Abstract
Chronic suppurative otitis media (CSOM) is an on-going chronic or persisting otorrhea over 3–6 weeks through a perforated tympanic membrane without an intact tympanic membrane secondary to chronic inflammation of the middle ear and mastoid cavity. Acquired hearing loss is also characteristically found and if left untreated, can lead to further morbidity and mortality. Global or selective middle ear dysventilation syndrome with hypoxias and inflammation is the main pathophysiological factor.
Adequate evaluation is crucial for differential diagnosis between safe and unsafe ears; in this regard, imaging CT plays an important role especially in unresponsive ears in medical treatment.
This chapter offers a review of CSOM pathology, clinical evaluation, and methodology of management and therapies.
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References
Mawson S, Ludman H. Disease of the ear: a textbook of otology. 4th ed. London: Edward Arnold Publication; 1979.
Matanda RN, Muyunga KC, Sabue MJ, Creten W, Van de Heyning P. Chronic suppurative otitis media and related complications at the University Clinic of Kinshasa. B-ENT. 2005;1:57–62.
Mansour S, Magnan J, Nicolas K, Haider H. Middle ear disease. Cham: Springer; 2018. p. 311–81.
Elmorsy S, Shabana YK, Raouf AA, Naggar ME, Bedir T, Taher S, Fath-Aallah M. The role of IL-8 in different types of otitis media and bacteriological correlation. J Int Adv Otol. 2010;6:269–73.
Si Y, Zhang ZG, Chen SJ, Zheng YQ, Chen YB, Liu Y, Jiang H, Feng LQ, Huang X. Attenuated TLRs in middle ear mucosa contributes to susceptibility of chronic suppurative otitis media. Hum Immunol. 2014;75:771–6.
Stanford LE, Raisanen S. Opsonization of middle ear bacteria during chronic suppurative and secretory otitis media. Acta Otolaryngol. 1992;112(1):96–101.
Stanford LE, Raisanen S. Secretory IgA- and IgG-coated bacteria in chronically discharging ears. J Laryngol Otol. 1991;105(7):515–7.
Haidar H, Sheikh R, Larem A, Elsaadi A, Abdulkarim H, et al. Ossicular chain erosion in chronic suppurative otitis media. Otolaryngol (Sunnyvale). 2015;5:203.
Mehta RP, Rosowski JJ, Voss SE, O’Neil E, Merchant SN. Determinants of hearing loss in perforations of the tympanic membrane. Otol Neurotol. 2006;27(2):136–43.
Cureoglu S, Schachern PA, Paparella MM, Lindgren BR. Cochlear changes in chronic otitis media. Laryngoscope. 2004;114:622–6.
Mansour S, Magnan J, Haidar H, Nicolas K, Louryan S. Comprehensive and clinical anatomy of the middle ear. Cham: Springer; 2013. https://doi.org/10.1007/978-3-642-36967-4.
Vlaming MS, Feenstra L. Studies on the mechanics of the reconstructed human middle ear. Clin Otolaryngol Allied Sci. 1986;11(6):411–22.
Morris DP, Bance M, Van Wijhe RG. How do cartilage and other material overlay over a prosthesis affect its vibration transmission properties in ossiculoplasty? Otolaryngol Head Neck Surg. 2004;131(4):423–8.
Altamimi Z, Haidar H, Larem A, et al. Innovation in otology: stability of ossicular reconstruction. J Bioeng Biomed Sci. 2016;6(5 Suppl).
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Mansour, S., Al Shawabkeh, M.A., Nicolas, K., Haidar, H. (2021). Chronic Suppurative Otitis Media (CSOM). In: Al-Qahtani, A., Haidar, H., Larem, A. (eds) Textbook of Clinical Otolaryngology. Springer, Cham. https://doi.org/10.1007/978-3-030-54088-3_5
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DOI: https://doi.org/10.1007/978-3-030-54088-3_5
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