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Identification of adenoid biofilms with middle ear pathogens in otitis-prone children utilizing SEM and FISH
International Journal of Pediatric Otorhinolaryngology , 08/12/09

Hoa M et al. – Dense adenoid biofilms may act as a reservoir for reinfection of the tubotympanum. Aspiration of planktonic middle ear pathogens existing in resistant adenoid biofilms during a viral upper respiratory tract infection may be an important event in the development of RAOM.

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