Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
증례

고실내 덱사메타손(Dexamethasone) 주입술로 호전된 난치성 이루를 동반한 호산구성 중이염 : 사례 연구

김민범1, 현창림2, 김세형1,*
Min Bum Kim1, Chang Lim Hyun2, Se-Hyung Kim1,*
1제주대학교 의학전문대학원 이비인후과학교실
2병리학교실
1Department of Otorhinolaryngology-Head and Neck Surgery
2Pathology, Jeju National University School of Medicine, Jeju, Korea
*교신저자: 김세형, 63241 제주 제주시 아란13길 15 제주대학교 의학전문대학원 이비인후과 학교실 전화: (064) 717-1720·전송: (064) 717-1131 E-mail: meddoc98@gmail.com

© Copyright 2016 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 20, 2016; Revised: Sep 23, 2016; Accepted: Oct 19, 2016

Published Online: May 31, 2020

ABSTRACT

Eosinophilic otitis media (EOM) is a newly recognized intractable middle ear disease, characterized by a highly viscous otorrhea and an accumulation of eosinophils in middle ear effusion and middle ear mucosa. Since EOM can cause gradual or sudden deterioration of hearing, it is important to properly diagnose EOM. Systemic or topical steroid administration is known as the most effective treatment for patients with EOM ; however, oral steroid therapy has the potential to cause adverse drug effects. Recently, we experienced two cases of EOM that were given intratympanic dexamethasone injection had improvement in otologic symptoms including otorrhea and hearing loss. The instillation of dexamethasone into the middle ear cavity is noninvasive and effective treatment for controlling eosinophilic inflammation in this report. Identification of the characteristic manifestations of EOM, and the consequent definite diagnosis and an adequate treatment for EOM can help prevent sensorineural hearing loss in early stage. (J Clinical Otolaryngol 2016;27:306–315)

Keywords: 호산구성 중이염; 고실내 스테로이드 치료
Keywords: Eosinophilic otitis media; Intratympanic; Steroids; Treatment