Bone Conduction Hearing Level in Patients With Eosinophilic Otitis Media Associated With Bronchial Asthma

Iino, Yukiko; Usubuchi, Hajime; Kodama, Kozue; Takizawa, Kenji; Kanazawa, Takemichi; Ohta, Yasushi

doi:10.1097/mao.0b013e318185fb0d

Cited by 29 publications

(16 citation statements)

References 15 publications

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“…In our study, high-tone loss was more frequently found and was more severe in EOM patients than in COM controls, and the infected ear with granulomatous otitis media was often accompanied by a signifi cant increase in bone conduction hearing level [13]. The cause of sensorineural hearing impairment is unclear.…”

Section: Change In Hearing Acuitymentioning

confidence: 94%

Eosinophilic otitis media: A new middle ear disease entity

Iino

2008

Curr Allergy Asthma Rep

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Eosinophilic otitis media (EOM) is intractable otitis media characterized by the presence of a highly viscous yellow effusion containing eosinophils. It occurs mainly in patients with bronchial asthma and is resistant to conventional treatments for otitis media. Here we discuss the clinical features, pathogenesis, and management of EOM. EOM predominantly affects women and presents most often in patients in their 50s. The clinical features of the middle ear in EOM are roughly divided into the otitis media with effusion type and chronic otitis media type. The latter is further divided into two subtypes: simple perforation and granulation tissue formation. EOM is often complicated by rhinosinusitis (eosinophilic sinusitis). High-tone loss is more frequently found and more severe in EOM patients than in chronic otitis media control patients, and EOM patients sometimes become deaf suddenly. Systemic or topical steroid administration is the most effective treatment for patients with EOM. The instillation of triamcinolone acetonide, a suspension of steroids, into the middle ear is very effective for controlling eosinophilic inflammation. It is very important to explain to patients with EOM that the disease may last for a long period and that progressive and sudden hearing loss may occur.

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Section: Change In Hearing Acuitymentioning

confidence: 94%

Eosinophilic otitis media: A new middle ear disease entity

Iino

2008

Curr Allergy Asthma Rep

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“…High-tone hearing loss, in particular, is more frequent and more severe in EOM patients than in COM patients [7], with 47% of EOM patients showing deterioration in BCHL, and 6% developing bilateral profound hearing loss according to the clinical survey of EOM in Japan [4]. The cause of deterioration in BCHL in cases of EOM remains unclear, but significantly higher concentrations of eosinophil cationic protein (ECP) and IgE have been detected in the middle ear effusion of EOM patients than in that of control patients [8].…”

Section: Discussionmentioning

confidence: 99%

Cochlear Implantation in Patients with Eosinophilic Otitis Media

Takahashi¹,

Arai²,

Sakuma³

et al. 2015

IJOHNS

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It is known that cochlear implantation for deaf patients with eosinophilic otitis media (EOM) is safe and can provide good speech perception. However, the best timing of implant surgery in patients with EOM is not yet known. The aim of this case report is to suggest the appropriate timing of the surgery in EOM patients with deaf. Cochlear implantation was indicated in two patients with EOM. One underwent cochlear implantation in the absence of any ear discharge. In the other case, implant surgery was delayed for three years due to persistent ear discharge. No complications related to implant device or skin flap were observed in either case. The speech recognition score after implantation was good in the first case and poor in the second case. Perioperative complications were manageable even in the patient with persistent ear discharge. However, the delay in implant surgery due to the persistent ear discharge resulted in a poor speech recognition score. Early implantation should be considered even in EOM patients with ear discharge, although the presence of active middle ear inflammation is regarded as one of the contraindications for implantation according to the current Japanese guidelines.

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“…To identify EOM in cases of NP could entail watching patients more closely. Indeed, an increased incidence of progressive and/or sudden sensorineural hearing loss had been described in cases of EOM [24], with bacterial infection and inflammatory mediators released in the middle ear contributing to inner ear damage [25]. This bone conduction hearing loss sometimes can lead to profound deafness.…”

Section: Otitis Media With Effusion In Nasal Polyposis: How To Manage?mentioning

confidence: 98%

Is There an Association Between Otitis Media and Nasal Polyposis?

Parietti‐Winkler¹,

Jankowski²

2011

Curr Allergy Asthma Rep

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The association between otitis media with effusion (OME) and nasal polyposis (NP) is poorly described. However, two different approaches to this problem seem to come from the few studies concerning both otitis media and NP in the literature. One study was based on the assessment of a population of patients presenting with NP, with the authors interested in patients among the studied population who complained of ear-related symptoms and developed OME (rhinologic approach). Other studies were based on the assessment of a population of patients developing a particular OME, with the authors interested in characterizing this condition they named eosinophilic otitis media (otologic approach). The article reviews currents concepts in the relationship between OME and NP. It appears that regardless of the approach to the problem of interest (rhinologic or otologic approach), OME and NP seem to be closely related. Moreover, some striking similarities can be noted between the different entities described in the different studies reviewed, and all authors seem to agree that the middle ear has a central role in the concept of united airways inflammatory disease. Otologists and rhinologists should work together on a single approach that allows for better management of inflammatory disease leading to the formation of polyps, development of concurrent asthma, appearance of aspirin intolerance, and finally involvement of the middle ear.

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Bone Conduction Hearing Level in Patients With Eosinophilic Otitis Media Associated With Bronchial Asthma

Cited by 29 publications

References 15 publications

Eosinophilic otitis media: A new middle ear disease entity

Eosinophilic otitis media: A new middle ear disease entity

Cochlear Implantation in Patients with Eosinophilic Otitis Media

Is There an Association Between Otitis Media and Nasal Polyposis?

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