Evidence map›Paper›PMID 34455569›Full record

ArticleHead and neck pathology2022

Immunohistochemical and qPCR Detection of SARS-CoV-2 in the Human Middle Ear Versus the Nasal Cavity: Case Series.

Arwa Kurabi, Kwang Pak, Adam S DeConde, Allen F Ryan, Carol H Yan

Open access · hybridAbstract read
In one paragraph

Article in Head and neck pathology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 26 citations in OpenAlex.

  1. A pain from the nose to the head: neurological commitment during long COVID.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  2. Review
  3. COVID-19-related secretory otitis media in the omicron era: a case series.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. COVID-19 and otologic surgery.Operative techniques in otolaryngology--head and neck surgery · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Arwa KurabiDepartment of Surgery/ Division of Otolaryngology- Head and Neck Surgery, University of California, San Diego, USA. akurabi@ucsd.edu.ORCID http://orcid.org/0000-0001-5765-9496
Kwang PakDepartment of Surgery/ Division of Otolaryngology- Head and Neck Surgery, University of California, San Diego, USA.
Adam S DeCondeDepartment of Surgery/ Division of Otolaryngology- Head and Neck Surgery, University of California, San Diego, USA.
Allen F RyanDepartment of Surgery/ Division of Otolaryngology- Head and Neck Surgery, University of California, San Diego, USA.
Carol H YanDepartment of Surgery/ Division of Otolaryngology- Head and Neck Surgery, University of California, San Diego, USA.
University of California San Diego · US

Funding

Middle ear responses in Otitis MediaR01DC000129 · NIDCD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RYAN, ALLEN F. · 1989 to 2021
$6.8M
Innovative therapy for diseases of the middle earR01DC012595 · NIDCD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RYAN, ALLEN F. · 2012 to 2023
$3.3M
NIDCD NIH HHS DC000129NIDCD NIH HHS R01 DC000129NIDCD NIH HHS R01 DC012595
6 · The paper itself

Abstract

Viral infections have already been implicated with otitis media and sudden sensorineural hearing loss. However, the pathophysiology of COVID-19 as it relates to otologic disorders is not well-defined. With the spread of SARS-CoV-2, it is important to evaluate its colonization of middle ear mucosa. Middle ear and nasal tissue samples for quantitative RT-PCR and histologic evaluations were obtained from post-mortem COVID-19 patients and non-diseased control patients. Here we present evidence that SARS-CoV-2 colonizes the middle ear epithelium and co-localizes with the primary viral receptor, angiotensin-converting enzyme 2 (ACE2). Both middle ear and nasal epithelial cells show relatively high expression of ACE2, required for SARS-CoV-2 entry. The epithelial cell adhesion molecule (EpCAM) was use as a biomarker of epithelia. Furthermore, we found that the viral load in the middle ear is lower than that present in the nasal cavity.

Indexed as

COVID-19Ear, MiddleNasal CavitySARS-CoV-2Angiotensin-Converting Enzyme 2HumansACE2 protein, humanAngiotensin-Converting Enzyme 2CoronavirusCOVID-19ImmunohistochemistryMiddle earNasal cavityqPCRSARS-CoV-2

Identifiers

PMID34455569
PMCPMC8401349
OpenAlexW3196636791

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.