Hostname: page-component-7d684dbfc8-tvhzr Total loading time: 0 Render date: 2023-09-27T00:09:56.264Z Has data issue: false Feature Flags: { "corePageComponentGetUserInfoFromSharedSession": true, "coreDisableEcommerce": false, "coreDisableSocialShare": false, "coreDisableEcommerceForArticlePurchase": false, "coreDisableEcommerceForBookPurchase": false, "coreDisableEcommerceForElementPurchase": false, "coreUseNewShare": true, "useRatesEcommerce": true } hasContentIssue false

Computed tomography of the temporal bone in tuberculous otitis media

Published online by Cambridge University Press:  29 June 2007

Tomoyuki Hoshino*
Department of Otolaryngology, Hamamatsu University School of Medicine, Japan
Hiroshi Miyashita
Department of Otolaryngology, Hamamatsu University School of Medicine, Japan
Yoshihiro Asai
Department of Otolaryngology, Hamamatsu University School of Medicine, Japan
Tomoyuki Hoshino, M.D., Department of Otolaryngology, Hamamatsu University School of Medicine, 3600 Handa-cho, Hamamatsu, Shizuoka 431-31, Japan. Fax: 053-435-2253.


Nine cases of tuberculous otitis media were treated by us over the past 10 years. Six patients presenting with large tympanic membrane perforations were treated for suppurative otitis media at various ENT clinics. The remaining three patients presented without perforation. Intractable otorrhoea, aggravation of hearing loss, dizziness, and in one case facial palsy, resulted in eventual referral to us. Histological examination revealed a tuberculous granulation, confirming the diagnosis in most cases. CT in four cases with profound sensorineural hearing loss showed bone destruction of the otic capsule around the oval window and the promontory. Changes noted included a notch in one case, disappearance of the bony contour around the hook in two cases, and a distinct fistula in the final case. A cochlear fistula seemed to be characteristic of advanced tuberculous otitis media.

Radiology in Focus
Copyright © JLO (1984) Limited 1994

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.)


This paper was presented at the 3rd Japanese Otological Society Meeting, Nagoya, November 1993


Endo, S., Satake, M., Yoshida, N., Suzuki, H., Aoyagi, M., Koike, Y. (1992) Middle ear tuberculosis (an epidemic in Yamagata). Otology Japan 2: 418 (in Japanese).Google Scholar
Odetoyinbo, O. (1988) Early diagnosis of tuberculous otitis media. Journal of Laryngology and Otology 102: 133135.CrossRefGoogle ScholarPubMed
Plester, D., Pusalkar, A., Steinbach, E. (1980) Middle ear tuberculosis. Journal of Laryngology and Otology 94: 14151421.CrossRefGoogle ScholarPubMed
Schuknecht, H. F. (1993) Pathology of the Ear, 2nd Edition. Lea and Febiger, Philadelphia, pp 206208.Google Scholar
Tabata, T., Mukudai, M., Take, Y., Otsuka, H., Tomiyama, S., Sakaguchi, K., Kawabori, S., Senba, O., Enomoto, T., Matsui, K., Hamada, M. (1980) On the middle ear tuberculosis (Wakayama). Jibiinkoka 23: 323332 (in Japanese).Google Scholar
Ukai, K., Sakakura, Y., Yoshii, S., Majima, Y., Taniguchi, T., Taniguchi, C., Miyoshi, Y., Shoji, K., Yamagiwa, M. (1979) Middle ear tuberculosis. A series of 48 cases. Journal of Otolaryngology Japan 82: 555560 (in Japanese).Google Scholar
Windle-Taylor, P. C., Bailey, C. M. (1980) Tuberculous otitis media: a series of 22 patients. Laryngoscope 90: 10391044.CrossRefGoogle ScholarPubMed
Yaniv, E. (1987) Tuberculous otitis media: a clinical record. Laryngoscope 97: 13031306.CrossRefGoogle ScholarPubMed