Odetoyinbo O
Department of Surgery, Faculty of Health Sciences, University of Ife, Ile-Ife, Nigeria.
J Laryngol Otol. 1988 Feb;102(2):133-5. doi: 10.1017/s0022215100104311.
In an area endemic for pulmonary tuberculosis, 23 of 192 histological specimens from chronic suppurative otitis media proved to be tuberculous. A personal or family history of tuberculosis was present in 75 per cent of the patients. A pre-operative diagnosis was made in six out of 23 patients, but middle ear mucosal biopsy and aural polypectomy provided a histological diagnosis in 30 and 35 per cent respectively. It is suggested that, when tuberculosis of the middle ear is a possibility, initial surgery for chronic suppurative otitis media should be minimal and directed towards obtaining a tissue diagnosis.
在肺结核地方病流行区，192份慢性化脓性中耳炎组织标本中有23份被证实为结核性。75%的患者有个人或家族结核病史。23例患者中有6例术前做出诊断，但中耳黏膜活检和耳息肉切除术的组织学诊断率分别为30%和35%。建议在有可能是中耳结核时，慢性化脓性中耳炎的初次手术应尽量微创，并以获得组织学诊断为目的。
