Influence of the upper respiratory tract infection on tubal compliance in children with otitis media with effusion

被引:16
作者
Miura, M [1 ]
Takahashi, H [1 ]
Honjo, I [1 ]
Hasebe, S [1 ]
Tanabe, M [1 ]
机构
[1] KYOTO UNIV,GRAD SCH MED,DEPT SPEECH & HEARING SCI,KYOTO 606,JAPAN
关键词
compliance; eustachian tube; otitis; media with effusion; upper respiratory tract infection;
D O I
10.3109/00016489709113440
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
To clarify the influence of inflammation on tubal compliance in children with otitis media with effusion (OME), we investigated the change of compliance of the ET by upper respiratory tract infection (URTI) in 18 children (23 ears) with OME using the forced response test. The tubal compliance index (TCI), the ratio of passive tubal resistances at two different airflow rates, significantly increased during URTI represented by acute rhinitis or paranasal sinusitis in comparison with non-URTI periods (paired t-test: t = 4.14, p < 0.001). In nine ears. the TCI could be followed for some months after that, during which the children had had URTI several times. A clear reproducible correlation was found between the presence or absence of URTI and the TCI values; the TCI values increased again during URTI and decreased after the URTI periods. These results seemed to support our hypothesis that compliance of the ET may depend not only on the property of the cartilaginous framework of the ET but also upon the mucosal condition.
引用
收藏
页码:574 / 577
页数:4
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