Tuberculosis of Middle Ear and Mastoid
Siriporn Limviriyakul MD, MSc*, Sacarin Bunbanjerdsuk MD**,
Sarun Prakairungthong MD*, Warut Pongsapitch MD*
Affiliation :
* Otoneurology Unit, The Department of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital,
Mahidol University, Bangkok, Thailand
** The Department of Otorhinolaryngology, Faculty of Medicine, Thammasart University, Bangkok, Thailand
Objective : Review clinical manifestations, investigation, and treatment of tuberculosis of the middle ear.
Material and Method: A retrospective review of six cases diagnosed as tuberculosis of the middle ear at a tertiary referral
center was included in the present study. The outcome measures were history, clinical manifestations, investigation, and
treatment were reviewed in the medical records.
Results : The authors retrospectively reviewed data of our patients diagnosed as tuberculosis of the middle ear. It has been
found that the most common manifestation is chronic otorrhea. Investigations are variable such as histopathology, tissue
culture, or polymerase chain reaction for identification of tuberculosis. Treatment is mainly medication, however, surgery
is considered for histopathology in selected cases.
Conclusion : Tuberculosis of the middle ear is a rare disease that requires high index of suspicion for diagnosis due to the
variety of clinical manifestations. Identification of tuberculosis is a key for diagnosis and treatment.
Keywords : Tuberculous, Tuberculosis, Otitis media, Middle ear, Tuberculosis of middle ear
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