In an attempt to gain a better understanding of the prevalence of otitis media with effusion (OME) in the Hong Kong community, and to compare the characteristics of the disease here with OME as it is described in the Western literature, we screened more than 6,000 6- and 7-year-old children with both clinical and audiologic examinations. The initial positive screening rate was 5.3%. Upon further evaluation, we determined that the overall prevalence of persistent OME was 2.2%. We found that the disease pattern and natural history of persistent OME in Hong Kong children are similar to those reported in the Western literature.
References
1.
ChenM.N., ed. [A Collection of Ancient and Contemporary Medical Writings]. Vol. 4. Beijing: People's Health Publication, 1991: 999–1039.
2.
VeithI.The Yellow Emperor's Classic of Internal Medicine.Berkeley, Calif.: University of California Press, 1966: 21–2.
3.
ZmiewskiP., ed. Fundamentals of Chinese Medicine.Brookline, Mass.: Paradigm Publishing, 1985: 32–139.
4.
BlackN.Surgery for glue ear—a modern epidemic. Lancet1984; 1: 835–7.
RushtonH.C., TongM.C., YueV.Prevalence of otitis media with effusion in multicultural schools in Hong Kong. J Laryngol Otol1997; 111: 804–6.
7.
AdesmanA.R., AltshulerL.A., LipkinP.H., WalcoG.A.Otitis media in children with learning disabilities and in children with attention deficit disorder with hyperactivity. Pediatrics1990; 85: 442–6.
8.
LehmannM.D., CharronK., KummerA., KeithR.W.The effects of chronic middle ear effusion on speech and language development—a descriptive study. Int J Pediatr Otorhinolaryngol1979; 1: 137–44.
9.
ZinkusP.W., GottliebM.I., SchapiroM.Developmental and psychoeducational sequelae of chronic otitis media. Am J Dis Child1978; 132: 1100–4.
10.
Fiellau-NikolajsenM.Tympanometry and secretory otitis media. Observations on diagnosis, epidemiology, treatment, and prevention in prospective cohort studies of three-year-old children. Acta Otolaryngol Suppl (Stockh)1983; 394: 1–73.
11.
TakasakaT.Epidemiology of otitis media with effusion in Japan. Ann Otol Rhinol Laryngol Suppl1990; 99: 13–4.
12.
TosM.Epidemiology and spontaneous improvement of secretory otitis. Acta Otorhinolaryngol Belg1983; 37: 31–43.
13.
VirolainenE., PuhakkaH., AantaaE.Prevalence of secretory otitis media in seven to eight year old school children. Ann Otol Rhinol Laryngol Suppl1980; 89: 7–10.
14.
DalyK.A.Epidemiology of otitis media. Otolaryngol Clin North Am1991; 24: 775–86.
15.
AugustssonI., NilsonC., EngstrandI.The preventive value of audiometric screening of preschool and young school-children. Int J Pediatr Otorhinolaryngol1990; 20: 51–62.
16.
LousJ., Fiellau-NikolajsenM.Epidemiology and middle ear effusion and tubal dysfunction. A one-year prospective study comprising monthly tympanometry in 387 non-selected 7-year-old children. Int J Pediatr Otorhinolaryngol1981; 3: 303–17.
17.
CasselbrantM.L., BrostoffL.M., CantekinElOtitis media with effusion in preschool children. Laryngoscope1985; 95: 428–36.
18.
SenturiaB.H., BluestoneC.D., KleinJ.O.Report of the ad hoc committee on definition and classification of otitis media and otitis media with effusion. Ann Otol Rhinol Laryngol Suppl1980; 89: 3–4.
19.
TongM.C., YueV., KuP.K.The prevalence and natural history of otitis media with effusion in Chinese school children in Hong Kong. In: TosM., ThomsenJ., eds. Otitis Media Today.The Hague: Kugler Publishing, 1998: 1–5.