Clinical Characteristics and Suggested Diagnostic Criteria of Obliterative Otitis Media.
10.3342/kjorl-hns.2012.55.5.278
- Author:
Min Seok JANG
1
;
Yang Sun CHO
;
Il Joon MOON
;
Sung Hyun BOO
;
Sung Hwa HONG
;
Won Ho CHUNG
;
Gang Gyu LEE
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea. yscho@skku.edu
- Publication Type:Original Article
- Keywords:
Otitis media;
Hearing loss;
Conductive;
Eustachian tube
- MeSH:
Adhesives;
Ear, Middle;
Eustachian Tube;
Hearing;
Hearing Loss;
Hearing Loss, Mixed Conductive-Sensorineural;
Humans;
Otitis;
Otitis Media;
Otitis Media with Effusion;
Tympanic Membrane;
Ventilation
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2012;55(5):278-283
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Obliterative otitis media is a condition in which the entire middle ear cavity is filled up with fibrous tissue and with intact tympanic membrane. The aim of this study was to define the clinical features and analyze the treatment outcomes of this disease. SUBJECTS AND METHOD: Between January 2000 and August 2011, 16 patients consistent with the criteria of obliterative otitis media were analyzed retrospectively. RESULTS: All patients had intact but thickened eardrum, with mixed hearing loss of mild to moderate degree. The video pneumatic otoscopic examination revealed very limited mobility of eardrum. Myringotomy did not reveal any air-filled spaces or fluid in the tympanic cavity. There was no significant improvement of hearing after myringotomy or ventilation tube insertion. CONCLUSION: Obliterative otitis media is a discrete clinical entity and should not be confused with otitis media with effusion or adhesive otitis media.
