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Sensorineural hearing loss after otitis media with effusion and subacute mastoiditis after viral infections of the upper respiratory tract: A comparative study of conservative and surgical treatment

September 19, 2016  |  Thomas Wilhelm, MD, PhD; Tim Stelzer, MD; Rudolf Hagen, MD, PhD


Involvement of the middle ear after viral infections of the upper airways may lead to serous otitis media with effusion in the absence of bacterial infection. This can be accompanied by a concomitant shading of the mastoid air cells, which could manifest as a reduced opacity on...

Clinical, functional, and surgical findings in chronic bilateral otitis media with effusion in childhood

August 21, 2016  |  Svetlana Diacova, MD; Thomas J. McDonald, MD; Ion Ababii, MD, PhD


We conducted a prospective, observational study over a 3-year period to compare the clinical, functional, and surgical findings in children with chronic bilateral otitis media with effusion who underwent one of three different types of treatment. Our study population was made...

Otogenic lateral sinus thrombosis in children: A review of 7 cases

March 16, 2016  |  Jesse T. Ryan, MD; Maria Pena, MD; George H. Zalzal, MD; Diego A. Preciado, MD, PhD


Otogenic lateral sinus thrombosis (LST) is a rare but serious intracranial complication of acute or chronic otitis media. Reported mortality rates have ranged from 8 to 25%; the pediatric mortality rate might be as low as 5%. Controversy still exists over the medical and...

Can vinegar be used in treating Pseudomonas ear infections in a patient with a perforated eardrum?

August 27, 2015  |  Muhamed Aslam Khan, MS, MRCSEd; Nazneen Khan, MBBS, DGO, DRCOG


Chronic Pseudomonas ear infections are difficult to treat, particularly in immunodeficient patients. Vinegar therapy is a time-tested measure for the treatment of these infections. It is inexpensive, simple, easy to administer, and very effective. However, some...

Is there a relationship between myeloperoxidase activity and conductive hearing loss in chronic otitis media complicated by cholesteatoma?

April 28, 2015  |  Ozlem Celebi Erdivanli, MD; Arif Sanli, MD


We conducted a prospective, controlled study of patients with chronic otitis media and cholesteatoma (1) to examine the expression of myeloperoxidase (MPO) using immunohistochemical staining techniques and (2) to investigate the relationship between MPO activity and the degree...

Malignant otitis externa

April 28, 2015  |  Christina H. Fang, BS; James Sun, BS; Robert W. Jyung, MD

The advent of anti-pseudomonal antibiotics has significantly reduced the mortality of malignant otitis externa.

Septic arthritis of the temporomandibular joint caused by Aspergillus flavus infection as a complication of otitis externa

March 2, 2015  |  Lalee Varghese, MS, DLO, DNB; Rabin Chacko, MDS, FDS, FCPS; George M. Varghese, MD, DNB, DTMH; Anand Job, MS, DLO, MNAMS


Septic arthritis of the temporomandibular joint (TMJ) is a very rare complication of otitis externa that can lead to ankylosis and destruction of the joint. We report the case of a 74-year-old man who developed aspergillosis of the TMJ following otitis externa. To the best of...

Fungal otitis externa as a cause of tympanic membrane perforation: A case series

August 28, 2014  |  James Eingun Song, MD; Thomas J. Haberkamp, MD; Riddhi Patel, MD; Miriam I. Redleaf, MD


We describe a series of 11 patients-8 men and 3 women, aged 18 to 70 years (mean: 46.0)-who had fungal otitis externa that had been complicated by a tympanic membrane perforation. These patients had been referred to us for evaluation of chronic, mostly treatment-refractory...

Evidence-based update on tympanostomy tube placement for otitis media in children

July 14, 2014  |  Jeffrey Cheng, MD; Lisa Elden, MD

Controversy has grown over the indications, timing, and efficacy of tympanostomy tube placement compared with watchful waiting.

Modified radical mastoidectomy and its complications-12 years' experience

May 8, 2014  |  Sardar U. Khan, DLO, FCPS, FRCS(Ire); Rajesh K. Tewary, MS, FRCS(Ed); Timothy J. O'Sullivan, FRCS(Canada)


To find the incidence of complications of modified radical mastoidectomy and to evaluate different parameters that play a role in their causation, we conducted a retrospective study spanning a period of 12 years. Included were 210 patients who underwent primary modified radical...

Eosinophilic otitis media

February 12, 2014  |  Alejandro Vazquez, MD; Danielle M. Blake, BA; and Robert W. Jyung, MD

Eosinophilic otitis media is refractory to conventional therapy for otitis media and may lead to severe hearing impairment if not recognized promptly.

A case of direct intracranial extension of tuberculous otitis media

February 12, 2014  |  Dong-Kee Kim, MD; Shi-Nae Park, MD, PhD; Kyung-Ho Park, MD, PhD; and Sang Won Yeo, MD, PhD


We describe a very rare case of tuberculous otitis media (TOM) with direct intracranial extension. The patient was a 55-year-old man who presented to our ENT clinic for evaluation of severe headaches and right-sided otorrhea. A biopsy of granulation tissue obtained from the...


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