Skip to main content

Incidence and Progress of Middle Ear Effusion in Allergy Practice as Detected by Acoustic Otoscope Reflectometry

Buy Article:

$39.50 plus tax (Refund Policy)

Abstract:

The incidence and progress of middle ear effusion (MEE) in allergy practice is not well established in prospective studies. A total of 393 patients were screened for MEE by history and physical including pneumatic otoscopy, prick and intradermal skin tests, acoustic otoscope reflectometry (AOR), impedance tympanometry (IT), and audiometry for those with established MEE. The primary diagnosis of the screened patients was intrinsic asthma in 70 or 18%, allergic rhinitis in 134 or 34%, allergic rhinitis and asthma in 80 or 21%, miscellaneous in 103 or 26%. Twenty patients were receiving immunotherapy (5%), and 89 (23%) had middle ear effusion (MEE). Among the MEE group were 52 males (58%), 37 females (42%), with an average age of 13 years, median of 8 years, and range of 6 months to 13 years. The MEE group was statistically different demographically from the initial group (P < .05) for age and history of recurrent otitis. The MEE group's primary diagnosis was similar to that of the initial group, except that there was a statistically significant difference in the number of patients on immunotherapy (P < .05) and those in the MEE group, with 11 (12%) versus 20 or 5% in the initial group. MEE resolved in 91% of cases which could be followed to resolution, with average duration of nasal steroid of 4 weeks, average duration of effusion 8 weeks, median 4 weeks, range 1 week to 6 months. Effusions in 8 patients (9%) were intractable with duration greater than 3 months. Sensitivity of reflectometry was 79%, speificity 81%, with a positive predictive value (PPV) of 65%, and negative PV of 90% in comparison with tympanometry.

Document Type: Research Article

DOI: https://doi.org/10.2500/108854194778702900

Publication date: 1994-05-01

More about this publication?
  • Allergy and Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists.

    The goal of the Proceedings is to publish articles with a predominantly clinical focus which directly impact quality of care for patients with allergic disease and asthma.

    Featured topics include asthma, rhinitis, sinusitis, food allergies, allergic skin diseases, diagnostic techniques, allergens, and treatment modalities. Published material includes peer-reviewed original research, clinical trials and review articles.

    Articles marked "F" offer free full text for personal noncommercial use only.

    The journal is indexed in Thomson Reuters Web of Science and Science Citation Index Expanded, plus the National Library of Medicine's PubMed service.
  • Editorial Board
  • Information for Authors
  • Submit a Paper
  • Information for Advertisers
  • Reprint Requests
  • www.AJRA.com
  • www.AllergyandRhinology.com
  • Ingenta Connect is not responsible for the content or availability of external websites
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
X
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more