Faktori rizika od nastanka rekurentnog sekretornog otitisa
Sažetak
Uvod/Cilj. Rekurentni sekretorni otitis je često oboljenje dece uzrasta od šest meseci do četiri godine, a relapsi se najčešće javljaju nakon ekstrakcije ventilacionih cevčica. Cilj istraživanja je bio da se utvrde faktori rizika za rekurentni sekretorni otitis nakon ekstrakcije ventilacionih cevčica. Metode. Istraživanje je bila prospektivna studija sa 305 dece sa sekretornim otitisom uzrasta od 0 do 10 godina, od kojih je 43 (14%) imalo rekurentni sekretorni otitis. Analizirano je koji faktori mogu dovesti do ponovnog razvoja bolesti nakon ispadanja ventilacione cevčice. Rezultati. Utvrđeno je da je većina dece sa recidivom bolesti bila uzrasta od pet do sedam godina (56%) i sa pojavom alergija na znatno višoj stopi nego deca bez recidiva. U većini slučajeva (37.7%) vreme zadržavanja ventilacionih cevčica je trajalo više od 10 meseci, a rekurentna bolest je dijagnostikovana u 46.5% slučajeva u periodu od 10 do 12 meseci nakon ekstrakcije cevčice. Zaključak. Decu sa sekretornim otitsom i posle ispadanja ventilacinih cečica treba pratiti godinu dana. Neophodno je informisati roditelje da se bolest može ponovo javiti. Deca u vrtiću, u predškolskom uzrastu i sa respiratornim alergijama imaju veću mogućnost za pojavu rekurentnog sekretornog otitisa.
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