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首页> 外文期刊>The American journal of otology >The habit of sniffing in nasal diseases as a cause of secretory otitis media.
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The habit of sniffing in nasal diseases as a cause of secretory otitis media.

机译:鼻病的嗅觉习惯是分泌性中耳炎的原因。

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摘要

To clarify the role of habitual sniffing caused by nasal diseases in the pathogenesis of middle ear diseases, 112 pediatric patients with secretory otitis media (183 ears) were examined for associated nasal diseases and habitual sniffing. Middle ear pressure and nasopharyngeal pressure were simultaneously measured during forceful sniffing. Fifty-four percent of the patients with secretory otitis media had allergic rhinitis and/or chronic sinusitis. Sixty percent of the patients with nasal diseases habitually sniffed, whereas only 30.8% of those without nasal diseases had this habit. In the patients with the habit of sniffing, a higher negative pressure tended to be created in the nasopharynx on forceful sniffing than in the patients who did not sniff. Thirty-one of 112 patients (27.7%) were positive on the sniff test. Of these 31 patients, 20 were associated with the habit of sniffing, and in 14 of the 20 patients, nasal diseases were considered to be the primary cause of the habit of sniffing. That is, in 14 of the 112 patients (12.5%) with secretory otitis media, the patients with nasal diseases frequently sniffed and their middle ears were evacuated. This study suggests that in many patients, sniffing provoked by nasal diseases plays an important role in the pathogenesis of secretory otitis media through the creation of negative nasopharyngeal pressure. This mechanism is presumed to be present in approximately one-tenth of pediatric patients with secretory otitis media.
机译:为了阐明鼻部疾病引起的习惯性嗅探在中耳疾病发病机理中的作用,对112名患有分泌性中耳炎(183耳)的儿科患者进行了相关的鼻部疾病和习惯性嗅探。在强力嗅探期间,同时测量中耳压力和鼻咽压力。患有分泌性中耳炎的患者中有54%患有变应性鼻炎和/或慢性鼻窦炎。有60%的鼻部疾病患者习惯性地闻闻,而没有鼻部疾病的患者中只有30.8%有这种习惯。在有嗅探习惯的患者中,在鼻咽中强行进行嗅探会比未嗅探的患者产生更高的负压。 112名患者中有31名(27.7%)在嗅探试验中呈阳性。在这31例患者中,有20例与嗅觉习惯有关,在20例患者中,有14例认为鼻部疾病是嗅觉习惯的主要原因。也就是说,在112例分泌性中耳炎患者中,有14例(12.5%)的鼻部疾病患者经常闻鼻而中耳被抽空。这项研究表明,在许多患者中,鼻疾病引起的嗅闻通过产生负鼻咽压力在分泌性中耳炎的发病机理中起着重要作用。推测这种机制存在于患有分泌性中耳炎的小儿患者中约十分之一。

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