증례

난치성 이루를 동반한 만성 호산구성 중이염 1예

홍종철1, 정승현1, 홍숙희2, 강명구1,*
Jong Chul Hong1, Seung Hyun Chung1, Sook Hee Hong2, Myung Koo Kang1,*
Author Information & Copyright
1동아대학교 의과대학 이비인후-두경부외과학교실
2병리학교실
1Department of Otolaryngology-Head and Neck Surgery, Busan, Korea
2Pathology, Dong-A University College of Medicine, Busan, Korea
*교신저자: 강명구, 602-715 부산광역시 서구 동대신동 3가 1 동아대학교 의과대학 이비인후과-두경 부외과학교실 전화: (051) 240-5423·전송:(051) 253-0712 E-mail: mgkang@dau.ac.kr

© Copyright 2011 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: Jul 05, 2011; Revised: Jul 29, 2011; Accepted: Sep 02, 2011

Published Online: May 31, 2020

ABSTRACT

Eosinophilic otitis media (EOM) is a newly recognized intractable middle ear disease, characterised by the accumulation of eosinophils in middle ear effusion and middle ear mucosa. Since EOM patients show gradual or sudden deterioration of hearing, it is important to properly diagnose EOM and to start adequate treatment for EOM. We experienced a case of EOM, so discuss the clinical features, pathogenesis, and management of EOM. EOM is often complicated by rhinosinusitis (eosinophilic sinusitis). High-tone loss is more frequently found and more severe in EOM patients than in chronic otitis media control patients, and EOM patients sometimes become deaf suddenly. Systemic or topical steroid administration is the most effective treatment for patients with EOM. The instillation of prednisolone, a suspension of steroids, into the middle ear is very effective for controlling eosinophilic inflammation in our case. It is very important to explain to patients with EOM that the disease may last for a long period and that progressive and sudden hearing loss may occur. (J Clinical Otolaryngol 2011;22:215–218)

Keywords: 호산구; 중이염
Keywords: Eosinophils; Otitis media