Orthodontics meets otorhinolaryngology: a collaborative approach to otitis media prevention.

IF 2.2 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

European journal of paediatric dentistry Pub Date : 2025-10-01 DOI:10.23804/ejpd.2025.2413

E Boccalari, M Serafin, M Grandinetti, A Caprioglio

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引用次数: 0

Abstract

Aim: To evaluate the role of orthodontic and craniofacial orthopaedic interventions in the prevention and management of otitis media with effusion (OME), focusing particularly on rapid maxillary expansion (RME) and its implications for Eustachian tube function.

Methods: A comprehensive search was conducted in PubMed, Embase, and Web of Science using a structured combination of MeSH terms by two expert researchers from inception to December 2024. Randomised and non-randomised prospective studies involving pediatric patients (2-18 years) with chronic OME were included. The effectiveness of preventive measures was compared with alternative treatments or no interventions. Study quality was assessed using the ROBINS-I v2 tool.

Conclusion: RME emerges as a promising preventive option for managing OME particularly in patients with orthodontic indications. By addressing structural contributors to Eustachian tube dysfunction, RME improves middle ear health and complements otolaryngological interventions. Integrating orthodontic and otolaryngological strategies represents an effective multidisciplinary approach to reducing OME incidence and recurrence. Further studies are needed to confirm the long-term stability and the generalisability of these observed benefits.

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正畸学与耳鼻喉科：预防中耳炎的合作方法。

目的：评价正畸和颅面矫形干预在中耳炎积液（OME）预防和治疗中的作用，特别是上颌快速扩张（RME）及其对咽鼓管功能的影响。方法：由两位专家研究人员使用MeSH术语的结构化组合在PubMed、Embase和Web of Science中进行了全面的检索，从成立到2024年12月。随机和非随机前瞻性研究纳入儿童慢性OME患者（2-18岁）。将预防措施与替代治疗或不采取干预措施的效果进行比较。采用ROBINS-I v2工具评估研究质量。结论：RME是治疗OME的一种很有前途的预防选择，特别是在有正畸指征的患者中。通过解决耳咽管功能障碍的结构性因素，RME改善了中耳健康并补充了耳鼻喉科干预措施。整合正畸和耳鼻喉科策略是减少OME发病率和复发率的有效多学科方法。需要进一步的研究来证实这些观察到的益处的长期稳定性和普遍性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European journal of paediatric dentistry DENTISTRY, ORAL SURGERY & MEDICINE-PEDIATRICS

CiteScore

4.60

自引率

19.40%

发文量

审稿时长

6-12 weeks

期刊介绍： The aim and scope of the European Journal of Paediatric Dentistry is to promote research in all aspects of dentistry related to children, including interceptive orthodontics and studies on children and young adults with special needs.