Tuberculous otitis media

Wallner, Linden J.

doi:10.1288/00005537-195311000-00003

Cited by 60 publications

(39 citation statements)

References 9 publications

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“…Wallmer [7] first described clinical features of tuberculous otitis in 1953, including painless otorrhea, multiple tympanic membrane perforations, granulation tissue in the tympanic cavity and mastoid, and bone necrosis with progressive conductive hearing loss and facial palsy. Symptoms have become more variable and polymorphic over time.…”

Section: Discussionmentioning

confidence: 99%

“…Similar findings, however, may be detected with chronic otitis and cholesteatoma [6] . As all these noninvasive diagnostic tools are nonspecific, Hz dB the surgical exploration of the tympanic cavity and mastoid cells is mandatory [6,7] . Canal wall up tympanoplasty is useful for removing the necrotic bone and granulation tissue and collecting analytical samples.…”

Section: Discussionmentioning

confidence: 99%

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Chronic Tuberculous Otomastoiditis: A Case Report

Bruschini¹,

Ciabotti²,

Berrettini³

2016

Int Adv Otol

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Worldwide, tuberculosis is a widespread disease, with 8.7 million new cases occurring annually. Its etiologic agent, Mycobacterium tuberculosis, essentially causes pneumonia. However, this organism affects the middle ear in rare cases, accounting for 0.04-0.09% of all chronic middle ear otitis cases in Western countries. In this report, we describe the case of a young woman affected by tuberculosis of the middle ear. In our experience, empiric therapy was not beneficial. Adequate treatment was possible only after obtaining a specific diagnosis through a difficult process requiring surgical sampling for culture examination. We consider surgical sampling to be mandatory in all cases of chronic otitis media that do not respond to prolonged systemic and local therapies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Chronic Tuberculous Otomastoiditis: A Case Report

Bruschini¹,

Ciabotti²,

Berrettini³

2016

Int Adv Otol

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“…3 In comparison with non-cholesteatomatous or simple type of chronic otitis media, the complications (facial paralysis, mastoiditis, labyrinthitis, sensorineural hearing loss) in TOM are significantly higher and severe. 9 Hearing loss is inconsistent with the disease extent. 10 Although a conductive hearing loss is appreciable in 90% cases, with prolonged duration a mixed or sensorineural hearing loss is also seen.…”

Section: Discussionmentioning

confidence: 99%

Tubercular otitis media: an under diagnosed entity

Maheshwari

Panigrahi

2016

Int J Otorhinolaryngol Head Neck Surg

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Background: Tubercular otitis media (TOM) is a well described rare entity in literature. Its characteristic diagnostic delay leads to severe irreversible complications. Diagnosis is much more difficult when it co-exists with aural cholesteatoma. Its Actual incidence is thought to be much more, than what is reported in literature. This study was carried out to establish TOM as an under diagnosed entity and to study its various presentations. Methods: A prospective study was performed in 617 cases (both recurrence and new) of chronic otitis media who gave a fully informed consent, for being investigated for a probable diagnosis of TOM, based on history and clinical findings. Histopathological examination of the granulation tissue retrieved during biopsy/mastoid exploration surgery and mycobacterial culture of the aural discharge was performed in all cases. A final diagnosis was made with either of tests being reported as positive for mycobacterium tuberculosis infection. All confirmed cases were treated with a 6 month course of anti-tubercular therapy. Results: Diagnosis of TOM was confirmed in 12 cases. M:F ratio was 1:1.4. Cholesteatoma was found to co-exist in 4 cases (33.33%). A positive histopathology report was obtained in 11 cases (91.67%) while the mycobacterial culture yielded growth in 3 cases (25%) only. Canal wall down mastoidectomy was performed in 9 cases. In all cases, a follow-up with a 6 months course of anti-tubercular therapy gave satisfactory healing with no complications. Conclusions: The incidence of TOM, a potentially dangerous entity is on a rise. Role of surgery is crucial in procuring tissue for histopathological and bacteriological examination. It is a curable disease if diagnosed in time with early institution of anti-tubercular therapy.

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“…The classical clinical features of TOM were described by Wallmer in 1953, as painless otorrhea, multiple tympanic perforations, pale granulation tissue, ipsilateral facial nerve paralysis, early severe hearing loss, and bone necrosis [10]. However, these classic features are rarely observed today.…”

Section: Discussionmentioning

confidence: 99%

“…Patients who have known or suspected extra auricular tuberculosis and chronic suppurative otitis media should be evaluated for TOM. The prevalence of active or inactive pulmonary tuberculosis in patients with TOM ranges from 14 to 93% [14][15][16] and 40 to 50% of patients with TOM have no evidence of tuberculosis elsewhere [10,16].…”

Section: Discussionmentioning

confidence: 99%

Tuberculous Otitis Media and Lupus Vulgaris of Face: An Unusual Association

Kohli

Kumar

Nibhoria

2011

Indian J Otolaryngol Head Neck Surg

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Tuberculous otitis media is a rare extra-pulmonary presentation of tuberculosis. Tuberculous otitis media is usually associated with pulmonary tuberculosis or tuberculosis involving nasopharynx and oropharynx. Lupus vulgaris is the most common morphological variant of cutaneous tuberculosis. The disease often affects the face and may be associated with nasal or nasopharyngeal tuberculosis. Lupus vulgaris associated with tuberculous otitis media is not reported in English literature. We report a case of 40 year old female patient who presented with symptoms of chronic suppurative otitis media and nonhealing skin lesion of face. The biopsy of skin lesion showed granulomatous pathology and helped us to reach a diagnosis of tuberculous otitis media.

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Tuberculous otitis media

Cited by 60 publications

References 9 publications

Chronic Tuberculous Otomastoiditis: A Case Report

Chronic Tuberculous Otomastoiditis: A Case Report

Tubercular otitis media: an under diagnosed entity

Tuberculous Otitis Media and Lupus Vulgaris of Face: An Unusual Association

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