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The Rhinological Diagnosis in the Management of Otitis Media

  • Luisa Bellussi
  • Valerio Damiani
  • Francesco Maria Passàli
  • Desiderio Passàli

Abstract

When approaching to middle ear pathologies, clinician has not only to manage the audiological and auricular problems, but he necessarily has to consider the multiple and complex etiopathogenetic links that exist among the organs constituting the rhinopharyngotubal unit. According to our 20 years experience in the field of the Rhinology, and bearing in mind the emergent role of nasal allergy in the pathogenesis of otitis media, we suggest a three step diagnostic approach for the evaluation of the rhinopharyngotubal district in both adults and children.

Keywords

Otitis Medium Allergic Rhinitis Tubal Function Nasal Resistance Acoustic Rhinometry 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Clement PAR: Committee report on standardization of rhinomanometry. Rhinology 1984; 22: 151–155.PubMedGoogle Scholar
  2. 2.
    Hilberg O., Jackson AC., Swift DL. Acoustic rhinometry: evaluation of nasal cavity geometry by acoustic reflection. J Appl Physiol 1989; 66: 295–303.PubMedGoogle Scholar
  3. 3.
    Passali D, Bellussi L, Bianchini Ciampoli M, De Seta E. Our experiences in nasal mu-cociliary transport time determination. Acta Otolaryngol (Stockh) 1984; 97: 319–23.CrossRefGoogle Scholar
  4. 4.
    Passàli D., Bianchini Ciampoli M., Cifferi G., Bellussi L. Correlation of the results of tympanometry, tubal function test and nasal MCT in 100 children suffering from SOM. The Eustachian Tube, 1985; 141–5.Google Scholar
  5. 5.
    Collins-Williams C, Nirami RM, Lamenza C, Chin. Nasal provocative testing with molds in the diagnosis of perennial allergic rhinitis. Annals of Allergy 1972; 30: 557–61PubMedGoogle Scholar
  6. 6.
    Passàli D, Anselmi M, Bellussi L, Passàli FM, Passali GC. Storia delle metodiche utilizzate quali test di provocazione nasale aspecifica (TPNA) alla luce di esperienze personali. Riv Ori Aud Fon 1999; 3–4: 121–130Google Scholar
  7. 7.
    Lloyd GAS, Lund VJ., Scadding GK. CT of the paranasal sinuses and bronchial endoscopic surgery: a critical analysis of 100 symptomatic patients. J Laryngol Otol 1991; 105: 181–185.PubMedGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 2004

Authors and Affiliations

  • Luisa Bellussi
    • 1
  • Valerio Damiani
    • 1
  • Francesco Maria Passàli
    • 1
  • Desiderio Passàli
    • 1
  1. 1.E.N.T. DepartmentUniversity of Siena Medical SchoolSienaItaly

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