Common variable immunodeficiency (CVID) represents the most frequent primary immunodeficiency, often encountered in the ENT clinical practice. The clinical spectrum of CVID is quite broad, but otitis media are certainly among the most common clinical manifestations. This prospective study enrolled 60 patients (34 males, 26 females) with a previous diagnosis of CVID with the aim of performing an otologic evaluation and a more precision characterization of incidence, diagnosis, and treatment of otitis media in this group of patients. In consideration that Eustachian tube dysfunction (ETD) could be the 'primum movens' of otitis media, we wanted to assess whether a Eustachian tube dysfunction was present in these patients. Besides, we propose a possible diagnostic algorithm of middle ear pathologies to use in all cases of primary antibody deficiency patients. Results of our otologic examination showed that: 5 % of patients had chronic suppurative otitis media, 25 % bilateral otitis media with effusion and 10 % reported unilateral OME with associated contralateral ETD. There was bilateral isolated ETD and unilateral isolated ETD in 5 and 15 % of patients, respectively. All patients with unilateral OME had associated contralateral ETD. Finally, 40 % of patients were bilaterally negative at otoscopic examination and all otologic tests.

Otologic evaluation of patients with primary antibody deficiency / Magliulo, Giuseppe; Iannella, Giannicola; Granata, Guido; Ciofalo, Andrea; Pasquariello, Benedetta; Angeletti, Diletta; La Marra, Fabiola; Quinti, Isabella. - In: EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY. - ISSN 0937-4477. - 273:11(2016), pp. 3537-3546. [10.1007/s00405-016-3956-y]

Otologic evaluation of patients with primary antibody deficiency

MAGLIULO, Giuseppe
Primo
;
IANNELLA, GIANNICOLA
Secondo
;
GRANATA, GUIDO;CIOFALO, Andrea;PASQUARIELLO, BENEDETTA;ANGELETTI, DILETTA;La Marra, Fabiola
Penultimo
;
QUINTI, Isabella
Ultimo
2016

Abstract

Common variable immunodeficiency (CVID) represents the most frequent primary immunodeficiency, often encountered in the ENT clinical practice. The clinical spectrum of CVID is quite broad, but otitis media are certainly among the most common clinical manifestations. This prospective study enrolled 60 patients (34 males, 26 females) with a previous diagnosis of CVID with the aim of performing an otologic evaluation and a more precision characterization of incidence, diagnosis, and treatment of otitis media in this group of patients. In consideration that Eustachian tube dysfunction (ETD) could be the 'primum movens' of otitis media, we wanted to assess whether a Eustachian tube dysfunction was present in these patients. Besides, we propose a possible diagnostic algorithm of middle ear pathologies to use in all cases of primary antibody deficiency patients. Results of our otologic examination showed that: 5 % of patients had chronic suppurative otitis media, 25 % bilateral otitis media with effusion and 10 % reported unilateral OME with associated contralateral ETD. There was bilateral isolated ETD and unilateral isolated ETD in 5 and 15 % of patients, respectively. All patients with unilateral OME had associated contralateral ETD. Finally, 40 % of patients were bilaterally negative at otoscopic examination and all otologic tests.
2016
Chronic suppurative otitis media; Common variable immunodeficiency; Eustachian tube; Otitis media with effusion; Otorhinolaryngology2734 Pathology and Forensic Medicine
01 Pubblicazione su rivista::01a Articolo in rivista
Otologic evaluation of patients with primary antibody deficiency / Magliulo, Giuseppe; Iannella, Giannicola; Granata, Guido; Ciofalo, Andrea; Pasquariello, Benedetta; Angeletti, Diletta; La Marra, Fabiola; Quinti, Isabella. - In: EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY. - ISSN 0937-4477. - 273:11(2016), pp. 3537-3546. [10.1007/s00405-016-3956-y]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/907248
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