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Contralateral Ear Findings in Chronic Otitis Media.
Sisli Etfal Hastan Tip Bul. 2018; 52(3):179-183.SE

Abstract

Objectives

Chronic otitis media (COM) reveals a spectrum of otoscopic findings, and both ears may be affected to a different degree. The analysis of contralateral ear in patients with COM is important to detect the early signs of the disease. This may enable the follow-up and treatment of abnormalities in contralateral ear without delay. Therefore, in this study, we aimed to investigate the otoscopic and audiologic findings of contralateral ears of patients with COM.

Methods

The institutional data of patients who underwent surgical treatment between 2014 and 2017 due to COM were reviewed. Suppurative ears with cholesteatoma, polyps, and otorrhea refractory to medical treatment and ears with dry middle ear mucosa, with otorrhea responsive to medical treatment, and without cholesteatoma were divided into two groups (Group 1 and Group 2, respectively). All patients were examined with regard to the presence of perforation, retraction, myringosclerosis, atrophy, and audiological results before the groups were compared.

Results

Approximately 50% of contralateral ears of patients with COM showed abnormalities at an otoscopic examination in both groups. Tympanic membrane retraction in Group 1 was greater than in Group 2, and the difference was statistically significant (p<0.05). Both the mean air and bone conduction thresholds of the contralateral ears in Group 1 were also found to be elevated when compared with Group 2, and the differences were statistically significant (p<0.05).

Conclusion

COM may be seen bilaterally due to the same predisposing factors affecting the ears. Therefore, detection, follow-up, and early treatment of abnormalities of contralateral ear associated with otitis media have clinical importance in the prevention or delaying progression of these abnormalities to COM.

Authors+Show Affiliations

Department of Otorhinolaryngology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.Department of Otorhinolaryngology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.Department of Otorhinolaryngology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.Department of Otorhinolaryngology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32595395

Citation

Ünsal, Özlem, et al. "Contralateral Ear Findings in Chronic Otitis Media." Sisli Etfal Hastanesi Tip Bulteni, vol. 52, no. 3, 2018, pp. 179-183.
Ünsal Ö, Türk B, Seyhun N, et al. Contralateral Ear Findings in Chronic Otitis Media. Sisli Etfal Hastan Tip Bul. 2018;52(3):179-183.
Ünsal, Ö., Türk, B., Seyhun, N., & Turgut, S. (2018). Contralateral Ear Findings in Chronic Otitis Media. Sisli Etfal Hastanesi Tip Bulteni, 52(3), 179-183. https://doi.org/10.5350/SEMB.20171129090822
Ünsal Ö, et al. Contralateral Ear Findings in Chronic Otitis Media. Sisli Etfal Hastan Tip Bul. 2018;52(3):179-183. PubMed PMID: 32595395.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Contralateral Ear Findings in Chronic Otitis Media. AU - Ünsal,Özlem, AU - Türk,Bilge, AU - Seyhun,Nurullah, AU - Turgut,Suat, Y1 - 2018/09/28/ PY - 2017/11/29/received PY - 2017/12/04/accepted PY - 2020/6/30/entrez PY - 2018/9/28/pubmed PY - 2018/9/28/medline KW - Chronic otitis media KW - contralateral ear KW - retraction SP - 179 EP - 183 JF - Sisli Etfal Hastanesi tip bulteni JO - Sisli Etfal Hastan Tip Bul VL - 52 IS - 3 N2 - Objectives: Chronic otitis media (COM) reveals a spectrum of otoscopic findings, and both ears may be affected to a different degree. The analysis of contralateral ear in patients with COM is important to detect the early signs of the disease. This may enable the follow-up and treatment of abnormalities in contralateral ear without delay. Therefore, in this study, we aimed to investigate the otoscopic and audiologic findings of contralateral ears of patients with COM. Methods: The institutional data of patients who underwent surgical treatment between 2014 and 2017 due to COM were reviewed. Suppurative ears with cholesteatoma, polyps, and otorrhea refractory to medical treatment and ears with dry middle ear mucosa, with otorrhea responsive to medical treatment, and without cholesteatoma were divided into two groups (Group 1 and Group 2, respectively). All patients were examined with regard to the presence of perforation, retraction, myringosclerosis, atrophy, and audiological results before the groups were compared. Results: Approximately 50% of contralateral ears of patients with COM showed abnormalities at an otoscopic examination in both groups. Tympanic membrane retraction in Group 1 was greater than in Group 2, and the difference was statistically significant (p<0.05). Both the mean air and bone conduction thresholds of the contralateral ears in Group 1 were also found to be elevated when compared with Group 2, and the differences were statistically significant (p<0.05). Conclusion: COM may be seen bilaterally due to the same predisposing factors affecting the ears. Therefore, detection, follow-up, and early treatment of abnormalities of contralateral ear associated with otitis media have clinical importance in the prevention or delaying progression of these abnormalities to COM. SN - 1302-7123 UR - https://www.unboundmedicine.com/medline/citation/32595395/Contralateral_Ear_Findings_in_Chronic_Otitis_Media L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/32595395/ DB - PRIME DP - Unbound Medicine ER -
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