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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 39(2); 1996 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1996;39(2): 295-300.
Two Cases of Tuberculous Otitis Media
Dae-Seok Yang, MD, and Kwang-Sun Lee, MD
Department of Otolaryngology Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
결핵성 중이염 2례
양대석 · 이광선
울산대학교 의과대학 서울중앙병원 이비인후과학교실
ABSTRACT

Tuberculous otitis madia can cause significant morbidities such as profound hearing loss, labyrinthitis and meningitis if early diagnosis and treatment are not performed. We experienced 2 cases of tuberculous otitis media and reviewed recent clinical reports, concluding that though tuberculous otitis media is known to show painless otorrhea, multiple perforation and facial falsy, they are not consistent findings in the recent times and bateriological culture doesn't always yield a reliable result to diagnose this disease. Clinical suspicion is of utmost importance especially in cases of persistent otorrhea despite appropriate antibiotic therapy, severe conductive hearing loss, abdundant pale granulations, eroded malleus and concommitant tuberculous infection in other organs. Early diagnosis by bacteriological study of smeared secretion and pathologic examinations of biopsied tissue were manditory to preserve hearing ability and reduce morbities, which otherwise might be caused by delayed initiation of therapy or more invasive procedure.

Keywords: TuberculosisOtitis media.
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