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Allergy and Otitis Media in Clinical Practice

  • Otitis (D Skoner, Section Editor)
  • Published:
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Abstract

Purpose of Review

Otitis media (OM) is a disease with very high prevalence in infancy, substantial burden on healthcare resources, and relevant impact on the quality of life of families. The link between OM and allergy is controversial and still debated. However, a fundamental premise has to be placed before introducing this topic: there is the need to use clear and unambiguous terms. Literature abounds with misleading terms that significantly affect the methodology and consequently the outcomes. Moreover, it is essential to differentiate patients according to the OM type (i.e., acute OM, OM with effusion, and chronic suppurative OM), the allergic disease, and mainly the age.

Recent Findings

There are some recent studies exploring this issue through different approaches, such as epidemiological, mechanistic, and therapeutic. To identify allergy as a pathogenic factor for OM could improve the management of OM patients. Vice versa, to suspect allergy in OM patients could be reasonable in selected patients.

Summary

The current narrative review provides an overview of the evidence concerning the potential role of allergy in OM. As there are conflicting findings, a possible interpretation of pathophysiological events and a pragmatic approach are proposed.

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Authors and Affiliations

  1. Allergy Clinic, Casa di Cura Villa Montallegro, Genoa, Italy

    Giorgio Ciprandi

  2. Fondazione IRCCS Ca’Granda Ospedale Maggiore Policlinico, Milan, Italy

    Sara Torretta & Paola Marchisio

  3. Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy

    Sara Torretta

  4. Pediatrics Clinic, Pediatrics Department, Policlinico San Matteo, University of Pavia, Pavia, Italy

    Gian Luigi Marseglia & Amelia Licari

  5. Meyer Children’s University Hospital, Department of Health Sciences, University of Florence, Florence, Italy

    Elena Chiappini

  6. Department of Otorhinolaryngology, Foundation IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy

    Marco Benazzo

  7. Pediatric Allergy Center, Istituto Giannina Gaslini, Genoa, Italy

    Maria Angela Tosca

  8. Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy

    Paola Marchisio

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  1. Giorgio Ciprandi
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Ciprandi, G., Torretta, S., Marseglia, G.L. et al. Allergy and Otitis Media in Clinical Practice. Curr Allergy Asthma Rep 20, 33 (2020). https://doi.org/10.1007/s11882-020-00930-8

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