Reports for the Year 1914 from the Ear and Throat Department of the Royal Infirmary, Edinburgh

Abstract

Age-incidence. (2) Etiology. (3) Clinical appearances. (4) Condition found at operation.

A Case of Tuberculous Otitis Media

“…The diagnosis of TB otitis media can be very challenging. In the early part of the 20th century, aural TB and Mycobacterium bovis infections comprised a significant percentage of chronic otitis in the pediatric age group, 13,28,29 but now they have become a rarity due to the development of effective antimycobacterial drugs. As a result, health care providers in the United States are no longer familiar with TB as an etiology of otitis media and hence may not pursue the diagnosis until late in the course.…”

Primary tuberculous petrositis

“…The most frequent complication is hearing loss, which may be profound [11]. Another noteworthy complication is facial palsy [12]. Extradural abscess, meningitis, labyrinthitis and cerebral abscess have rarely been reported [11,12].…”

“…Another noteworthy complication is facial palsy [12]. Extradural abscess, meningitis, labyrinthitis and cerebral abscess have rarely been reported [11,12]. Petrositis is an extremely rare complication of tuberculous otitis media, and very few such cases have been reported in the medical literature [1,13].…”

Aural Tuberculosis in Children

“…Another characteristic feature is the enlargement of the periauricular glands. This was found in 95% of Turner's (1915) cases and 100% of Guthrie's (1920). Craig (1962) said that the preauricular glands were so commonly enlarged as to be pathognomonic.…”

“…Granulations surround the ossicles, which are gradually absorbed and have been reported to be extruded. Spread occurs through the two windows to involve the labyrinth, and sections (Turner 1915, Fraser 1915, Proctor & Lindsay 1942 show the build up of tuberculous material in the niche of the round window with erosion of the stapedial footplate. The bony wall of the facial nerve is also eroded by direct infiltration.…”