Læknablaðið : fylgirit - 01.06.2005, Page 33

ABSTRACTS / XXIX CONGRESS OF THE NORDIC ASSOCIATION OF OTOLARYNGOLOGY
MRI revealed epidural abscesses (3 patients), posttraumatic fron-
tal lobe abscess (1 patient) and subdural empyema (2 patients),
one with osteomyelitis and Pott's puffy tumour. Treatment includ-
ed sinus trephination (5 patients), neurosurgery (3 patients) with
removal of infected bone and subperiostal abscess in one patient,
and antibiotics. Streptococcus milleri was cultured in the subdural
empyema patients, Staphylococcus aureus and albus in two of the
epidural abscess patients, and pneumococcus in the posttraumatic
frontal lobe abscess patient. Epidural abscess patients recov-
ered uneventfully, whereas minimal right-sided weakness and
mild seizures were sequelae in one subdural empyema patient.
Adolescents, especially males, are at risk for sinogenic intracra-
nial complications, probably because of increased blood flow in
the diploic veins. Early sinus trephination to obtain microbiologic
cultures for guidance in determining antibiotic therapy and to
eradicate the primary source of infection is important in these
patients.
Abstract no.: 079
Foreign body bodies causing and prolonging hospitalisation
in children 0-14 age: early results from the ESFBI Study
Gregori D1, Snidero S2, Morra B3, Passali D4, Corradetti R2
'Dept. of Public Health and Microbiology, 2Dept. of Statistics and Applied
Mathematics, University of Torino, Italy, 'Dept. of Otorhinolaryngology,
Hospital 'San Giovanni Battista’, Torino, Italy, 4Dept. of Otorhinolaryngo-
logy, University of Siena, Italy
Foreign bodies injuries are one of the leading cause of hospitalisa-
tion in children. The data of the ESFBI Study was the collection
of European data about injuries due to foreign objects in children
aged 0-14.
1852 cases of FB injuries of years 2000-2002 were collected in
17 European Countries and analyzed to under stand the impact
of foreign bodies injuries on hospital management with particular
reference to a prolonged length of stay, as defined by lasting al least
three days. Most common removal technique used was endoscopies
(68.1%), surgical intervention (3.6%) and other techniques
(28.3%). A median LOS of 2 days (1,2 first and third quartile) was
observed, with 24.5% of the children having a LOS of at least 3
days, with great variability among participating countries.
Organic foreign bodies are posing the higher risk for both
being injured and having a longer length of stay. Among inorganic
foreign bodies, coins are showing a higher incidence of injuries
but a smaller severity as compared to nuts (OR of prolonged stay
0.29 - 0.15-0.57 CI).
Choking remains a major burden for children, and it still
represent a significant challenge for the health care system in
terms of life threatening and resources utilization.
Abstract no.: 080
Alcohol-induced upper airway symptoms: prevalence and
co-morbidity
Andersson M, Greiff L, Nihlen U
Departments of Otorhinolaryngology and Respiratory Medicine,
University hospital, Lund, Sweden
Little is known about effects of alcohol intake on the upper,
nasal airways. The present aim was to examine the prevalence
of alcohol-induced nasal symptoms (ANS) and to explore asso-
ciations between ANS and other respiratory diseases. A postal
questionnaire focused on respiratory diseases and symptoms was
sent to 11933 randomly selected adult individuals. Subjects with
ANS, n=316 (3.4%) received a second questionnaire focusing on
this condition. 9316 (78%) subjects answered the first and 228
(72%) the second questionnaire. Two thirds of the subjects with
ANS were women. Red wine and white wine were the most fre-
quent triggers of ANS, reported by 83% and 31% of the subjects,
respectively. Nasal blockage was the most prominent symptom,
but also sneezing, nasal discharge, as well as lower airway symp-
toms occurred after intake of alcoholic drinks. Self reported
physician’s diagnoses of asthma, chronic bronchitis/emphysema,
chronic obstructive pulmonary disease (COPD), as well as aller-
gic rhinitis were more common in subjects with ANS compared
with the general population (p<0.001 for all comparisons). In
conclusion, ANS are common and are about twice as frequent in
women than in men. ANS seem to be associated with important
respiratory diseases such as asthma, chronic bronchitis, COPD,
and allergic rhinitis.
Abstract no.: 081
Early life atopic eczema and the risk of allergic diseases and
otitis media in children
Bentdal YE1, Nafstad P23, Kvaerner KJ1
'Akershus University Hospital, ENT-department, University of Oslo,
Norway, 2Department of General Practice and Community Medicine,
University of Oslo, 3Division of Epidemiology, Norwegian Institute of
Public Health
Background: Clinical experience indicates that children with early
life atopic eczema have an increased risk of developing allergic
diseases later in life. It is not clear whether there is a similar asso-
ciation between early life atopic eczema and the risk of respira-
tory infections during childhood.
Objective: To assess the association between early life atopic
eczema (0-6 months), allergic diseases and otitis media at 10 years
of age.
Methods: A population based study of 3754 children born in Oslo
in 1992/93, of which 2540 were followed from birth to 10 years.
The current analyses are based on data from parental reported
questionnaires with information on physician diagnosed atopic
eczema at 6 months. Physician diagnosed lifetime asthma, allergic
rhinoconjunctivitis, atopic eczema and the presence of allergy
symptoms and otitis media the past year were collected at 10
years.
Results: At 6 months 16% of the children were reported to have
experienced atopic eczema. Early life atopic eczema increased the
risk of doctor-diagnosed asthma (odds ratio-OR: 3,6, 95% confi-
dence interval: 2,5-5,2), allergic rhinoconjunctivits (OR: 3,5, 95%
CI: 2,7-4,6) and atopic eczema (OR: 3,0, 95% CI: 2,2-4,0) at 10
years of age. A similar pattern was not found for the association
between atopic eczema at 6 months and the risk of otitis media at
10 years (OR: 1,3,95% CI: 0,90-2,1).
Conclusions: While there was a threefold increased risk of having
asthma, allergic rhinoconjuntivits and atopic eczema at 10 years of
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