Skip to main content

Advertisement

Log in

Glucocorticosteroids in allergic inflammation: Clinical benefits in otitis media with effusion

  • Published:
Current Allergy and Asthma Reports Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References and Recommended Reading

  1. Tos M, Holm-Jensen S, Sorensen CH, Mogensen C: Spontaneous course and frequency of secretory otitis in 4-year-old children. Arch Otolaryngol 1982, 108: 4–10.

    PubMed  CAS  Google Scholar 

  2. Rosenfeld RM, Culpepper L, Doyle KJ, et al.: Clinical practice guideline: otitis media with effusion. Otolaryngol Head Neck Surg 2004, 130: S95-S118. Guidelines about the treatment of otitis media with effusion.

    Article  PubMed  Google Scholar 

  3. Kubba H, Pearson JP, Birchall JP: The aetiology of otitis media with effusion: a review. Clin Otolaryngol 2000, 25: 181–194.

    Article  PubMed  CAS  Google Scholar 

  4. Dhooge I, Desloovere C, Boudewyns A, et al.: Management of otitis media with effusion in children. B-ENT 2005, S1: 3–13.

    Google Scholar 

  5. Bernstein JM, Doyle WJ: Role of IgE-mediated hypersensitivity in otitis media with effusion: pathophyiologic considerations. Ann Otol Rhinol Laryngol Suppl 1994, 103: 15–19. A review about the relationship between IgE hypersensitivity and otitis media with effusion and a model for the role of the eustachian tube in this relationship.

    Google Scholar 

  6. Bernstein JM: Role of allergy in eustachian tube blockage and otitis media with effusion: a review. Otolaryngol Head Neck Surg 1996, 114: 562–568. A pathophysiologic model for the role of allergy in otitis media with effusion is described.

    Article  PubMed  CAS  Google Scholar 

  7. Skoner DP, Lee L, Doyle WJ, et al.: Nasal physiology and inflammatory mediators during natural pollen exposure. Ann Allergy 1990, 65: 206–210.

    PubMed  CAS  Google Scholar 

  8. Hardy SM, Heavner SB, White DR, et al.: Late-phase allergy and eustachian tube dysfunction. Otolaryngol Head Neck Surg 2001, 125: 339–345.

    Article  PubMed  CAS  Google Scholar 

  9. Downs BW, Butehorn HF, Prazma J, et al.: Action of histamine on eustachian tube function. Otolaryngol Head Neck Surg 2001, 124: 414–420.

    Article  PubMed  CAS  Google Scholar 

  10. Fireman P: Otitis media and nasal disease: a role for allergy. J Allergy Clin Immunol 1988, 82: 917–924.

    Article  PubMed  CAS  Google Scholar 

  11. Bluestone CD: Pathogenesis of otitis media: role of eustachian tube. Pediatr Infect Dis J 1996, 15: 281–291.

    Article  PubMed  CAS  Google Scholar 

  12. Skoner DP: Complications of allergic rhinitis. J Allergy Clin Immunol 2000, 105: S605-S609. Presentation of a model that could link nasal Inflammation due to allergy to otitis media with effusion.

    Article  PubMed  CAS  Google Scholar 

  13. Doyle WJ: The link between allergic rhinitis and otitis media. Curr Opin Allergy Clin Immunol 2002, 2: 21–25.

    Article  PubMed  Google Scholar 

  14. Hurst DS, Venge P: Evidence of eosinophil, neutrophil, and mast-cell mediators in the effusion of OME patients with and without atopy. Allergy 2000, 55: 435–441.

    Article  PubMed  CAS  Google Scholar 

  15. Nguyen LHP, Manoukian JJ, Sobol SE, et al.: Similar allergic Inflammation in the middle ear and the upper airway: evidence linking otitis media with effusion to the united airways concept. J Allergy Clin Immunol 2004, 114: 1110–1115.

    Article  PubMed  Google Scholar 

  16. Sobol SE, Taha R, Schloss MD, et al.: Th2 cytokine expression in atopic children with otitis media with effusion. J Allergy Clin Immunol 2002, 110: 125–130.

    Article  PubMed  CAS  Google Scholar 

  17. Jang C-H, Kim Y-H: Characterisation of cytokines present in pediatric otitis media with effusion: comparison of allergy positive and negative. Int J Pediatr Otorhinolaryngol 2002, 66: 37–40.

    Article  PubMed  Google Scholar 

  18. Hurst DS, Venge P: The impact of atopy on neutrophil activity in middle ear effusion from children and adults with chronic otitis media. Arch Otolaryngol Head Neck Surg 2002, 128: 561–566.

    PubMed  Google Scholar 

  19. Van Cauwenberge P, Van Hoecke H, Vandenbulcke L, et al.: Glucocorticosteroids in allergic Inflammation. Clinical Benefits in allergic rhinitis, rhinosinusitis and otitis media. Immunol Allergy Clin North Am 2005, 25: 489–509. Review discussing the relationship between otitis media with effusion and allergy with practical recommendations about the use of glucocorticosteroids.

    Article  PubMed  Google Scholar 

  20. Corey JP, Adham RE, Abbass AH, Seligman I: The role of IgE-mediated hypersensitivity in otitis media with effusion. Am J Otolaryngol 1994, 15: 138–144.

    Article  PubMed  CAS  Google Scholar 

  21. Ogawa H: Otitis media with effusion: a study of 346 cases in an outpatient clinic. Nippon Jibiinkoka Gakkai Kaiho 2002, 105: 863–872.

    PubMed  Google Scholar 

  22. Mandel EM, Casselbrant ML, Rockette HE, et al.: Systemic steroid for chronic otitis media with effusion in children. Pediatrics 2002, 110: 1071–1080.

    Article  PubMed  Google Scholar 

  23. Alles R, Parikh A, Hawk L, et al.: The prevalence of atopic disorders in children with chronic otitis media with effusion. Pediatr Allergy Immunol 2001, 12: 102–106.

    Article  PubMed  CAS  Google Scholar 

  24. Nsouli TM, Nsouli SM, Linde RE, et al.: Role of food allergy in serous otitis media. Ann Allergy 1994, 73: 215–219.

    PubMed  CAS  Google Scholar 

  25. Aydogan B, Kiroglu M, Altintas D, et al.: The role of food allergy in otitis media with effusion. Otolaryngol Head Neck Surg 2004, 130: 747–750.

    Article  PubMed  Google Scholar 

  26. Tracy JM, Demain JG, Hoffman KM, Goetz DW: Intranasal beclomethasone as an adjunct to treatment of chronic middle ear effusion. Ann Allergy Asthma Immunol 1998, 80: 198–206.

    Article  PubMed  CAS  Google Scholar 

  27. Bentdal YE, Nafstad P, Kvaerner KJ: Otitis media in children: skin prick test positivity and allergic diseases. 5th Extraordinary International Symposium on Recent Advances in Otitis Media. 2005, Abstract number P.05.06:174.

  28. Coulson CJ, Plant T, Hughes R, et al.: Total serum IgE and IgE antibodies specific to house dust mite found in two age-matched cohorts of children with and without otitis media with effusion. Clin Otolaryngol 2006, 31: 130–133.

    Article  PubMed  CAS  Google Scholar 

  29. Caffarelli C, Savini E, Giordano S, et al.: Atopy in children with otitis media with effusion. Clin Exp Allergy 1998, 28: 591–596. Well-designed study determining the prevalence of allergy in children with otitis media with effusion compared to a control group.

    Article  PubMed  CAS  Google Scholar 

  30. Lazo-Sáenz JG, Galván-Aguilera AA, Martínez-Ordaz VA, et al.: Eustachian tube dysfunction in allergic rhinitis. Otolaryngol Head Neck Surg 2005, 132: 626–631. Study assessing eustachian-tube function in allergic patients and comparing them to a control group.

    Article  PubMed  Google Scholar 

  31. Döner F, Yariktas M, Demirci M: The role of allergy in recurrent otitis media with effusion. J Invest Allergol Clin Immunol 2004, 14: 154–158.

    Google Scholar 

  32. Xenellis J, Paschalidis J, Georgalas C, et al.: Factors influencing the presence of otitis media with effusion 16 months after initial diagnosis in a cohort of school-age children in rural Greece: a prospective study. Int J Pediatr Otorhinolaryngol 2005, 69: 1641–1647.

    Article  PubMed  Google Scholar 

  33. Suzuki M, Kawauchi H, Mogi G: Clinical efficacy of an antiallergic drug on otitis media with effusion in association with allergic rhinitis. Auris Nasus Larynx 1999, 26: 123–129.

    Article  PubMed  CAS  Google Scholar 

  34. Scadding GK:. Other anti-inflammatory uses of intranasal corticosteroids in upper respiratory inflammatory diseases. Allergy 2000, 62: 19–23.

    Google Scholar 

  35. Galant SP, Wilkinson R: Clinical prescribing of allergic rhinitis medication in the preschool and young school-age child. What are the options? Bio Drugs 2001, 15: 453–463.

    CAS  Google Scholar 

  36. Butler CC, Van Der Voort JH: Steroids for otitis media with effusion. a systematic review. Arch Pediatr Adolesc Med 2001, 155: 641–647.

    PubMed  CAS  Google Scholar 

  37. Miceli Sopo S, Zorzi G, Calvani M: Should we screen every child with otitis media with effusion for allergic rhinitis? Arch Dis Child 2004, 89: 287–288.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11882-006-0068-6

Keywords

Navigation