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Tympanosclerosis: review of literature and incidence among patients with middle-ear infection

Published online by Cambridge University Press:  29 June 2007

Saad Asiri ,
Alaa Hasham ,
Fatma Al Anazy ,
Siraj Zakzouk  and
Adel Banjar
Saad Asiri
Affiliation:
Departments of ENT, Security Forces Hospital, Madina, Saudi Arabia.
Alaa Hasham
Affiliation:
Departments of ENT, Security Forces Hospital, Madina, Saudi Arabia.
Fatma Al Anazy*
Affiliation:
Departments of ENT, King Abdul Aziz University Hospital, Madina, Saudi Arabia.
Siraj Zakzouk
Affiliation:
Departments of ENT, Security Forces Hospital, Madina, Saudi Arabia.
Adel Banjar
Affiliation:
Departments of ENT, Riyadh, and Ohud Hospital, Madina, Saudi Arabia.
*
Address for correspondence: Dr Fatma H. Al-Anazy, ENT Department, King Abdul Aziz University Hospital, P.O. Box 245, Riyadh 11411, Saudi Arabia. Fax: (966) 1-477 5748
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Abstract

The aim of the study was to review the literature of tympanoscierosis especially its pathogenesis, to study the general incidence of tympanoscierosis among patients with chronic suppurative otitis media (CSOM), its association with cholesteatoma and also the type of hearing loss as well as its relation to the degree and site of tympanosclerosis.

Seven hundred and seventy-five patients with CSOM were studied retrospectively. A full history was taken and thorough ENT examinations were carried out. Pure tone audiograms (PTA) of all patients were done and analysed. The operative finding of tympanosclerosis as well as middle-ear status were inspected.

The incidence of tympanosclerosis was found to be 11.6 per cent (90 patients out of 775 CSOM cases). Most tympanosclerosis cases had dry ear, (85.6 per cent). Of the 57.8 per cent who had myringosclerosis, their PTA showed an AB gap 20–40 dB. When sclerosis affect both the tympanic membrane and middle ear, 61 per cent of patients had an AB gap >40 dB. The association of cholesteatoma and tympanosclerosis may be regarded as uncommon, 2.2 per cent.

The exact aetiology and pathogenesis of tympanosclerosis is as yet not well known. Our study concentrated on the clinical picture of tympanosclerosis among patients with CSOM. The majority of hearing loss associated with tympanosclerosis was of the conductive type.

Keywords

Otitis media, suppurativeSclerosisHearing loss, conductive
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 12 , December 1999 , pp. 1076 - 1080
Copyright
Copyright © JLO (1984) Limited 1999

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References

Austin, D. F. (1988) Reconstructive techniques of tympanoscierosis. Annals of Otorhinolaryngology 97: 670–674.Google Scholar
Doyle, D. E. (1975) Myringosclerosis: An offering of a new term. Eye Ear Nose and Throat Monographs 54: 399–400.Google ScholarPubMed
Emmett, J. R., Shea, J. J. (1978) Surgical treatment of tympanoscierosis. Laryngoscope 88: 1642–1648.CrossRefGoogle Scholar
Ferlito, A. (1979) Histopathogensis of tympanoscierosis. Journal of Laryngology and Otology 93: 25–37.CrossRefGoogle Scholar
Friedmann, I. (1971) Tympanosclerosis. Annals of Otology, Rhinology and Laryngology 80: 4110–4113.CrossRefGoogle ScholarPubMed
Gibb, A. G. (1976) Tympanoscierosis. Proceedings of Royal Society of Medicine 6 155–162.CrossRefGoogle Scholar
Gibb, A. G., Pang, Y. T. (1994) Current considerations in the etiology and diagnosis of tympanoscierosis. Archives in Otorhinolaryngology 251: 439–451.Google Scholar
Giddings, N. A., House, J. W. (1992) Tympanoscierosis of the stapes: Hearing results for various surgical treatments. Otolaryngology – Head and Neck Surgery 107: 644–650.CrossRefGoogle ScholarPubMed
Igarashi, M., Konishis, S., Alford, B. R., Guilford, F. R. (1970) The pathology of tympanoscierosis. Laryngoscope 80: 233–243.CrossRefGoogle Scholar
Kamal, S. A. (1997) Surgery of tympanoscierosis. Journal of Laryngology and Otology 111: 917–923.CrossRefGoogle Scholar
Kinney, S. E. (1978) Postmflammatory ossicular fixation in tympanoplasty. Laryngoscope 88: 821–838.CrossRefGoogle ScholarPubMed
Lesser, T. H. J., Williams, K. R., Skinner, D. W. (1988) Tympanoscierosis, grommets and shear stresses. Clinical Otolaryngology 13: 375–380.CrossRefGoogle ScholarPubMed
Miller, P. (1984) Tympanoscierosis of the eardrum in secretory otitis media. Acta Otolaryngologica (Suppl.) (Stockholm) 414: 171–177.CrossRefGoogle Scholar
Miller, P., Nilsen, R. (1986) Tympanoscierosis in children. An electron microscopic and immunohistochemical study. Proceedings in the International Conference on Acute Secretory Otitis Media, Jerusalem.Kugler Publications,Amsterdam. As cited in Wielinga, E. W. J., Kerr, A. G. (1993). Tympanosclerosis review. Clinical Otolaryngology 18: 341–349.Google Scholar
Parker, A. J., Maco, A. R. (1990) Intratympanic membrane bleeding after grommet insertion and tympanoscierosis. Clinical Otolaryngology 15: 203–207.CrossRefGoogle Scholar
Plester, D. (1972) Tympanosclerosis. Australian Journal of Otolaryngology 3: 325–326.Google ScholarPubMed
Schiff, M.Poliquin, J., Catanzaro, A., Ryan, A. (1980) Tympanoscierosis: a theory of pathogenesis. Annals of Otology, Rhinology and Laryngology 89: (Suppl. 70) 1–16.CrossRefGoogle ScholarPubMed
Schiff, M., Yoo, I. J. (1985) Immunologic aspects of otologic disease. An overview. Laryngoscope 95: 256–269.CrossRefGoogle ScholarPubMed
Slack, R. W., Maw, A. R., Capper, J. W. R., Kelly, S. (1984) Prospective study of tympanosclerosis developing after grommet insertion. Journal of Laryngology and Otology 98: 771–774.CrossRefGoogle ScholarPubMed
Smyth, G. D. (1972) Tympanoscierosis. Journal of Laryngology and Otology 86: 9–14.CrossRefGoogle Scholar
Swartz, J. D., Wolfson, R. J., Marlowe, F. I., Popky, G. L. (1985) Post inflammatory ossicular fixation: CT analysis with surgical correlation. Radiology 154: 697–700.CrossRefGoogle Scholar
Tos, M.. Bonding, P., Poulsen, G. (1983) Tympanoscierosis grommets. A prospective, comparative study. Journal of Laryngology and Otology 97: 489–496.CrossRefGoogle ScholarPubMed
Tos, M., Lau, T., Arndal, H., Plate, S. (1990) Tympanosclerosis of the middle ear: late results of surgical treatment. Journal of Laryngology and Otology 104: 685–689.CrossRefGoogle ScholarPubMed
Wielinga, E. W. J., Kerr, A. G. (1993) Tympanosclerosis, Review. Clinical Otolaryngology 18: 341–349.CrossRefGoogle Scholar
Wielinga, E. W. J., Kuijpers, W., Tonnaer, E. L. G. M., Jap, P. H. K. (1988) An experimental model for tympanoscierosis: a preliminary report. Acta – Otolaryngologica (Stockholm) 105: 537–543.CrossRefGoogle ScholarPubMed
Zollner, F. (1956) Tympanosclerosis. Journal of Laryngology and Otology 70: 77–85.CrossRefGoogle ScholarPubMed