Rhinosinusitis, Otitis, Tubaritis, Adenoiditis, and Other Inflammatory Diseases (-Itis), Mediated by Immunological Alterations Caused by Inadequate Nutrition

A special issue of Sinusitis (ISSN 2673-351X).

Deadline for manuscript submissions: closed (30 April 2023) | Viewed by 5429

Special Issue Editor

Guest Editor
Child and Adolescent Clinic “La Palma”, Ciudad Real, Spain
Interests: Mediterranean diet; traditional diet; nutritional intervention; nutritional therapy; recurrent acute rhinosinusitis; recurrent acute otitis media; otitis media with effusion; persistent nasal obstruction; recurrent wheezing; recurrent colds

Special Issue Information

Dear Colleagues,

With globalisation, the so-called ‘Western civilisation’ diet has been imposed in recent decades while traditional diets, which have been the basis of food for millennia, have been abandoned.

The main difference between these diets is the concept of consuming processed and non-fermentable foods vs. fresh and fermentable foods. The former, having been designed to be non-perishable and precooked, can easily be transported and sold in supermarkets while the latter, being perishable, require food markets and careful home preparation.

In recent years, much consideration has been given to the types of food we consume in relation to the inflammatory processes that we suffer from. We want to highlight the importance of the ‘nutritional report’ which was compiled in collaboration with nutritionists. It is an essential document to know the quality of our patients' diets and to be able to intervene appropriately. As the traditional diet of our area, we recommend the Mediterranean diet as the most appropriate approach to treat patients who suffer from some types of inflammatory diseases.

Our research regarding the effects of the Traditional Mediterranean Diet (TMD) on childhood inflammatory diseases open the hypothesis that the immune system does not recognise unsuitable foods very well and responds with the formation of pro-inflammatory cytokines (something similar to what occurs during COVID-19 exposure) which, in turn, lead to hyper-reactivity of mucous membranes against the triggering agents. These mucous membrane diseases or mucositis (the suffix ‘-itis' indicating multiple mucous membranes of the body being affected) include respiratory mucous membranes (e.g., rhinosinusitis, otitis, tubaritis, adenoiditis and bronchitis).

In this Special Issue, we invite those researchers who have found a relationship between common inflammatory diseases of the mucosa and the abandonment of the traditional diet to participate. Our goal is to document and promote the traditional diet as a method of prevention and treatment option for inflammatory diseases that afflict human beings.

Effects of the Traditional Mediterranean Diet in Childhood Recurrent Acute Rhinosinusitis.
Available online: https://www.mdpi.com/2673-351X/5/2/11

Effects of the Mediterranean Diet on Morbidity from Inflammatory and Recurrent Diseases with Special Reference to Childhood Asthma.
Available online: https://www.mdpi.com/2072-6643/14/5/936

Effects of the Traditional Mediterranean Diet in Patients with Otitis Media with Effusion.
Available online: https://www.mdpi.com/2072-6643/13/7/2181

Persistent Nasal Obstruction: An Expression of the Pro-Inflammatory State?
Available online: https://www.mdpi.com/2673-351X/5/1/10

Dr. Fernando M. Calatayud Sáez
Guest Editor

Manuscript Submission Information

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  • dietary pattern
  • Mediterranean diet
  • traditional diet
  • rhinosinusitis
  • acute otitis media
  • otitis media with effusion
  • persistent nasal obstruction
  • recurrent wheezing
  • recurrent colds

Published Papers (2 papers)

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6 pages, 238 KiB  
Promotion and Restoration of Health with the Amazing Mediterranean Diet versus an Increase in Childhood Pathology Due to the Disastrous Diet of ‘Western Civilisation’
by Fernando M. Calatayud-Sáez
Sinusitis 2022, 6(2), 26-31; https://doi.org/10.3390/sinusitis6020004 - 15 Jul 2022
Cited by 1 | Viewed by 1603
‘Understand your honours that it is not so much that the traditional diet rooted in our homes has a miraculous character, as that the diet that modernity imposes on us is unhealthy and inadequate for the human intestines [...] Full article


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13 pages, 580 KiB  
Recurrent Acute Otitis Media Could Be Related to the Pro-Inflammatory State That Causes an Incorrect Diet
by Fernando M. Calatayud-Sáez, Blanca Calatayud and Ana Calatayud
Sinusitis 2022, 6(2), 36-48; https://doi.org/10.3390/sinusitis6020006 - 22 Aug 2022
Cited by 3 | Viewed by 2797
Introduction: Acute Otitis Media (AOM) is the most commonly-occurring bacterial complication in childhood. After making certain corrections to the patients’ dietary habits, which we found to be excessively high in animal-based and industrially-processed foods, we observed a significant reduction in recurrent colds and [...] Read more.
Introduction: Acute Otitis Media (AOM) is the most commonly-occurring bacterial complication in childhood. After making certain corrections to the patients’ dietary habits, which we found to be excessively high in animal-based and industrially-processed foods, we observed a significant reduction in recurrent colds and their bacterial complications. We promote an original way of treating these diseases, since until now the conventional treatment is based on pharmacological and surgical treatment. From our point of view, the mucosa that covers the entire ENT area is in a pro-inflammatory and hyper-reactive state, as a consequence of the alterations produced by an inadequate diet. For us there is no difference in the nutritional treatment of the different mucous membranes that cover the ENT area. The purpose of the study was to assess the effects of the Traditional Mediterranean Diet (TMD) on patients diagnosed with Recurring Acute Otitis Media (RAOM). Methods: prospective pre-postest comparison study with 48 girls and 42 boys aged 1–5 years, each of whom had been and included on the 1-year programme “Learning to eat the Mediterranean Way”, designed to encourage the adoption of the TMD. We studied clinical and therapeutic variables and various anthropometric parameters. Results: all the symptomatic indicators studied (number and intensity of episodes of otitis and emergency admissions) showed a positive and statistically significant evolution in RAOM. By the end of the study, none of the patients met the criteria for classification as RAOM, and 60% percent of patients did not present any further episodes of AOM. In line with the above, the use of anti-microbial drugs and symptomatic treatments reduced considerably; the use of antibiotics dropped from 4.30 occasions/patient/year, to 0.66 (p < 0.001), and the used of symptomatic treatments dropped from 7.63 to 2.75 (p < 0.001). The level of family satisfaction was very high. Conclusions: the adoption of the Traditional Mediterranean Diet has been demonstrated to significantly reduce occurrence of acute otitis media and may contribute to the treatment of patients diagnosed with recurrent acute otitis media. Full article
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