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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]
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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 

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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.

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