Vascular permeability of the middle ear mucosa in otitis media with effusion

Y. Hamaguchi, S. K. Juhn

Research output: Contribution to journalArticlepeer-review


Vascular permeability (VP) of the middle ear mucosa (MEM) in chronic otitis media with effusion (OME) was estimated in both pediatric and adult patients by calculating the middle ear effusion (MEE) to serum concentration ratios of albumin and of four protease inhibitors: α1-antitrypsin (α1-AT), α1-antichymotrypsin (α1-X), inter-α-trypsin inhibitor (I-α-I) and α2-macroglobulin (α2-M). The levels of albumin and α1-AT in MEE were higher while those of I-α-I and α2-M were lower than their serum levels in both adult serous and pediatric mucoid groups. There was a negative correlation between molecular weight and the mean value of the ratio (MEE/serum) of the four inhibitors in both serous (r=-0.989) and mucoid (r=-0.924) groups. Vascular permeability of the MEM seems to be variable in both serous and mucoid groups during middle ear inflammation. Selective leakage of proteins by molecular weight appears to occur in MEM. Our findings further indicate that a high level of the high-molecular-weight inhibitor α2-M in MEE may be a significant index reflecting the remarkably enhanced VP of the MEM.

Original languageEnglish (US)
Pages (from-to)218-221
Number of pages4
JournalArchives of Oto-Rhino-Laryngology
Issue number4
StatePublished - Sep 1987


  • Otitis media with effusion
  • Protease inhibitors
  • Vascular permeability


Dive into the research topics of 'Vascular permeability of the middle ear mucosa in otitis media with effusion'. Together they form a unique fingerprint.

Cite this