Yaniv E, Traub P, Conradie R
Int J Pediatr Otorhinolaryngol. 1986 Nov;12(1):59-63. doi: 10.1016/s0165-5876(86)80058-1.
A study of 24 cases (25 ears) of tuberculous otitis media is revealed. Characteristic findings of the disease e.g. painless ottorhea and multiple perforations of the tympanic membrane, are not considered consistent with our findings of the clinical features of the pathology. Severe conductive hearing loss, abundant pale granulations and an eroded maleus handle consistently occurs in the pathology and in our opinion are more significant clinical features of the disease. As mixed infections are often present, histological examination of the granulation tissue from the middle ear and mastoid is the best diagnostic procedure. Treatment with anti-tuberculous therapy combined with surgery is shown to give good results.
本文报告了对24例（25耳）结核性中耳炎的研究。该疾病的特征性表现，如无痛性耳漏和鼓膜多发穿孔，与我们对该病理临床特征的研究结果不一致。严重的传导性听力损失、大量苍白肉芽组织以及锤骨柄侵蚀在该病理中持续出现，我们认为这些是该疾病更重要的临床特征。由于常存在混合感染，中耳和乳突肉芽组织的组织学检查是最佳诊断方法。抗结核治疗联合手术治疗显示效果良好。
