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Otitis media with effusion in adults with patulous Eustachian tube

1.  Patients with patulous Eustachian tube (PET) were older, had a shorter duration of disease, and were more likely to develop bilateral otitis media with effusion. 2. Patients with PET were more likely to develop comorbidities of gastroesophageal reflux and allergies. OBJECTIVE: To study the assoc...

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Autores principales: Fu, Tao, Ji, Caili, Wang, Zhiyuan, Zhang, Xiaowen, Zhang, Min, Zhang, Xiaoheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607522/
https://www.ncbi.nlm.nih.gov/pubmed/31547745
http://dx.doi.org/10.1177/0300060519875381
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author Fu, Tao
Ji, Caili
Wang, Zhiyuan
Zhang, Xiaowen
Zhang, Min
Zhang, Xiaoheng
author_facet Fu, Tao
Ji, Caili
Wang, Zhiyuan
Zhang, Xiaowen
Zhang, Min
Zhang, Xiaoheng
author_sort Fu, Tao
collection PubMed
description 1.  Patients with patulous Eustachian tube (PET) were older, had a shorter duration of disease, and were more likely to develop bilateral otitis media with effusion. 2. Patients with PET were more likely to develop comorbidities of gastroesophageal reflux and allergies. OBJECTIVE: To study the association between patulous Eustachian tube (PET) and otitis media with effusion (OME) in adults with a history of OME. METHODS: Adult patients with OME (161 adults, 217 ears) were reviewed. Patients with OME were divided into two groups: PET-associated group with a history of PET before onset of OME (29 adults, 45 ears); and non-PET group (132 adults, 172 ears). Comparisons were made between the two groups regarding age, duration of OME, affected side, and type of effusion. Additional comparisons were made regarding the incidence of comorbidities, such as upper respiratory infection, allergies, gastroesophageal reflux, and sniffing. RESULTS: The incidence of morbidity due to PET in patients with OME (18%, 29/161) was higher than that in the normal population as reported previously (0.01%). Patients in the PET-associated group were older, had a shorter duration of disease, and were more likely to present with OME in bilateral ears than those in the non-PET group. The PET-associated group also showed comorbidities, such as gastroesophageal reflux and allergies. CONCLUSIONS: PET may play an important role in the pathogenesis of adult OME. The prognosis of OME in patients with PET is better than that in those with OME without PET.
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spelling pubmed-76075222020-11-13 Otitis media with effusion in adults with patulous Eustachian tube Fu, Tao Ji, Caili Wang, Zhiyuan Zhang, Xiaowen Zhang, Min Zhang, Xiaoheng J Int Med Res Retrospective Clinical Research Report 1.  Patients with patulous Eustachian tube (PET) were older, had a shorter duration of disease, and were more likely to develop bilateral otitis media with effusion. 2. Patients with PET were more likely to develop comorbidities of gastroesophageal reflux and allergies. OBJECTIVE: To study the association between patulous Eustachian tube (PET) and otitis media with effusion (OME) in adults with a history of OME. METHODS: Adult patients with OME (161 adults, 217 ears) were reviewed. Patients with OME were divided into two groups: PET-associated group with a history of PET before onset of OME (29 adults, 45 ears); and non-PET group (132 adults, 172 ears). Comparisons were made between the two groups regarding age, duration of OME, affected side, and type of effusion. Additional comparisons were made regarding the incidence of comorbidities, such as upper respiratory infection, allergies, gastroesophageal reflux, and sniffing. RESULTS: The incidence of morbidity due to PET in patients with OME (18%, 29/161) was higher than that in the normal population as reported previously (0.01%). Patients in the PET-associated group were older, had a shorter duration of disease, and were more likely to present with OME in bilateral ears than those in the non-PET group. The PET-associated group also showed comorbidities, such as gastroesophageal reflux and allergies. CONCLUSIONS: PET may play an important role in the pathogenesis of adult OME. The prognosis of OME in patients with PET is better than that in those with OME without PET. SAGE Publications 2019-09-23 /pmc/articles/PMC7607522/ /pubmed/31547745 http://dx.doi.org/10.1177/0300060519875381 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Retrospective Clinical Research Report
Fu, Tao
Ji, Caili
Wang, Zhiyuan
Zhang, Xiaowen
Zhang, Min
Zhang, Xiaoheng
Otitis media with effusion in adults with patulous Eustachian tube
title Otitis media with effusion in adults with patulous Eustachian tube
title_full Otitis media with effusion in adults with patulous Eustachian tube
title_fullStr Otitis media with effusion in adults with patulous Eustachian tube
title_full_unstemmed Otitis media with effusion in adults with patulous Eustachian tube
title_short Otitis media with effusion in adults with patulous Eustachian tube
title_sort otitis media with effusion in adults with patulous eustachian tube
topic Retrospective Clinical Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607522/
https://www.ncbi.nlm.nih.gov/pubmed/31547745
http://dx.doi.org/10.1177/0300060519875381
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