Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-17T19:53:11.281Z Has data issue: false hasContentIssue false
  • English
  • Français

Clinical landmarks in chronic otitis media with tympanosclerosis: clinical history may have predictive value in the diagnosis of ossicular chain mobility

Published online by Cambridge University Press:  31 October 2019

A E Dinç  and
Y Ç Kumbul
A E Dinç
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Ekol Hospital, İzmir, Turkey
Y Ç Kumbul*
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Süleyman Demirel University Research Hospital, Isparta, Turkey
*
Author for correspondence: Dr Yusuf Çağdaş Kumbul, Department of Otorhinolaryngology Head and Neck Surgery, Süleyman Demirel University Research Hospital, 32260 Isparta, Turkey E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives

To evaluate clinical characteristics of tympanosclerosis and to investigate the predictive value of clinical evaluation in diagnosing the ossicular chain status in tympanosclerosis.

Methods

The study included 166 ears operated on for chronic otitis media. Age, gender, duration of symptoms and history of ear drainage were recorded from the patient's file. Details of ossicular mobility were obtained from the operation records.

Results

There was no difference in age or disease duration between ears with chronic otitis media with or without tympanosclerosis. The ears with chronic otitis media without tympanosclerosis had a higher rate of middle-ear suppuration compared to those with tympanosclerosis (p < 0.001). In chronic otitis media with tympanosclerosis, the ears with a mobile ossicular chain had a higher rate of active drainage in their clinical history compared to ears with a fixed ossicular chain (p = 0.026). Stapes fixation was present mostly in dry ears with tympanosclerosis (p = 0.005).

Conclusion

Chronic otitis media with tympanosclerosis is characterised by the long-term absence of suppurations. The probability of having a fixed ossicular chain or stapes was higher in tympanosclerosis cases with no ear drainage.

Keywords

TympanosclerosisOtitis MediaHearing Disorders
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 11 , November 2019 , pp. 992 - 994
Copyright
Copyright © JLO (1984) Limited, 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr Y Ç Kumbul takes responsibility for the integrity of the content of the paper

Presented at the 18th Rhinocamp Meeting, 17–21 May 2017, Marmaris, Turkey.

References

1Verhoeff, M, van der Veen, EL, Rovers, MM, Sanders, EA, Schilder, AG. Chronic suppurative otitis media: a review. Int J Pediatr Otorhinolaryngol 2006;70:1–12Google Scholar
2Bluestone, CD. Epidemiology and pathogenesis of chronic suppurative otitis media: implications for prevention and treatment. Int J Pediatr Otorhinolaryngol 1998;42:207–23Google Scholar
3Wielinga, EW, Kerr, AG. Tympanosclerosis. Clin Otolaryngol 1993;18:341–9Google Scholar
4Smyth, GD. Tympanosclerosis. J Laryngol Otol 1972;86:9–14Google Scholar
5Giddings, NA, House, JW. Tympanosclerosis of the stapes: hearing results for various surgical treatments. Otolaryngol Head Neck Surg 1992;107:644–50Google Scholar
6Teufert, KB, De La Cruz, A. Tympanosclerosis: long-term hearing results after ossicular reconstruction. Otolaryngol Head Neck Surg 2002;126:264–72Google Scholar
7da Costa, SS, Paparella, MM, Schachern, PA, Yoon, TH, Kimberley, BP. Temporal bone histopathology in chronically infected ears with intact and perforated tympanic membranes. Laryngoscope 1992;102:1229–36Google Scholar
8Kinney, SE. Postinflammatory ossicular fixation in tympanoplasty. Laryngoscope 1978;88:821–38Google Scholar
9Emmet, JR, Shea, JJ. Surgical treatment of tympanosclerosis. Laryngoscope 1978;88:1642–8Google Scholar
10Lau, T, Tos, M. Tympanoplasty in children. Am J Otol 1986;7:55–9Google Scholar
11Bayazit, YA, Ozer, E, Kara, C, Gokpinar, S, Kanlikama, M, Mumbuç, S. An analysis of the single-stage tympanoplasty with over-underlay grafting in tympanosclerosis. Otol Neurotol 2004;25:211–14Google Scholar
12Dinç, AE, Damar, M, Erdem, D, Eliçora, SŞ, Akyıldız, I, Kumbul, YÇ. Audiometric correlations with pathologies of ossicular chain in 159 ears with chronic otitis media. Clin Otolaryngol 2016;41:817–21Google Scholar
13Sorensen, H, True, O. Histology of tympanosclerosis. Acta Otolaryngol 1972;73:18–26Google Scholar
14Ferlito, A. Histopathogenesis of tympanosclerosis. J Laryngol Otol 1979;93:25–37Google Scholar