Etiologic factors in the development of chronic middle ear effusions.

M. J. Kraemer, S. G. Marshall, M. A. Richardson

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Many factors increase the risk for CMEE in children. We believe the most important include recurrent purulent otitis media, chronic nasal congestion, atopy, and household cigarette smoke exposure. The risk of each of these in causing middle ear disease increases with the chronicity of the exposure. The risk may be additive, with a combination of these factors. CMEE undoubtedly develops through several mechanisms. It is important to look for specific risk factors, as their identification may afford potential approaches toward the prevention of recurrences. Theories such as prophylactic antibiotic administration, pneumococcal vaccination, pharmacologic therapy with antihistamines, decongestants and/or steroids, immunotherapy, and the avoidance of household irritants may be selectively beneficial for the appropriate individual. In an attempt to facilitate strategies to prevent acute middle ear disease as well as recurrent and chronic effusions, further understanding of the etiology, pathogenesis, and risk factors is prerequisite. Additional controlled studies in all of these areas are essential so that we may expand our knowledge base and offer more definitive recommendations to our patients and their families.

Original languageEnglish (US)
Pages (from-to)319-328
Number of pages10
JournalClinical Reviews in Allergy
Volume2
Issue number4
StatePublished - Nov 1984
Externally publishedYes

Fingerprint

Otitis Media with Effusion
Ear Diseases
Middle Ear
Nasal Decongestants
Suppurative Otitis Media
Knowledge Bases
Irritants
Histamine Antagonists
Nose
Smoke
Tobacco Products
Immunotherapy
Vaccination
Steroids
Anti-Bacterial Agents
Recurrence
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Kraemer, M. J., Marshall, S. G., & Richardson, M. A. (1984). Etiologic factors in the development of chronic middle ear effusions. Clinical Reviews in Allergy, 2(4), 319-328.

Etiologic factors in the development of chronic middle ear effusions. / Kraemer, M. J.; Marshall, S. G.; Richardson, M. A.

In: Clinical Reviews in Allergy, Vol. 2, No. 4, 11.1984, p. 319-328.

Research output: Contribution to journalArticle

Kraemer, MJ, Marshall, SG & Richardson, MA 1984, 'Etiologic factors in the development of chronic middle ear effusions.', Clinical Reviews in Allergy, vol. 2, no. 4, pp. 319-328.
Kraemer MJ, Marshall SG, Richardson MA. Etiologic factors in the development of chronic middle ear effusions. Clinical Reviews in Allergy. 1984 Nov;2(4):319-328.
Kraemer, M. J. ; Marshall, S. G. ; Richardson, M. A. / Etiologic factors in the development of chronic middle ear effusions. In: Clinical Reviews in Allergy. 1984 ; Vol. 2, No. 4. pp. 319-328.
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