Skip to main content Accessibility help
×
Home

Clinical landmarks in chronic otitis media with tympanosclerosis: clinical history may have predictive value in the diagnosis of ossicular chain mobility

  • A E Dinç (a1) and Y Ç Kumbul (a2)

Abstract

Objectives

To evaluate clinical characteristics of tympanosclerosis and to investigate the predictive value of clinical evaluation in diagnosing the ossicular chain status in tympanosclerosis.

Methods

The study included 166 ears operated on for chronic otitis media. Age, gender, duration of symptoms and history of ear drainage were recorded from the patient's file. Details of ossicular mobility were obtained from the operation records.

Results

There was no difference in age or disease duration between ears with chronic otitis media with or without tympanosclerosis. The ears with chronic otitis media without tympanosclerosis had a higher rate of middle-ear suppuration compared to those with tympanosclerosis (p < 0.001). In chronic otitis media with tympanosclerosis, the ears with a mobile ossicular chain had a higher rate of active drainage in their clinical history compared to ears with a fixed ossicular chain (p = 0.026). Stapes fixation was present mostly in dry ears with tympanosclerosis (p = 0.005).

Conclusion

Chronic otitis media with tympanosclerosis is characterised by the long-term absence of suppurations. The probability of having a fixed ossicular chain or stapes was higher in tympanosclerosis cases with no ear drainage.

Copyright

Corresponding author

Author for correspondence: Dr Yusuf Çağdaş Kumbul, Department of Otorhinolaryngology Head and Neck Surgery, Süleyman Demirel University Research Hospital, 32260 Isparta, Turkey E-mail: cagdas1061@hotmail.com

Footnotes

Hide All

Dr Y Ç Kumbul takes responsibility for the integrity of the content of the paper

Presented at the 18th Rhinocamp Meeting, 17–21 May 2017, Marmaris, Turkey.

Footnotes

References

Hide All
1Verhoeff, M, van der Veen, EL, Rovers, MM, Sanders, EA, Schilder, AG. Chronic suppurative otitis media: a review. Int J Pediatr Otorhinolaryngol 2006;70:112
2Bluestone, CD. Epidemiology and pathogenesis of chronic suppurative otitis media: implications for prevention and treatment. Int J Pediatr Otorhinolaryngol 1998;42:207–23
3Wielinga, EW, Kerr, AG. Tympanosclerosis. Clin Otolaryngol 1993;18:341–9
4Smyth, GD. Tympanosclerosis. J Laryngol Otol 1972;86:914
5Giddings, NA, House, JW. Tympanosclerosis of the stapes: hearing results for various surgical treatments. Otolaryngol Head Neck Surg 1992;107:644–50
6Teufert, KB, De La Cruz, A. Tympanosclerosis: long-term hearing results after ossicular reconstruction. Otolaryngol Head Neck Surg 2002;126:264–72
7da Costa, SS, Paparella, MM, Schachern, PA, Yoon, TH, Kimberley, BP. Temporal bone histopathology in chronically infected ears with intact and perforated tympanic membranes. Laryngoscope 1992;102:1229–36
8Kinney, SE. Postinflammatory ossicular fixation in tympanoplasty. Laryngoscope 1978;88:821–38
9Emmet, JR, Shea, JJ. Surgical treatment of tympanosclerosis. Laryngoscope 1978;88:1642–8
10Lau, T, Tos, M. Tympanoplasty in children. Am J Otol 1986;7:55–9
11Bayazit, YA, Ozer, E, Kara, C, Gokpinar, S, Kanlikama, M, Mumbuç, S. An analysis of the single-stage tympanoplasty with over-underlay grafting in tympanosclerosis. Otol Neurotol 2004;25:211–14
12Dinç, AE, Damar, M, Erdem, D, Eliçora, , Akyıldız, I, Kumbul, YÇ. Audiometric correlations with pathologies of ossicular chain in 159 ears with chronic otitis media. Clin Otolaryngol 2016;41:817–21
13Sorensen, H, True, O. Histology of tympanosclerosis. Acta Otolaryngol 1972;73:1826
14Ferlito, A. Histopathogenesis of tympanosclerosis. J Laryngol Otol 1979;93:2537

Keywords

Clinical landmarks in chronic otitis media with tympanosclerosis: clinical history may have predictive value in the diagnosis of ossicular chain mobility

  • A E Dinç (a1) and Y Ç Kumbul (a2)

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed