Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-13T02:04:54.016Z Has data issue: false hasContentIssue false
  • English
  • Français

Role of Surgery in tuberculous mastoiditis

Published online by Cambridge University Press:  29 June 2007

Bharath Singh
Bharath Singh*
Affiliation:
Durban, South Africa
*
B. Singh, Department of Otorhinolaryngology, Faculty of Medicine, University of Natal, P. O. Box 17039, Congella, 4013, South Africa.
Get access Rights & Permissions [Opens in a new window]

Abstract

A study was understand in 43 patients to determine the role of surgery in tuberculous mastoidits. Cortical mastoidectomy was performed on five patients (Group I). Incision and drainage of a post-auricular abscess, removal of sequestrum and meatoplasty in eight (Group II).

Thirty patients had no ear surgery (Group III). Of the 17 Patients with facial palsy, three were in Group I, two in Group II, 12 in Group III. The patients in all three groups were treated with anti-tuberculous drugs for a period of no less than six months.

The average time taken for the otorrhoea to subside and granulation issue to resolve completely was two months in all three groups. The facial nerve recovery in the non-operated ears (Group I and II) 80 per cent.

The conclusion is that chemotherapy is the management of choice in tuberculous mastoidits. The only role of surgery is incision and drainage of a post-auricular abscess and removal of sequestrum if present.

Keywords

MastoiditisTuberculosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 11 , November 1991 , pp. 907 - 915
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bramwell, E. (1934) Some aspects of tuberculosis of the nervous system. Edinburgh Medical Journal, 41: 195–206.Google ScholarPubMed
Carig, D. H. (1962) Tuberculous mastoidits—a review of eight cases. Journal of Laryngology and Otology, 76: 623–638.CrossRefGoogle Scholar
Emmett, J. R., Fischer, N. D., Biggers, W. P. (1977) Tuberculous mastoiditis. Laryngoscope, 87: 1157–1163.CrossRefGoogle ScholarPubMed
Garland, H. G., Armitage, G. (1933) Intracranial tuberculoma. Journal of Pathology and Bacteriology, 37: 461–471.CrossRefGoogle Scholar
Grabscheid, E. (1937) Tuberculosis of the petrous apex. Archives of Otolaryngology, 25; 11–16.CrossRefGoogle Scholar
Guthrie, D. (1920) Notes on 13 cases of aural tuberculosis in infants. Journal of Laryngology, Rhinology and Otology, 35: 99–102.CrossRefGoogle Scholar
Hiranandani, L. H. (1967) Tuberculous petrositis. A case report. Laryngoscope, 77: 1723–1728.CrossRefGoogle ScholarPubMed
Jeanes, A. L., Friedmann, I. (1960) Tuberculosis of the middle ear. Tubercle, 41: 109–116.CrossRefGoogle ScholarPubMed
Jeang, M. K., Fletcher, E. C. (1983) Tuberculous otitis media. Journal of the American Medical Association, 249: 2231–2232.CrossRefGoogle ScholarPubMed
Leegaard, F. (1921) Tuberculosis of the middle ear. Laryngoscope, 31: 374–379.CrossRefGoogle Scholar
legenrt, F., Baron, F. (1975) Facial paralysis and tuberculous otitis: importance of prompt nerve decompression. Annales d'Otolaryngologie (Paris), 92: 235–240.Google Scholar
Lucente, F. E., Tobias, G. W., Parisier, S. C., Som, P. M. (1978) Tuberculous otitis media. Laryngoscope, 88: 1107–1115.CrossRefGoogle ScholarPubMed
Mayers, M. M., Kaufman, D. M., Miller, M. H. (1978) Recent cases of intracranial tuberculomas. Neurology, 28: 256–260.CrossRefGoogle ScholarPubMed
M'Cart, H. W. D. (1925) Tuberculous disease of the middle ear. Journal of Laryngology and Otology, 40: 456–466.CrossRefGoogle Scholar
O'Brien, N. C., van Eys, J., Baram, T. Z., Starke, J. R. (1988) Intracranial tuberculoma in children: a new look at the old problem. Southern Medical Journal, 81: 1239–1244.CrossRefGoogle Scholar
Ormerod, F. C. (1931) Tuberculosis disease of the middle ear. Journal of Laryngology and Otology, 46: 449–459.CrossRefGoogle Scholar
Palva, T., Palva, A., Karja, J. (1973) Tuberculous otitis media. Journal of Laryngology and Otology, 87: 253–261.CrossRefGoogle ScholarPubMed
Plester, D., Pusalkar, A., Steinbach, E. (1980) Middle ear tuberculosis. Journal of Laryngology and Otology, 94: 1415–1421.CrossRefGoogle ScholarPubMed
Proctor, B., Lindsay, J. R. (1942) Tuberculosis of the ear. Archives of Otolaryngology, 35: 221–249.CrossRefGoogle Scholar
Ramages, L. J., Gertler, R. (1985) Aural tuberculosis: a series of 25 patients. Journal of Laryngology and Otology, 99: 1073–1080.CrossRefGoogle ScholarPubMed
Samuel, J., Fernandes, C. M. C. (1986) Tuberculous mastoidits. Annals of Otology, Rhinology and Laryngology, 95: 264–266.CrossRefGoogle Scholar
Stewart, J. P. (1934) Tuberculoma of the brain associated with eat disease. Journal of Laryngology and Otology, 49: 493–502.CrossRefGoogle Scholar
Turner, A. L., Fraser, J. S. (1915) Tuberculosis of the middle ear cleft in children: a clinical and pathological study. Journal of Laryngology, Rhinology and Otology, 30: 209–247.CrossRefGoogle Scholar
Windle-Taylor, P. C., Bailey, C. M. (1980) Tuberculous otitis media: a series of 22 patients. Laryngoscope, 90: 1039–1044.CrossRefGoogle ScholarPubMed