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Titolo:
Current standing of the controversial discussion of the aetiopathology andthe treatment of chronic otitis media with effusion in children.
Autore:
Dunne, AA; Werner, JA;
Indirizzi:
Univ Marburg, Klin & Poliklin Hals Nasen & Ohrenheilkunde, D-35037 Marburg, Germany Univ Marburg Marburg Germany D-35037 heilkunde, D-35037 Marburg, Germany
Titolo Testata:
LARYNGO-RHINO-OTOLOGIE
fascicolo: 1, volume: 80, anno: 2001,
pagine: 1 - 10
SICI:
1615-0007(200101)80:1<1:CSOTCD>2.0.ZU;2-R
Fonte:
ISI
Lingua:
GER
Soggetto:
MIDDLE-EAR EFFUSIONS; SECRETORY OTITIS; TYMPANOSTOMY TUBES; RANDOMIZED TRIAL; DOUBLE-BLIND; GLUE EAR; ADENOIDECTOMY; EFFICACY; ADENOTONSILLECTOMY; NASOPHARYNX;
Keywords:
chronic otitis media with effusion; antibiotics; adenoids; tubes;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
90
Recensione:
Indirizzi per estratti:
Indirizzo: Dunne, AA Univ Marburg, HNO Klin, Deutschhausstr 3, D-35037 Marburg, Germany Univ Marburg Deutschhausstr 3 Marburg Germany D-35037 , Germany
Citazione:
A.A. Dunne e J.A. Werner, "Current standing of the controversial discussion of the aetiopathology andthe treatment of chronic otitis media with effusion in children.", LARY RH OTO, 80(1), 2001, pp. 1-10

Abstract

Chronic otitis media with effusion is one of the most common diseases in childhood. The causes of otitis media are unclear as far as their importanceis concerned. Method: Extensive search in the German and Anglo-saxon literature with following presentation of the results. Results: The original idea of a mechanical obstruction of the eustachian tube by the adenoids seems to be insufficient. inflammatory mechanisms as a result of pathogenic germsin the middle ear fluid stand opposite to immunomodulating mechanisms as relevant causes of chronic otitis media with effusion. There are references which lead to the importance of allergic comechanisms individually. The controversial discussion of the pathophysiology of chronic otitis media with effusion is illustrated by the different opinions of optimal treatment modalities. Varying medical treatment opportunities exist while centrally the importance of the use of antibiotics is controversial. Based on the absence of long lasting effects of medical treatments, there are groups supporting await-and-see policy. Concerning the long-term effects of operative treatment, the importance of isolate tubes inseration in opposition to a combined treatment modality (adenotomy and tubes) is controversial. The actual debate focusses on adenotomy or adenotonsillectomy without operating the middle ear as treatment modality in patients with otitis media with effusion. Conclusions: Economic and social importance of this disease forces further investigations in pathogenesis and optimizing of medical and operative treatment modalities.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 19:36:40