Primary tuberculosis of the eustachian tube causing otitis media with effusion

Oh, Se-Joon; Yi, Keun-Ik; Lee, Chang‐Hoon; Cho, Kyu‐Sup

doi:10.1016/j.amjoto.2015.04.004

Cited by 6 publications

(3 citation statements)

References 6 publications

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“…The first otoscopy showed probably a combination of an early TOM with eustachian tube dysfunction caused by the mass and secretion. Eustachian tube dysfunction due to tuberculosis infection was already described in a case report 16…”

Section: Discussionmentioning

confidence: 74%

Chronic nasopharyngeal and otitis media tuberculosis: diagnosis and management difficulties

et al. 2022

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Nasopharyngeal and otitis media tuberculosis are rare extrapulmonary manifestations of Mycobacterium tuberculosis infection. We present a case of a middle-aged woman with manifestations of both conditions along with a description of the anatomical and temporal evolution of the disease. This case also highlights the difficulty of diagnosis and management of this condition, requiring a multidisciplinary approach. Extrapulmonary tuberculosis must be considered in the differential diagnosis of multiple head and neck conditions, including refractory chronic rhinosinusitis and otitis.

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Section: Discussionmentioning

confidence: 74%

Chronic nasopharyngeal and otitis media tuberculosis: diagnosis and management difficulties

et al. 2022

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“…Primary Eustachian-tube TB has been reported to present with aural fullness and hearing disturbance in a patient with a previous history of pulmonary TB 5 . These patients may have systemic symptoms such as malaise, night fever, and sweat as well.…”

Section: Discussionmentioning

confidence: 99%

Primary Eustachian Tube Tuberculosis

Hamzah¹,

Mohamad²,

Mutalib³

2021

MMJ

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Nasopharyngeal tuberculosis is a rare occurrence, and primarily involves the proximal part of the Eustachian tube. Mechanical obstruction of the Eustachian tube will affect the pressure discrepancy between the middle ear and the external atmosphere, leading to aural fullness, unilateral hearing disturbance, and otitis media. These conditions can be overlooked or mistakenly diagnosed as ear pathology. We report a case of unilateral hearing loss and tinnitus in a 31-year-old healthy woman that was later confirmed to be tuberculosis of the Eustachian tube. In cases with indicators suggesting a high index of suspicion, a thorough examination of the head and neck regions is especially very important. Once it has been diagnosed, Eustachian tuberculosis can be successfully treated with anti-tuberculosis medications.

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“…8 It is also well-known as a primary symptom of nasopharyngeal carcinoma and other nasal and nasopharyngeal lesions. 1,9,10 Therefore, ear, nose, and throat doctors usually consider the possibility of nasopharyngeal carcinoma and perform endoscopic observation of the nasopharynx, especially for adult patients showing intractable OME. However, once the nasopharynx revealed to be normal, additional examination is not usually done.…”

Section: Discussionmentioning

confidence: 99%

Otitis Media With Effusion Caused by a Parapharyngeal Tumor Showing Normal Nasopharyngeal Findings

et al. 2019

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The objective of this study is to evaluate otitis media with effusion (OME) among patients with parapharyngeal tumor. We have experienced 82 parapharyngeal tumor cases and encountered 14 patients complaining of hearing loss due to OME as the initial symptom. These patients showed normal nasopharyngeal findings and the presence of tumor had been detected long time after the beginning of their hearing symptoms (4 months to 13 years: median 2.5 years). Six patients had undergone ventilation tube insertion on the affected ear, which may lead to delay in diagnosis. Pathological examination was performed in 76 of 82 patients. Among these 76 patients, 13 showed OME. Seven patients had malignant lesions, whereas 6 had benign lesions. Therefore, malignant lesions are prone to occur with OME and its relative risk was 2.26 (95% confidence intervals, 1.16-4.42). This difference was statistically significant ( P = .044, Fisher test). Otitis media with effusion is a very common disease and is well-known as a primary symptom of nasopharyngeal carcinoma. Therefore, nasopharyngeal observation is necessary for patients with intractable middle ear effusion. However, present 14 patients with OME showed normal nasopharyngeal findings and finally found after an imaging study. From our data, OME is an important but go-by symptom of parapharyngeal tumors. Imaging studies are potently useful for such patients with intractable OME.

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Primary tuberculosis of the eustachian tube causing otitis media with effusion

Cited by 6 publications

References 6 publications

Chronic nasopharyngeal and otitis media tuberculosis: diagnosis and management difficulties

Chronic nasopharyngeal and otitis media tuberculosis: diagnosis and management difficulties

Primary Eustachian Tube Tuberculosis

Otitis Media With Effusion Caused by a Parapharyngeal Tumor Showing Normal Nasopharyngeal Findings

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