Efficacy of Biologics on Refractory Eosinophilic Otitis Media Associated with Bronchial Asthma or Severe Uncontrolled CRSwNP

Stefano Settimi, Gaetano Paludetti, Jacopo Galli, Eugenio De Corso, Claudio Montuori, Dario Antonio Mele, Alessandro Cantiani, Marco Corbo', Elena Cantone

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Eosinophilic otitis media (EOM) is a difficult-to-treat otitis media characterized by eosinophilic accumulation in the middle ear mucosa and effusion. It is resistant to conventional treatments and strongly associated with asthma and chronic rhinosinusitis with nasal polyps (CRSwNP). The aim of our study is to evaluate the effectiveness of biologics drugs in the control of EOM. This is a retrospective no-profit real-life observational study, involving patients affected by refractory EOM and in treatment with different biologics for concomitant severe eosinophilic asthma or severe uncontrolled CRSwNP (Dupilumab: n = 5; Omalizumab: n = 1; Mepolizumab: n = 1; Benralizumab: n = 1). We analyzed data at baseline and at the 6-month follow-up, including specific nasal and otological parameters. We observed an improvement of all nasal outcomes, including NPS, SNOT-22, VAS, and smell function. Regarding specific otological parameters, we observed a significant reduction in the mean value of COMOT-15 score and of Otitis Severity Score at 6-month follow-up compared to baseline (p < 0.05). Finally, we observed an improvement in terms of air conduction hearing levels during the treatment. Our results demonstrated that anti type-2 inflammatory pathway biologics can be effective in improving symptoms control and in reducing the severity of eosinophilic otitis media when treating coexisting type-2 diseases, such as asthma and or CRSwNP.
Lingua originaleEnglish
pagine (da-a)926-N/A
RivistaJournal of Clinical Medicine
Volume11
DOI
Stato di pubblicazionePubblicato - 2022

Keywords

  • Asthma
  • Biologics
  • Type-2 inflammation
  • Eosinophilic otitis media
  • Chronic rhinosinusitis

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