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Dinç AE, Kumbul YÇ. Clinical landmarks in chronic otitis media with tympanosclerosis: clinical history may have predictive value in the diagnosis of ossicular chain mobility. J Laryngol Otol. 2019;133(11):992-994doi: 10.1017/S0022215119002226.
Dinç, A. E., & Kumbul, Y. �. �. (2019). Clinical landmarks in chronic otitis media with tympanosclerosis: clinical history may have predictive value in the diagnosis of ossicular chain mobility. The Journal of laryngology and otology, 133(11), 992-994. https://doi.org/10.1017/S0022215119002226
Dinç, A E, and Kumbul, Y Ç. "Clinical landmarks in chronic otitis media with tympanosclerosis: clinical history may have predictive value in the diagnosis of ossicular chain mobility." The Journal of laryngology and otology vol. 133,11 (2019): 992-994. doi: https://doi.org/10.1017/S0022215119002226
Dinç AE, Kumbul YÇ. Clinical landmarks in chronic otitis media with tympanosclerosis: clinical history may have predictive value in the diagnosis of ossicular chain mobility. J Laryngol Otol. 2019 Nov;133(11):992-994. doi: 10.1017/S0022215119002226. Epub 2019 Oct 31. PMID: 31668158.
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J Laryngol Otol. 2019 Nov;133(11):992-994. doi: 10.1017/S0022215119002226. Epub 2019 Oct 31.

Clinical landmarks in chronic otitis media with tympanosclerosis: clinical history may have predictive value in the diagnosis of ossicular chain mobility.

The Journal of laryngology and otology

A E Dinç, Y Ç Kumbul

Affiliations

  1. Department of Otorhinolaryngology Head and Neck Surgery, Ekol Hospital, ?zmir, Turkey.
  2. Department of Otorhinolaryngology Head and Neck Surgery, Süleyman Demirel University Research Hospital, Isparta, Turkey.

PMID: 31668158 DOI: 10.1017/S0022215119002226

Abstract

OBJECTIVES: To evaluate clinical characteristics of tympanosclerosis and to investigate the predictive value of clinical evaluation in diagnosing the ossicular chain status in tympanosclerosis.

METHODS: The study included 166 ears operated on for chronic otitis media. Age, gender, duration of symptoms and history of ear drainage were recorded from the patient's file. Details of ossicular mobility were obtained from the operation records.

RESULTS: There was no difference in age or disease duration between ears with chronic otitis media with or without tympanosclerosis. The ears with chronic otitis media without tympanosclerosis had a higher rate of middle-ear suppuration compared to those with tympanosclerosis (p < 0.001). In chronic otitis media with tympanosclerosis, the ears with a mobile ossicular chain had a higher rate of active drainage in their clinical history compared to ears with a fixed ossicular chain (p = 0.026). Stapes fixation was present mostly in dry ears with tympanosclerosis (p = 0.005).

CONCLUSION: Chronic otitis media with tympanosclerosis is characterised by the long-term absence of suppurations. The probability of having a fixed ossicular chain or stapes was higher in tympanosclerosis cases with no ear drainage.

Keywords: Hearing Disorders; Otitis Media; Tympanosclerosis

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