Relationship of passive cigarette smoking to otitis media
Archives of Otolaryngology - Head and Neck Surgery, ISSN: 0886-4470, Vol: 125, Issue: 7, Page: 758-762
1999
- 53Citations
- 49Captures
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Metrics Details
- Citations53
- Citation Indexes46
- 46
- CrossRef38
- Policy Citations7
- Policy Citation7
- Captures49
- Readers49
- 49
Article Description
Objective: To determine the effect of passive smoking on otitis media with effusion (OME) and recurrent otitis media (ROM). Design: A case-control study of children who received ventilation tubes and who were followed up for 1 year to determine the risk of developing postoperative otorrhea and early extrusion in relation to exposure to passive cigarette smoke. Setting: Otorhinolaryngology Clinic of Istanbul School of Medicine, Istanbul, Turkey. Patients: A total of 166 children 3 to 7 years old who required tympanostomy tubes because of OME and ROM (case group) compared with an age-matched control group of 166 children. The control group consisted of children who did not meet and never had met criteria for insertion of tympanostomy tubes. Main Outcome Measures: Statistical analysis of factors associated with a higher prevalence of OME or ROM, postoperative otorrhea, and early tube extrusion. Results: Passive smoking was a significant risk factor for OME and ROM. The case group was exposed to a mean of 19.6 cigarettes per day vs 14.4 cigarettes per day for the control group (P<.004). Only maternal smoking was a significant factor (P(.001); no association was found with paternal smoking. Prospective follow-up of the case group showed no significant difference in the clinical course of OME and ROM between maternally exposed and non-maternally exposed children. Conclusions: Passive smoking increases the risk of OME and ROM in children between 3 and 7 years old. The avoidance of daily exposure to domestic tobacco smoke could have a public health impact.
Bibliographic Details
American Medical Association (AMA)
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