PMID: 2115652Jun 1, 1990Paper

Allergy management of refractory serous otitis media

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
D S Hurst

Abstract

Twenty patients classified as having otitis media with effusion (OME) refractory to all previous medical and surgical therapy were entered into a prospective study to see if classic allergy techniques could diagnose and treat otherwise unresolved effusion and persistent hearing loss in lieu of the re-insertion of tympanostomy tubes. RAST testing, skin end point titration and food elimination diets identified a possible allergic etiology in all patients. Among those choosing allergy immunotherapy, 65% maintained normal hearing, normal tympanograms, and the elimination of recurrent infections for three years. The remaining 35% resolved on appropriate food elimination diets. None of the control's symptoms resolved. The history of chronic disease is defined. The pathophysiology of allergic mechanisms and studies attempting to prove or disprove an allergic effect on the middle ear and eustachian tube are reviewed.

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Citations

Jan 1, 1997·Journal of Community Health Nursing·M D CurryH J Daniel
Dec 1, 1995·The Journal of Laryngology and Otology·Y RakoverY Lensky
Feb 13, 1993·BMJ : British Medical Journal·A F Bisset
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Nov 15, 2000·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·E D WrightQ Hamid
May 13, 2004·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Richard M RosenfeldUNKNOWN American Academy of Otolaryngology--Head and Neck Surgery
Feb 21, 2003·International Journal of Immunopathology and Pharmacology·A. Della VolpeN. Mansi
Feb 14, 2018·International Forum of Allergy & Rhinology·Sarah K WiseMark Zacharek
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May 31, 2011·Otolaryngologic Clinics of North America·David S Hurst
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