Windle-Taylor P C, Bailey C M
Laryngoscope. 1980 Jun;90(6 Pt 1):1039-44. doi: 10.1002/lary.1980.90.6.1039.
A series of 22 cases of tuberculous otitis media is reviewed to assess the diagnostic features of the disease. Significant clinical features are the presence of abundant pale granulations, an unexpectedly severe hearing loss, facial paralysis, the presence of normal mastoid cellular develpment and a past or family history of tuberculosis of any site. The otoscopic appearances of the tympanic membrane, and the symptom of painless otorrhea are not considered suspicious features. Histological examination of operative material was the diagnostic procedure in 20/22 cases, thus underlining the difficulty of diagnosis in a non-tuberculous general population. Treatment with antituberculous chemotherapy and surgery gives good results and recent indications are that tympanoplastic surgery may be useful.
回顾了22例结核性中耳炎病例，以评估该疾病的诊断特征。重要的临床特征包括存在大量苍白肉芽、意外严重的听力损失、面瘫、乳突细胞发育正常以及有任何部位的结核既往史或家族史。鼓膜的耳镜表现以及无痛性耳漏症状不被视为可疑特征。22例中有20例通过手术材料的组织学检查进行诊断，这凸显了在非结核性普通人群中诊断的困难。抗结核化疗和手术治疗效果良好，最近的迹象表明鼓室成形术可能有用。
