Iino et al developed a score for monitoring patients with eosinophilic otitis media. The authors are from Jichi Medical University in Saitama, Japan.
Patient selection: eosinophilic otitis media
Parameters:
(1) quantity of middle ear effusion (MEE) or otorrhea in left ear, with or without eardum perforation
(2) quantity of middle ear effusion or otorrhea in right ear, with or without eardum perforation
(3) condition of middle ear mucosa in left ear
(4) condition of middle ear mucosa in right ear
(5) frequency of intratympanic administration of corticosteroids in left ear
(6) frequency of intratympanic administration of corticosteroids in right ear
(7) frequency of systemic corticosteroid therapy
(8) frequency of systemic antibiotic therapy
|
Parameter |
Finding |
Points |
|
MEE or otorrhea left ear |
eardum intact, no MEE |
0 |
|
|
eardrum intact, MEE with partial intratympanic aeration |
1 |
|
|
eardum intact, mesotympanum totally filled with MEE |
2 |
|
|
eardum perforation, no otorrhea |
0 |
|
|
eardrum perforation, otorrhea limited to the mesotympanum |
1 |
|
|
eardrum perforation, otorrhea extrudes to the external auditory canal |
2 |
|
MEE or otorrhea right ear |
eardum intact, no MEE |
0 |
|
|
eardrum intact, MEE with partial intratympanic aeration |
1 |
|
|
eardum intact, mesotympanum totally filled with MEE |
2 |
|
|
eardum perforation, no otorrhea |
0 |
|
|
eardrum perforation, otorrhea limited to the mesotympanum |
1 |
|
|
eardrum perforation, otorrhea extrudes to the external auditory canal |
2 |
|
middle ear mucosa left ear |
nearly normal or slightly edematous |
0 |
|
|
edematous or thickened |
1 |
|
|
highly thickened or granulated, extending beyond eardrum |
2 |
|
middle ear mucosa right ear |
nearly normal or slightly edematous |
0 |
|
|
edematous or thickened |
1 |
|
|
highly thickened or granulated, extending beyond eardrum |
2 |
|
intratympanic steroids left ear |
none |
0 |
|
|
1 time in past 3 months |
1 |
|
|
>= 2 times in past 3 months |
2 |
|
intraympanic steroids right ear |
none |
0 |
|
|
1 time in past 3 months |
1 |
|
|
>= 2 times in past 3 months |
2 |
|
systemic corticosteroids |
none |
0 |
|
|
<= 7 days in past 3 months |
1 |
|
|
> 7 days in past 3 months |
2 |
|
systemic antibiotics |
none |
0 |
|
|
<= 7 days in past 3 months |
1 |
|
|
> 7 days in past 3 months |
2 |
total score =
= SUM(points for all 7 parameters)
Interpretation:
• minimum score: 0 (normal)
• maximum score: 16 (severe bilateral disease)
• The higher the score the worse the eosinophilic otitis media.
• A high score in one ear would overlap with milder bilateral disease. This can be corrected by giving subscores for the 3 parameters specific to each ear.
Specialty: Neurology, Otolaryngology
ICD-10: ,
