胃食管反流引起中耳炎.pptVIP

A woman with bilateral intractable OME Michihiko Sone, MD, Toshinori Kato, MD, and Tsutomu Nakashima, Nagoya and Nishio, Japan An 83-year-old woman visited one of the authors’clinics with a feeling of bilateral ear-fullness. She was diagnosed as having bilateral otitis media with effusions (OME). Her nose, pharynx, and larynx appeared normal. She was asked about having any symptoms associated with GER （胃食管返流）and completed a questionnaire for diagnosing GER disease ; based on her responses, she was then considered to have questionnaire-positive GER. Samples of middle ear effusions were ob