。与儿童一样，大多数病例（63%）可直接追溯到上呼吸道感染。最显著的发现是，在我们的分泌性中耳炎队列中，经平面测量的气化不良的乳突占优势。在成年分泌性中耳炎耳朵与对侧健康耳朵相比时发现了这一点（4.59平方厘米对7.88平方厘米），以及在将所有102只分泌性中耳炎耳朵与正常人群的值进行比较时（5.41平方厘米对12.9平方厘米）。这项研究表明，就成人分泌性中耳炎而言，气化不良的乳突是一个重要的危险因素。
