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The role of surgery in tuberculous mastoiditis: appropriate chemotherapy is not always enough

Published online by Cambridge University Press:  29 June 2007

Graeme M. Weiner
Affiliation:
Department of Otorhinolaryngology, City Hospital NHS Trust, Dudley Road, Birmingham, UK.
J. E. O'Connell
Affiliation:
Department of Otorhinolaryngology, City Hospital NHS Trust, Dudley Road, Birmingham, UK.
A. L. Pahor*
Affiliation:
Department of Otorhinolaryngology, City Hospital NHS Trust, Dudley Road, Birmingham, UK.
*
Address for correspondence: Mr A. L. Pahor, Department of Otorhinolaryngology, City Hospital NHS Trust, Dudley Road, Birmingham B18 7QH.

Abstract

We present a case of tuberculous otitis media in which a facial palsy occurred after the start of appropriate chemotherapy. To our knowledge this circumstance has not been described previously. It has been argued that radical surgery is completely unnecessary if chemotherapy is commenced early in the disease. We would suggest that this is not always the case, and would advocate a more measured approach.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1997

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References

Glover, S. C., Tranter, R. M. D., Innes, J. A. (1981) Tuberculous otitis – a reminder. Journal of Laryngology and Otology 95: 12611264.CrossRefGoogle ScholarPubMed
Guthrie, D. (1920) Notes on 13 cases of aural tuberculosis in infants. Journal of Laryngology, Rhinology and Otology 35: 99102.CrossRefGoogle Scholar
Jeans, A. L., Friedmann, I. (1960) Tuberculosis of the middle ear. Tubercle 41: 109116.CrossRefGoogle Scholar
Palva, T., Palva, A., Karja, J. (1979) Tuberculous otitis media. Journal of Laryngology and Otology 87: 253261.CrossRefGoogle Scholar
Ramages, L. J., Gertler, R. (1985) Aural tuberculosis: a series of 25 patients. Journal of Laryngology and Otology 99: 10731080.CrossRefGoogle ScholarPubMed
Samuel, J., Fernandes, C. M. C. (1986) Tuberculous mastoiditis. Annals of Otology, Rhinology and Laryngology 95: 264266.CrossRefGoogle ScholarPubMed
Singh, B. (1991) Role of surgery in tuberculous mastoiditis. Journal of Laryngology and Otology 105: 907915.CrossRefGoogle ScholarPubMed
Skolnik, P. R., Nadol, J. B., Baker, A. S. (1986) Primary tuberculosis of the middle ear. Review of the literature with an instructive case report. Review of Infectious Diseases 8: 403410.CrossRefGoogle Scholar
Turner, A. L., Fraser, J. S. (1915) Tuberculosis of the middle ear cleft in children: a clinical and pathological study. Journal of Laryngology, Rhinology and Otology 30: 209247.CrossRefGoogle Scholar