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Evaluation of Contralateral Ear in Unilateral Chronic Otitis Media: Necessary or Not?

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Abstract

Eustachian tube appears to be central to the pathogenesis of all forms of otitis media. The reported frequency of bilateral disease ranges from 27 to 55%. The affected ear may well be the end point of the pathology in the contra lateral ear (CLE). Cross sectional observational study. One hundred patients who had unilateral chronic otitis media (COM) were enrolled in the study. Diseased ear was divided into either mucosal or squamosal type. Otoendoscopy, pure tone audiometry, impedance audiometry and X-ray mastoid (Schuller’s view) findings of CLE were noted. Considering all the changes including tympanic membrane, X-ray mastoid, hearing assessment and tympanometry, we found that 70% of patients had alterations in the CLE. Our study was consistent with many previous studies that there was an increased risk of COM in the CLE of unilateral COM.

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References

  1. Tong M, Van Hasselt C (2008) Otitis media with effusion in adults. In: Gleeson M (ed) Scott-Brown’s otorhinolaryngology: head and neck surgery, 7th edn. CRC Press, Boca Raton, pp 3388–3394

    Chapter  Google Scholar 

  2. Santoshi Kumari M, Madhavi J, Bala Krishna N, Raja Meghanadh K, Jyothy A (2016) Prevalence and associated risk factors of otitis media and its subtypes in South Indian population. Egypt J Ear Nose Throat Allied Sci 17(2):57–62

    Article  Google Scholar 

  3. Yoon TH, Schachern PA, Paparella MM, Lindgren BR (1990) Morphometric studies of the continuum of otitis media. Ann Otol Rhinol Laryngol 99(6_suppl):23–27

    Article  Google Scholar 

  4. Rosito LPS, da Costa SS, Schachern PA, Dornelles C, Cureoglu S, Paparella MM (2007) Contralateral ear in chronic otitis media: a histologic study. Laryngoscope 117(10):1809–1814

    Article  Google Scholar 

  5. Chalton RA, Stearns MP (1984) The incidence of bilateral chronic otitis media. J Laryngol Otol 98(4):337–339

    Article  CAS  Google Scholar 

  6. Vartiainen E, Kansanen M, Vartiainen J (1996) The contralateral ear in patients with chronic otitis media. Am J Otol 17(2):190–192

    CAS  PubMed  Google Scholar 

  7. Jadia S, Mourya A, Jain L, Qureshi S (2016) Pre and post operative status of contralateral ear in unilateral chronic otitis media. Indian J Otolaryngol Head Neck Surg 68(1):20–24

    Article  Google Scholar 

  8. Adhikari P, Khanal S, Bhatta R, Sigdel S, Baral D (2009) Status of contralateral ear in patients with chronic otitis media. Internet J Health 10(2)

  9. Munish KS (2017) Type of chronic suppurative otitis media as prognostic indicator for contralateral ear pathology—an observational study. Med Innov 6(1):1–3

    Google Scholar 

  10. Damghani MA, Barazin A (2013) Alterations in the contra lateral ear in chronic otitis media. Iran J Otorhinolaryngol 25(71):99–102

    PubMed  PubMed Central  Google Scholar 

  11. Chung JH, Lee SH, Min HJ, Park CW, Jeong JH, Kim KR (2014) The clinical and radiological status of contralateral ears in unilateral cholesteatoma patients. Surg Radiol Anat 36(5):439–445

    Article  Google Scholar 

  12. da Silva MNL, dos Muller JS, Selaimen FA, Oliveira DS, Rosito LPS, da Costa SS (2013) Tomographic evaluation of the contralateral ear in patients with severe chronic otitis media. Braz J Otorhinolaryngol 79(4):475–479

    Article  Google Scholar 

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Correspondence to Ankur Gupta.

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Thampi, M., Gupta, A., Sen, K. et al. Evaluation of Contralateral Ear in Unilateral Chronic Otitis Media: Necessary or Not?. Indian J Otolaryngol Head Neck Surg 74 (Suppl 1), 62–65 (2022). https://doi.org/10.1007/s12070-020-01824-x

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  • DOI: https://doi.org/10.1007/s12070-020-01824-x

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