원저

결핵성 중이염에 대한 임상적 고찰

조준호1, 서민호1, 한정호1, 장진용1, 천경두1,*
Jun Ho Cho1, Min Ho Seo1, Jung Ho Han1, Jin Young Jang1, Kyung Du Chun1,*
Author Information & Copyright
1전주예수병원 이비인후과
1Department of Otolaryngology, Presbytreian Medical Center, Jeonju, Korea
*교신저자: 천경두, 560-750 전북 전주시 완산구 중화산동 1가 300 전주예수병원 이비인후과 전화: (063) 230-8154·전송: (063) 230-8157 E-mail: getup0112@daum.net

© Copyright 2007 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 28, 2007; Accepted: Nov 04, 2007

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: The diagnosis of tuberculous otitis media (TOM) is often delayed because of its rarity, the variable presentation, and the lack of highly sensitive and specific diagnostic methods. This delay may results in permanent morbidities such as hearing loss and other complications. This study was performed to evaluate clinical manifestation of TOM and methods of early diagnosis and treatment. Material and Methods: We reviewed the medical records of 26 patients with TOM treated at Presbytreian Medical Center. The diagnosis of TOM was made by AFB smear, culture, histologic analysis and PCR. Results: The results showed the average age of patients is 30.2 years and male outnumbers female. Most patients showed painless intractable otorrhea, mild to moderate hearing loss and perforated drum with granulation. But multiple perforations, facial palsy, and other complications were not observed. Most of the cases were confirmed pathologically by operative specimen. In only medication group, duration of time for diagnosis was relatively shorter and TM closure rate is 50% without surgical intervention. Conclusion: A high index of suspicion for TOM is required patients who do not respond to standard therapy for non tuberculous infections. Appropriate evaluation for TOM includes AFB smear, culture, PCR of otorrhea and operative biopsy. Early diagnosis and treatment of TOM are important to avoid irreversible complications, surgical intervention, and propagation of the disease. (J Clinical Otolaryngol 2007;18:184–189)

Keywords: 결핵성; 중이염
Keywords: Tuberculous; Otitis media