The early diagnosis and treatment of tuberculous otitis media can prevent it from becoming irreversible and spread to other organs. Only 0.04% of chronic suppurative otitis medias are tuberculous origin, so that the index of suspicion is often low. The clinical signs of the disease have changed in recent years, making it more difficult to recognize and thus investigate for. False negatives for culture often occur, due both to the fastidious nature of the tuberculous bacilli, and other bacteria in the specimen interfering with the growth of bacilli. Recently, We experienced four cases of pathologically confirmed primary tuberculous otitis media without pulmonary involvement, so report these cases with review of literature.
Bacteria ; Early Diagnosis ; Otitis Media* ; Otitis Media, Suppurative ; Otitis* ; Tuberculosis*

4189 persons in Phu Vang – Hue were enrolled in an inquiry on health and morbidity. Results showed that ear diseases account for 6.1%, among them media otitis trended to increase with children age; deaf and dumb 0.2%, dull 0.1%. In the right ear and left ear the incidence of media otitis was similar. Hearing capacity was less sensitive if it has media otitis of both sides. In children, extern otitis was preponderant, while in adult the main problems were buzzed ear, hearing loss, drum membrane perforation, mainly in the centre, then in ¼ infero anterior and ¼ posterioinferior, chronic media otitis 97.75%, acute 2.25%. About ¾ cases of media otitis lost hearing capacity, 28.5% had not been treated, 31.1% treated in commune health station, 25% in private physician office, 25.2% self treated at home, 18.7% in district and provincial hospital. In > 3 children family group, 81.6% and in > 5 children family group, 46.2% had media otitis
Otitis ; Otitis Media ; Diseases ; epidemiology ; diagnosis

Tuberculosis of the middle ear is a disease rarely encountered in recent years. Because what used to be the typical clinical signs of this disease have been changed in recent years and the index of suspicion being low, there is frequently a considerable delay prior to diagnosis. This can lead to irreversible complications. A case of tuberculous otitis media complicated with lateral sinus thrombosis and subperiosteal abscess is reported with review of the literature, emphasizing the fact that this entity must be considered in the differential diagnosis of persistent suppurative otitis media.
Abscess* ; Diagnosis ; Diagnosis, Differential ; Ear, Middle ; Lateral Sinus Thrombosis ; Otitis Media* ; Otitis Media, Suppurative ; Otitis* ; Tuberculosis

Humans ; Otitis Media ; classification ; diagnosis ; therapy

Humans ; Otitis Media ; diagnosis ; therapy ; Otolaryngology ; standards

Humans ; Infant ; Otitis Media with Effusion ; diagnosis

Child ; Humans ; Otitis Media with Effusion ; diagnosis ; therapy

Humans ; Otitis Media with Effusion ; diagnosis ; therapy

Objective: To study the characteristics of wideband tympanometry(WBT) and its application value in the diagnosis of otitis media with effusion(OME) in young children. Methods: We compared wideband acoustic energy absorbance(EA) under peak pressure in young children with OME(190 ears) and healthy control subjects(121 ears) from Ninth People's Hospital of Shanghai Jiaotong University School of Medicine between January 2018 and June 2020. Both groups were divided into three groups, 1-6 months, 7-36 months and 37-72 months. SPSS 20.0 statistical software was used to analyze and compare the EA parameters between OME children of different months and the control group. Receiver operating characteristic (ROC)curve was used to analyze the diagnostic value of WBT in young children with OME. Results: There were significant differences in EA among three OME groups from 500 Hz to 2 000 Hz(P<0.05).Compared with the control groups, EA of 1-6 m OME group decreased significantly below 4 000 Hz(P<0.05), EA of 7-36 m OME group decreased significantly at 545-1 600 Hz(P<0.05), EA of 37-72 m OME group decreased significantly above 545 Hz(P<0.05).ROC curve indicated that EA at 1 000 Hz had the greatest diagnostic value (AUC was 0.890), followed by 1 500 Hz and the range of 500-2 000 Hz (AUC was 0.883 and 0.881, respectively).EA at 1 000 Hz with a cutoff value of 0.55 had the best diagnostic sensitivity of 90.8%, which was higher than conventional tympanometry (85.8%). The maximum AUC (0.932) could be obtained by combining EA, peak pressure and admittance amplitude of 226 Hz tympanometry as predictors. Conclusions: EA is significantly decreased in young children with OME. Compared with the conventional single frequency tympanometry, WBT is more accurate in the diagnosis of OME in young children, and the prediction accuracy would be better if combined with 226 Hz tympanometry.
Acoustic Impedance Tests ; Child ; Child, Preschool ; China ; Ear ; Humans ; Otitis Media ; Otitis Media with Effusion/diagnosis*

Audiology ; Body Fluids ; Child ; Humans ; Middle Ear Ventilation ; Otitis Media ; Otitis Media with Effusion/diagnosis*