Ossicular damages in chronic suppurative ear disease

Ossicular damage is a frequently encountered sequel of chronic suppurative otitis media. It is associated with both chloesteatomous and non cholesteatomous pathologies. In this series of 100 cases, who underwent exploration of tympanomastoid region, 67 cases showed various froms of ossicular damages. We found multiossicular losses to be more frequent than isolated involvement of a single ossicle. Granulations were more frequent [49%] than cholesteatoma [15%]. Central defects of the tympanic membrane dominated

role of mycoplasma pneumonia in acute exacerbation of chronic suppurative otitis media

This study was done on 60 patients, aging 3 - 18 years, attending the ENT Outpatient Clinic, and suffering from acute exacerbation of chronic suppurative otitis media in the form of sudden otorrhea from dry tympanic perforation. Complete ear, nose and throat examination, pure tone audiometry, chest examination, bacteriological study of the ear discharge for mycoplasma and other organisms, and serological examinations for the IgG mycoplasma pneumonia by the ELISA technique were done. 30 patients were serologically positive for IgG mycoplasma, of them 10 [16.7%] patients showed positive cultures for mycoplasma pneumonia. In this study, it was postulated that mycoplasma pneumonia plays a role in acute exacerbation of chronic suppurative otitis media. The commonest age affected was below 9, it has no specific clinical picture, no specific otoscopic picture, no specific hearing affections. Mycoplasma pneumonia can be found in combination with other organisms. In this study, it was postulated that blood born infection may play a role as a route to ear infection with mycoplasma pneumonia

Chronic silent otitis media: a clinical-pathological study; a preliminar report

A otite média crônica supurativa tem sido clinicamente definida como a saída de secreçäo crônica do ouvido médio associada a uma perfuraçäo da membrana timpânica. Cento e quarenta e quatro ossos temporais humanos com otite média crônica foram divididos em dois grupos: aqueles com membranas timpânicas íntegras (26) e aqueles com tímpanos perfurados (118). Os seguintes achados patológicos foram documentados: tecido de granulaçäo, alteraçöes ossiculares, granulomas de colesterol, colesteatomas e timpanosclerose. As seguintes regiöes foram pesquisadas para a presença destes achados: epitímpano, aditus and antrum, seio timpânico, nicho da janela redonda, hipotímpano e membrana timpânica