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Pediatric middle ear infections and gastroesophageal reflux

Lookup NU author(s): Dr Petros Karkos, Wolfgang Issing


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Objectives : The pathogenesis of middle ear infections in children is multifactorial and includes infection, anatomical factors, impaired immunologic status, allergy, familial predisposition, mate sex, method of feeding and environmental factors. Glue ear remains the commonest cause of deafness in childhood. Gastroesophageal reflux (GOR) is a common problem in the newborn and preschool periods. Recent research suggests that it may be related to eustachian tube dysfunction and otitis media. Methods : We review the literature and discuss the possible relationship between Gastroesophageal reflux and otitis media in children. Conclusions : The current data are not enough to support antireflux treatment in children with refractory middle ear infections. More prospective randomised placebo-controlled studies are needed. (C) 2004 Elsevier Ireland Ltd. All rights reserved.

Publication metadata

Author(s): Karkos PD, Assimakopoulos D, Issing WJ

Publication type: Review

Publication status: Published

Journal: International Journal of Pediatric Otorhinolaryngology

Year: 2004

Volume: 68

Issue: 12

Pages: 1489-1492

ISSN (print): 0165-5876

ISSN (electronic): 1872-8464


DOI: 10.1016/j.ijporl.2004.07.019