A Clinical Profile of Otitis Media Without an Intact Tympanic Membrane

1994 ◽  
Vol 120 (5) ◽  
pp. 513-516 ◽  
Author(s):  
C. T. Le ◽  
L. L. Hunter ◽  
R. H. Margolis ◽  
K. A. Daly ◽  
B. R. Lindgren ◽  
...  
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Clinical Profile ◽  
Intact Tympanic Membrane

scholarly journals Outcome of Type 1 Tympanoplasty with and without the use of Topical Nasal Steroid: A Comparative Study from Eastern Nepal

2018 ◽  
Vol 3 (1) ◽  
pp. 377-380
Author(s):  
Rajeev Kumar Shah ◽  
Karuna Shrestha ◽  
Shrijana Sapkota ◽  
Sandarva Giri
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Type 1 Tympanoplasty ◽  
Post Surgery ◽  
Hearing Assessment ◽  
Nasal Steroid ◽  
Intact Tympanic Membrane

Introduction: Chronic suppurative otitis media (CSOM) is the infection of the middle ear cleft. It is an important cause of preventable hearing loss.Objectives: The primary objective of this study is to compare the surgery outcome in terms of graft uptake described as intact tympanic membrane or residual perforation of tympanic membrane in patients with use of levocetirizine tablet 5 milligram only and levocetirizine tablet 5 milligram with topical fluticasone 100 microgram nasal steroid spray. This study is also aimed to determine the hearing status before and after the surgery and to find out its association with graft intake.Methodology: This prospective cross sectional study was conducted on patients diagnosed with chronic suppurative otitis media with medium to large central perforation of tympanic membrane in Birat Medical College Teaching Hospital during the period from 14 April 2015 to 13 April 2017. All the patients underwent type 1 tympanoplasty with placement of temporalis fascia under general anesthesia. After surgery, two equal groups were created with 40 patients in each group. One group received antibiotics, levocetirizine tablet and another group received antibiotics, levocetirizine tablets along with topical intranasal steroid spray from 1 post operative day till 6 wks. All the patients were followed up on the 5th day, 7th day and 42nd day. On 42nd day, status of tympanic membrane graft, post operative hearing assessment was done and compared between the two groups. Data were entered and analysed using Statistical Package For Social Sciences (SPSS) v21.Result: There were 40 patients who received levocetirizine only starting from the first post operative day and 39 patients received levocetirizine and topical nasal steroid spray. Patients with intact tympanic membrane following surgery were 88.6% and remaining had residual perforation of tympanic membrane. Of the study participants 87.3 % had improvement during post operative hearing assessment. 92.3% of the patients receiving levocetirizine and topical nasal steroid post surgery had intact tympanic membrane on otoscopic examination and there was a significant association with p value of 0.04Conclusion: Combination therapy with topical intranasal steroid spray, antihistaminics and antibiotics is beneficial compared to antibiotics and antihistaminics in type 1 tympanoplasty in terms of graft intake and improvement in hearing. BJHS 2018;3(1)5 : 377-380

scholarly journals Primary Middle Ear Meningioma with Intact Tympanic Membrane: A Case Report and Literature Review

2021 ◽  
pp. 014556132110581
Author(s):  
Yuan-Jun Liu ◽  
Lin Han ◽  
Jie Cao ◽  
Hong-Wei Zheng ◽  
Li-Sheng Yu
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Middle Ear ◽  
Clinical Symptoms ◽  
Otitis Media With Effusion ◽  
Relevant Literature ◽  
Chronic Otitis Media ◽  
Secretory Otitis Media ◽  
Ectopic Meningioma ◽  
Intact Tympanic Membrane

Primary ectopic meningioma of the middle ear is relatively rare in clinical practice. It is often difficult to distinguish it from chronic otitis media or otitis media with effusion due to its similar and atypical clinical symptoms. We report a case of epithelial tympanic ectopic meningioma with the main complaints of otalgia, aural fullness, and hearing loss. It was accidentally discovered during tympanotomy due to the symptoms of recurring refractory secretory otitis media. This article briefly reviews the relevant literature in recent years, summarizes the characteristics of primary ectopic tympanic meningioma with intact tympanic membrane, and emphasizes the diagnosis and treatment strategy of the middle ear mass.

scholarly journals Study of clinical profile, pathological and functional changes in contralateral ear in patients of chronic suppurative otitis media

2019 ◽  
Vol 5 (5) ◽  
pp. 1368
Author(s):  
Ritu Nigam ◽  
Rajesh Kumar Bairwa ◽  
Ayesha Goel
Keyword(s):  
Tympanic Membrane ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Neck Surgery ◽  
Clinical Profile ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Functional Changes ◽  
Pars Tensa ◽  
Contralateral Ear

<p><strong>Background:</strong> Since unilateral chronic suppurative otitis media (CSOM) does not look to be an isolated entity, but rather a series of constitutional events that affect both ears. The aim of the present study is to study the clinical profile, pathological and functional changes in contralateral ear in patients of CSOM.</p><p><strong>Methods:</strong> Three thundred CSOM patients were studied in the Department of Otorhinolaryngology and Head and Neck Surgery. Patients were examined with otoscope after complete history and sociodemographic taking.  </p><p class="abstract"><strong>Results:</strong> CSOM was more prevalent among females (54%) of young age group (41.6%) and with lower socioeconomic status (46%). Right ear was mostly affected (52.66%). Majority had discharge with hearing impairment (49.3%), 32.3% had ear discharge and 13.6% had hearing impairment and majority had pars tensa perforation (82.66%). In mucosal type CSOM, in CLE majority had abnormal tympanic membrane TM, of them majority had thinning (17.33%) and out of 65 patients with pars tensa retraction, majority had Grade I (22.17%). In squamosal type of CSOM, in CLE, 75% had abnormal TM, out of that 34.61% had pars tensa retraction and of that 23.07% had Grade I.</p><p><strong>Conclusions:</strong> Abnormal contralateral ear was more prevalent. Mucous type of CSOM has a chance forming various grades of tympanic membrane retraction, tympano sclerosis, thin healed membrane in the contralateral ear whereas squamous type of CSOM has a greater chance of contralateral ear involvement like, retraction granulation.</p>

Simulation of Pathological High Impedance Tympanograms

1986 ◽  
Vol 29 (4) ◽  
pp. 505-514 ◽  
Author(s):  
Karel J. Van Camp ◽  
Janet E. Shanks ◽  
Robert H. Margolis
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Middle Ear ◽  
High Frequency ◽  
Secretory Otitis Media ◽  
High Impedance ◽  
The Relationship

The Vanhuyse, Creten, and Van Camp (1975) model for analyzing high frequency tympanograms predicts the shapes of conductance, susceptance, and admittance tympanograms from the relationship between resistance and reactance tympanograms at the tympanic membrane. This model has been applied primarily to low impedance middle-ear pathologies but has not been applied extensively to the more commonly occurring high impedance pathologies. The purpose of this study was to extend the Vanhuyse et al. (1975) model to high impedance pathologies and to identify tympanometric parameters associated with otosclerosis, secretory otitis media, and lateral ossicular fixation. Data from previous experiments on the shape and absolute values of resistance and reactance tympanograms were used to calculate 678-Hz admittance tympanograms that were unique to each of the three high impedance pathologies. Guidelines for differentiating among the middle-ear pathologies on the basis of high frequency tympanometric shapes are presented.

scholarly journals Effectiveness of Tympanic Thermometry for diagnosing Acute Otitis Media

2019 ◽  
Vol 8 (2) ◽  
pp. 74-78
Author(s):  
Muhammad Zubair ◽  
Ghulam Saqulain ◽  
Arfat Jawaid
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Temperature Difference ◽  
Acute Otitis Media ◽  
P Value ◽  
Upper Respiratory Tract ◽  
Mean Temperature ◽  
Ear Wax ◽  
The Mean ◽  
Group B

Background: Acute Otitis Media (AOM) is a common upper respiratory tract infection (URTI) in children and usually presents with fever and otalgia. AOM is characterized by congested tympanic membrane and possible increase in temperature, which might be picked up by infrared tympanic thermometry. The objective of this study was to compare the temperature difference of tympanic membrane of affected ear with the unaffected ear and axilla in unilateral acute otitis media, and compare it with the control group.Material and Methods: This case control study comprised of 200 cases of both genders, aged up to 5 years. They were divided into two groups; Group A included 100 clinically diagnosed cases of acute otitis media (AOM), who reported in the ENT Outpatient Department (OPD) and Group B included 100 controls who presented in General Filter Clinic with no ear complaints. Cases with chronic ear disease, ear discharge, and use of local drugs including ear drops, impacted ear wax, tragal tenderness and congenital malformations of the ear were excluded by taking a detailed history. Clinical examination including otoscopy by an expert was done before subjecting patients to axillary and tympanic thermometry measurements and data recording. Data was collected and tabulated using Microsoft Excel Worksheet and analyzed by SPSS 16. Qualitative data like gender were presented as percentage and ratio, while means and standard deviation were calculated for the quantitative data. Difference between the means of experimental and control groups were analyzed by independent sample t-test and P value of less than or equal to 0.05 was taken as significant.Results: This study included 100 cases of unilateral AOM and 100 normal controls without AOM. In patients with AOM, the mean temperature difference between the affected ear and axilla was 1.41ºF as compared to 0.075ºF in controls (p=0.026). While the mean temperature difference between the affected ear and other ear was 0.65ºF as compared to 0.19ºF in controls (p=0.069).Conclusion: In acute otitis media, the temperature of affected ear is significantly higher than axilla but was not significantly higher than the other ear. The finding may help establish thermometry as a diagnostic tool in clinics manned by doctors not competent to do otoscopy.

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