Analysis of clinical characteristics of middle ear osteoma at different locations.
10.3760/cma.j.cn115330-20200420-00314
- Author:
Qiu Jing ZHANG
1
;
Wei Jie ZHANG
2
;
Jing Jing ZHANG
3
;
Fei NING
1
;
Jun LIU
1
;
Wei Ju HAN
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, the First Medical Center of Chinese People's Liberation Army General Hospital, College of Otorhinolaryngology Head and Neck Surgery, Chinese People's Liberation Army General Hospital, National Clinical Research Center for Otolaryngologic Diseases, Beijing 100853, China.
2. Department of Otorhinolaryngology Head and Neck Surgery, the Third People's Hospital of Henan Province, Zhengzhou 450000, China.
3. Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Hospital of Gansu University of Traditional Chinese Medicine, Lanzhou 730000, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Ear Ossicles/surgery*;
Ear, Middle/surgery*;
Hearing Loss, Conductive/surgery*;
Humans;
Osteoma/surgery*;
Tympanic Membrane
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2021;56(3):273-279
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the clinical characteristics, intervention and treatment of tympanic osteoma at different locations. Methods: The medical history, audiological and imaging examination, operation and follow-up results of two patients with tympanic osteoma at different sites were reviewed and summarized. Furthermore, the clinical characteristics and interventions of 36 patients reported in literatures with tympanic osteomas were also summarized and analyzed. Results: Osteoma of the two patients collected in this study located at promontory and incus respectively;both of them presented with intact tympanum and conductive deafness, without obvious etiology or predisposing factor. Both of them underwent surgeries and the hearing improved significantly. For patient one, the ossicular chain was intact and restored to activity after removed the osteoma. For patient two, an artificial ossicle was implanted after removed the osteoma and incus. In the 36 patients reported in literatures, the average age was 26.5 years, and 39.47% of them located at promontory; in addition, the main symptoms of them were progressive hearing loss, tinnitus and ear stuffy. Conclusions: Patients with tympanic osteoma are characterized by conduction deafness with intact tympanic membrane, and the most common lesion is promontory. Hearing can be restored by excision of the osteoma and maintenance or reconstruction of the ossicle chain.
