eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Middle Ear & Mastoid

Middle Ear, Chronic Suppurative Otitis, Surgical Treatment: Workup

Author: Peter A Weisskopf, MD, Neurotologist, Arizona Otolaryngology Consultants; Head, Section of Neurotology, Barrow Neurological Institute
Coauthor(s): Anurag Jain, MBBS, FRCS(Ire), MS, FRCS(Oto), MS(Oto), DLO(RCSEngland), Specialist Registrar, Department of Otolaryngology, Pinderfields General Hospital, Wakefield, UK; Jeffrey Robert Knight, MBChB, FRCS, Consulting Surgeon, Department of Otolaryngology, Mayday University Hospital, London
Contributor Information and Disclosures

Updated: Oct 22, 2009

Workup

Laboratory Studies

  • If an unusual organism such as Tuberculosis is suspected, a culture and sensitivity is appropriate.
  • Other routine studies should be performed as are required for general anesthesia at the treating hospital.

Imaging Studies

  • CT scans can be obtained in selected cases, such as when the patient reports vertigo and before revision surgery. Although not necessary, the CT scan can alert the surgeon to dehiscents of the semi-circular canals or facial nerve.
    • MRI might be appropriate upon suspicion of dural herniation or extensive cholesteatoma extending into the petrous apex.

Other Tests

Preoperative complete audiograms should be obtained, ideally within 3 months of surgery.

More on Middle Ear, Chronic Suppurative Otitis, Surgical Treatment

Overview: Middle Ear, Chronic Suppurative Otitis, Surgical Treatment
Workup: Middle Ear, Chronic Suppurative Otitis, Surgical Treatment
Treatment: Middle Ear, Chronic Suppurative Otitis, Surgical Treatment
Follow-up: Middle Ear, Chronic Suppurative Otitis, Surgical Treatment
Multimedia: Middle Ear, Chronic Suppurative Otitis, Surgical Treatment
References

References

  1. McKenzie W, Brothwell D. Disease in the Ear. Disease in Antiquity. 1967;464-73.

  2. Gregg JB, Steele JP, Holzhueter A. Roentgenographic evaluation of temporal bones from South Dakota Indian burials. American Journal of Physical Anthropology. 1965;23:51-62.

  3. Rathbun TA, Mallin R. Middle ear disease in a prehistoric Iranian population. Bull N Y Acad Med. Dec 1977;53(10):901-5. [Medline].

  4. Fairbanks DN. Antimicrobial therapy for chronic suppurative otitis media. Ann Otol Rhinol Laryngol Suppl. May-Jun 1981;90(3 Pt 3):58-62. [Medline].

  5. Maynard JE, Fleshman JK, Tschopp CF. Otitis media in Alaskan Eskimo children. Prospective evaluation of chemoprophylaxis. JAMA. Jan 31 1972;219(5):597-9. [Medline].

  6. McCafferty CJ, Coman WB, Shaw E. Cholesteatoma in Australian aboriginal children. Cholesteatoma: First International Congress. 1977.

  7. Meyrick PS. The incidence of diseases of the ear, nose and throat; a survey of a remote native reserve. S Afr Med J. Sep 29 1951;25(39):701-4. [Medline].

  8. Booth JB, Kerr AJ. Scott-Brown's Otolaryngology (Otology). 1987.

  9. Brackmann, et al. Otologic Surgery. Second Edition. 2001.

  10. Kim HH, Battista RA, Kumar A, Wiet RJ. Should ossicular reconstruction be staged following tympanomastoidectomy. Laryngoscope. Jan 2006;116(1):47-51. [Medline].

  11. Leskinen K, Jero J. Acute complications of otitis media in adults. Clin Otolaryngol. Dec 2005;30(6):511-6. [Medline].

  12. Ludman H, Wright T. Diseases of the Ear. 1998.

  13. McMurphy AB, Oghalai JS. Repair of iatrogenic temporal lobe encephalocele after canal wall down mastoidectomy in the presence of active cholesteatoma. Otol Neurotol. Jul 2005;26(4):587-94. [Medline].

Further Reading

Keywords

chronic suppurative otitis, chronic suppurative otitis media, otitis media, myringoplasty, tympanoplasty, mastoidectomy, ossicular reconstruction, ossiculoplasty, ossicular chain, tympanic membrane, malleus, incus, stapes, fenestration operation, semicircular canal

Contributor Information and Disclosures

Author

Peter A Weisskopf, MD, Neurotologist, Arizona Otolaryngology Consultants; Head, Section of Neurotology, Barrow Neurological Institute
Peter A Weisskopf, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery and American College of Surgeons
Disclosure: Nothing to disclose.

Coauthor(s)

Anurag Jain, MBBS, FRCS(Ire), MS, FRCS(Oto), MS(Oto), DLO(RCSEngland), Specialist Registrar, Department of Otolaryngology, Pinderfields General Hospital, Wakefield, UK
Anurag Jain, MBBS, FRCS(Ire), MS, FRCS(Oto), MS(Oto), DLO(RCSEngland) is a member of the following medical societies: Association of Otolaryngologists of India, British Association of Otorhinolaryngologists, Head and Neck Surgeons, British Medical Association, Royal College of Surgeons in Ireland, and Royal College of Surgeons of England
Disclosure: Nothing to disclose.

Jeffrey Robert Knight, MBChB, FRCS, Consulting Surgeon, Department of Otolaryngology, Mayday University Hospital, London
Disclosure: Nothing to disclose.

Medical Editor

John C Li, MD, Private Practice in Otology and Neurotology; Medical Director, Balance Center
John C Li, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Neurotology Society, American Tinnitus Association, Florida Medical Association, and North American Skull Base Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Gregory C Allen, MD, Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Gregory C Allen, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Laryngological Rhinological and Otological Society, American Medical Association, Christian Medical & Dental Society, and Colorado Medical Society
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

 
 
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