Eustachian Tube Enhancement Directly Reflects Disease Activity in ANCA-Associated Otitis Media

Otology & Neurotology 2026

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Authors: Taro Fujikawa, Nobuhiro Hakuba, Toru Miwa, Jun Oyama, Emi Yamaga, Natsuka Umezawa, Shinya Morita, Yoshiyuki Kawashima, Taku Ito, Kaori Mohri, Takeshi Tsutsumi
DOI: 10.1097/mao.0000000000004865
Cited by: 0
References: 27

Abstract

OBJECTIVE: Otitis media with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (OMAAV) is associated with Eustachian tube (ET) involvement. To date, the clinical feasibility of using contrast-enhanced magnetic resonance imaging (CE-MRI) to assess ET enhancement in OMAAV management remains unclear. Therefore, we investigated whether ET enhancement on CE-MRI reflects disease activity in patients with ANCA-associated vasculitis (AAV)/OMAAV. STUDY DESIGN: Prospective cohort with within-patient comparisons. SETTING: Tertiary referral center. PATIENTS: Eight patients with AAV (12 OMAAVs) and 8 with otitis media with effusion (OME) as controls. INTERVENTION: All patients underwent 3.0-Tesla fat-suppressed CE-MRI with

Fields of Study & Subjects

Vasculitis and related conditions Ear Surgery and Otitis Media Vestibular and auditory disorders

Publication details

Journal / source
Otology & Neurotology
Volume
47
Issue
5
Pages
744–750
Publication date
26 February 2026
Language
EN