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Updated: Aug 16, 2026

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
[Relationship between fibrinogen content and the protracted inflammation of secretory otitis media]
Xuan Wu1, Xihui Chen, Bin Huang
1Department of Otolaryngology, the First Affiliated Hospital, Sun-Yat-Sen University, Guangzhou, 510080, China. wuxuan2005@21cn.com
Objective:
To study the relationship between fibrinogen content and the protracted inflammation of secretory otitis media(SOM).
Method:
The fibrinogen content of 98 patients with SOM was monitored with von-clauss technique at different stages.
Result:
Sixty-two patients of 98 patients with SOM experiences were not cured after the treatment by myringopuncture. The positive rate and the concentration of fibrinogen in the protracted group were 72.58% and (0.568 +/- 0.206) g/L respectively, higher than those in the cured group, 30. 56% and (0.350 +/- 0.124) g/L ( P < 0.05 in all ); fifty-two of sixty-two patients in protracted group were not cured after the second treatment of myringopuncture, the concentration of fibrinogen in the second protracted group were (1.241 +/- 0.146) g/L, higher than that in the first protracted group,(0.685 +/- 0.251) g/L (P < 0.01).
Conclusion:
Fibrinogen content has significant relationship with the protracted inflammation of SOM. It might play an important role in the pathological course of middle ear adhesions.
Insights
Elevated fibrinogen levels correlate with persistent inflammation in secretory otitis media (SOM). Higher fibrinogen concentrations indicate a poorer treatment outcome for this middle ear condition.
Area of Science:
- Otolaryngology
- Biochemistry
- Inflammation Research
Context:
- Secretory otitis media (SOM) is a common pediatric condition.
- Protracted inflammation can lead to complications like middle ear adhesions.
- Current treatment efficacy for chronic SOM varies.
Purpose:
- To investigate the association between fibrinogen levels and persistent inflammation in secretory otitis media.
- To determine if fibrinogen concentration can serve as a biomarker for treatment resistance in SOM.
Summary:
- This study monitored fibrinogen content in 98 patients with SOM using the von Clauss technique.
- Patients with protracted inflammation showed significantly higher fibrinogen levels compared to those cured.
- Recurrent protracted cases exhibited even further elevated fibrinogen concentrations, suggesting a dose-dependent relationship.
Impact:
- Fibrinogen may play a crucial role in the pathophysiology of chronic SOM and middle ear adhesion formation.
- Findings suggest fibrinogen levels could aid in predicting treatment outcomes for SOM.
- This research opens avenues for exploring fibrinogen-targeted therapies for refractory SOM.
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