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首页> 外文期刊>Otology and neurotology: official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology >The Variable Clinical Presentation of Tuberculosis Otitis Media and the Importance of Early Detection
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The Variable Clinical Presentation of Tuberculosis Otitis Media and the Importance of Early Detection

机译：结核介质的可变临床表现和早期检测的重要性

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Background: Tuberculosis (TB) is a rare cause of otitis media. This study aims to increase awareness on the clinical presentation of TB otitis media and illustrate how early detection affects treatment outcome.Methods: Chart review of 12 patients (13 ears) from a tertiary hospital in Manila, Philippines, seen from 2004 to 2009. Clinical predictors of the disease were summarized. Clinical, radiologic, and audiometric outcomes after treatment were compared between treatment groups.Results: The 5 otoscopic presentations were multiple perforations, single perforation with refractory otorrhea and exuberant granulation tissue formation, single perforation with minimal otorrhea and no granulation tissue formation, intact tympanic membrane with middle ear effusion, and intact tympanic membrane with tumorlike tissue in the middle ear. Clinical predictors of the disease were history of pulmonary TB, work-related contamination of the infection, positive purified protein derivative test, positive chest radiographic finding and intraoperative granulation tissue with cheesy material, and temporal bone computed tomographic scan findings. Patients who had no middle ear surgery showed significantly better clinical, radiologic, and audio-metric outcomes than those who were diagnosed late and had more complicated surgical procedure.Conclusion: The clinical presentation of TB otitis media is variable. Early detection of the early forms entail less surgical intervention and favors better treatment results.
机译：背景：结核病（TB）是中耳炎的罕见原因。这项研究旨在提高对TB耳炎的临床表现的认识，并说明早期检测如何影响治疗结果。方法：菲律宾马尼拉三级医院的12位患者的图表评论，2004年至2009年。总结了该疾病的预测因素。在治疗组之间比较了治疗后的临床，放射学和听力测定结果。分泌：5个耳镜表现是多种穿孔，具有难治性耳开的单个穿孔和繁殖的肉芽组织形成，单个穿孔，具有最小的耳乳和无颗粒状组织形成，完美的肉芽组织，无颗粒状的膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性膜性味觉敏感性。中耳积液和完整的鼓膜膜，中耳有肿瘤状组织。该疾病的临床预测因子是肺结核史，感染的与工作相关的污染，正纯化的蛋白质衍生物测试，胸部X光片阳性发现和带有俗气的材料的术中颗粒组织以及颞骨计算机的层析成像扫描发现。没有中耳手术的患者表现出明显更好的临床，放射学和音频结果，而不是被诊断出迟到并且手术过程更为复杂的患者。结论：TB耳炎培养基的临床表现可变。早期表格的早期检测需要较少的手术干预，并有利于更好的治疗结果。

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