Abstract
Allergy and otitis media with effusion are often considered as comorbidities. Evidence points to a role for allergy in the pathogenesis of otitis media with effusion in reports of increased prevalence of allergy in patients with otitis media with effusion and presence of late-phase allergic-response inflammatory mediators and cytokines in the middle-ear effusion of allergic subjects. However, the exact mechanism remains unknown. Many speculations have been made, but well-controlled studies to prove the efficacy of anti-allergic medication in the treatment of otitis media with effusion are lacking. Therefore, we do not recommend the use of glucocorticosteroids in allergic patients with otitis media with effusion.
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Dhooge, I., Verbruggen, K. & Vandenbulcke, L. Glucocorticosteroids in allergic inflammation: Clinical benefits in otitis media with effusion. Curr Allergy Asthma Rep 6, 327–333 (2006). https://doi.org/10.1007/s11882-006-0068-6
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DOI: https://doi.org/10.1007/s11882-006-0068-6