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Letter to the Editor
Answer to letter to the editor “Further studies are still necessary in the relationship between indoor environment and otitis media”
Tingting Wang
Shanghai University of Medicine & Health Sciences,School of Nursing & Health Management, Shanghai, China
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="para0002" class="elsevierStylePara elsevierViewall">I feel very honored to receive your letter&#46; Thank you very much for your comments and criticism of the article&#46; The following is our reply after reading it carefully&#58;</p><p id="para0003" class="elsevierStylePara elsevierViewall">First&#44; our results were derived after correction of age and were tested multiple times&#46; The &#8220;&#8230; some pediatricians have a vague understanding of it&#44; which leads to a missed diagnosis by physicians&#8221; mentioned in the discussion part of the paper is a phenomenon existing in some areas in the past and cannot represent the current diagnosis and treatment of otitis media in China&#46; At the same time&#44; the criteria for determining otitis media in this paper are all preschool children diagnosed with otitis media after examination and diagnosis by clinicians&#46; Since this survey is a cross-sectional retrospective study&#44; the limitations of the institute and the later improvements are also mentioned at the end of the article&#46;</p><p id="para0004" class="elsevierStylePara elsevierViewall">In addition&#44; otitis media is the inflammation of the ear&#44; usually especially otitis media and otitis media in medicine&#44; among which acute otitis media is an infectious disease after the common cold&#46; The &#8220;&#8230; children&#39;s hearing organs and brains were irreversibly injured due to&#8230; acute otitis attacks&#8221; mentioned in the introduction means that if children suffer from acute otitis media for a long time and are not treated&#44; repeated attacks are easy to cause hearing loss&#44; intracranial complications&#44; and other diseases&#44; causing irreversible damage to children&#46;<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a> In the discussion part&#44; the proportion of otitis media caused by bacteria refers to the proportion of external otitis media and otitis media detected together&#46;<a class="elsevierStyleCrossRef" href="#bib0002"><span class="elsevierStyleSup">2</span></a></p><p id="para0005" class="elsevierStylePara elsevierViewall">Finally&#44; the long-term use of aminoglycosides such as gentamicin mentioned in the text does cause ototoxicity and affects the inner ear hair cells&#46;<a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a> This is an addition to the previously described &#8220;At the onset of otitis&#8230;&#8221;&#46;</p><p id="para0006" class="elsevierStylePara elsevierViewall">We agree with Professor Jose Lubianca Neto at the end of the article&#46; This paper is indeed a retrospective cross-sectional study&#44; with poor argumentation power compared to cohort studies&#46; Population-based prospective cohort studies are also needed to further observe the environment and disease development during child growth and development&#46;</p><p id="para0007" class="elsevierStylePara elsevierViewall">Thanks again for your editorial efforts for our manuscript&#46;</p></span>"
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Article information
ISSN: 00217557
Original language: English
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Jornal de Pediatria (English Edition)
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