Section: 
Reviews
ReviewsEosinophilic otitis media
A. S. Yunusov (1), V. A. Saidulaev (2), V. P. Shpotin (3), S. A. Shirshov (4)
(1) National Medical Research Center of Otolaryngology, Federal Medical and Biological Agency, Moscow, 123182, Russian Federation, (2) National Medical Research Center for Otorhinolaryngology, Federal Medical and Biological Agency of Russia, Astrakhan branch, Astrakhan, 414056, Russian Federation, (2), (3), (4) Astrakhan State Medical University, Astrakhan, 414000, Russian Federation
UDK: УДК 616.284-003.2:616.211-002-006.5:616.248:615.37
DOI: https://doi.org/10.18692/1810-4800-2026-3-115-120
ABSTRACT
Abstract. Eosinophilic otitis media (EOM) is a rare and clinically complex condition in the practice of otolaryngologists, characterized by a progressive course. Diagnosis of the disease is based on a combination of bronchial asthma and polypous rhinosinusitis, along with the presence of eosinophilic discharge in the middle ear. A distinctive feature of EOM is its relentless progression, which can lead to gradual hearing loss, up to complete deafness. This condition is typically associated with the development of sensorineural hearing loss, predominantly affecting high frequencies, and this process occurs over a shorter period compared to chronic otitis media. The rarity of this disease accounts for the absence of standardized treatment algorithms. This review summarizes current data on the etiology, pathogenesis, clinical presentation, diagnosis, and treatment of EOM. The work describes the etiology, pathogenesis, clinical symptoms, diagnostic approaches, and existing treatment regimens for eosinophilic otitis media.
Publication date:
16.06.2026
Keywords:
eosinophilic otitis media, bronchial asthma, polypous rhinosinusitis, type 2 inflammation, biologic therapy, omalizumab, dupilumab, sensorineural hearing loss For citation:
Yunusov A. S., Saidulaev V. A., Shpotin V. P., Shirshov S. A. Eosinophilic otitis media. Russian Otorhinolaryngology. 2026;25(3):115-120. (In Russ.) https://doi.org/10.18692/1810-4800-2026-3-115-120