Pathology of chronic otitis media

W. L. Meyerhoff, C. Sun Kim, M. M. Paparella

Research output: Contribution to journalArticle

93 Citations (Scopus)

Abstract

A review of 800 pathological temporal bones collected from autopsy cases revealed 333 (41.6%) to have some type of otitis media; purulent otitis media (52.5%), serous otitis media (6%), mucoid otitis media (4.5%), and chronic otitis media (36.9%). The 123 temporal bones with chronic otitis media were further studied and found to have granulation tissue, cholesteatoma, cholesterin granuloma, bone changes, and fibrosis. Other findings included tympanic membrane perforation, tympanosclerosis, metaplasia a of the epithelium with subepithelial glandular formation, suppuration, labyrinthitis, and evidence of complications of chronic otitis media (meningitis, subdural abscess, brain abscess, petrositis, and endolymphatic hydrops). From this study it was concluded: 1) chronic otitis media occurred quite frequently, from a histological standpoint, in the absence of tympanic membrane perforation; 2) granulation tissue in temporal bones was found much more frequently in chronic otitis media than was cholesteatoma; and 3) complications and sequelae of otitis media tended to occur more commonly secondary to granulation tissue than to cholesteatoma.

Original languageEnglish (US)
Pages (from-to)749-760
Number of pages12
JournalAnnals of Otology, Rhinology and Laryngology
Volume87
Issue number6 I
StatePublished - 1978

Fingerprint

Otitis Media
Pathology
Cholesteatoma
Granulation Tissue
Temporal Bone
Tympanic Membrane Perforation
Petrositis
Myringosclerosis
Labyrinthitis
Endolymphatic Hydrops
Suppurative Otitis Media
Otitis Media with Effusion
Brain Abscess
Suppuration
Metaplasia
Granuloma
Meningitis
Abscess
Autopsy
Fibrosis

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Meyerhoff, W. L., Sun Kim, C., & Paparella, M. M. (1978). Pathology of chronic otitis media. Annals of Otology, Rhinology and Laryngology, 87(6 I), 749-760.

Pathology of chronic otitis media. / Meyerhoff, W. L.; Sun Kim, C.; Paparella, M. M.

In: Annals of Otology, Rhinology and Laryngology, Vol. 87, No. 6 I, 1978, p. 749-760.

Research output: Contribution to journalArticle

Meyerhoff, WL, Sun Kim, C & Paparella, MM 1978, 'Pathology of chronic otitis media', Annals of Otology, Rhinology and Laryngology, vol. 87, no. 6 I, pp. 749-760.
Meyerhoff WL, Sun Kim C, Paparella MM. Pathology of chronic otitis media. Annals of Otology, Rhinology and Laryngology. 1978;87(6 I):749-760.
Meyerhoff, W. L. ; Sun Kim, C. ; Paparella, M. M. / Pathology of chronic otitis media. In: Annals of Otology, Rhinology and Laryngology. 1978 ; Vol. 87, No. 6 I. pp. 749-760.
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