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Chronic Otomastoiditis With Ossicular Erosions
Nicholas A. Koontz, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Chronic otomastoiditis (COM)
            • Synonyms

              • Noncholesteatomatous ossicular erosion; postinflammatory ossicular erosion
            • Definitions

              • Erosive changes involving ossicles in absence of cholesteatoma in patient with history of COM

            IMAGING

            • General Features

              • CT Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        • Microscopic Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Albera R et al: Ossicular chain lesions in tympanic perforations and chronic otitis media without cholesteatoma. J Int Adv Otol. 11(2):143-6, 2015
                                      2. Blom EF et al: Influence of ossicular chain damage on hearing after chronic otitis media and cholesteatoma surgery: a systematic review and meta-analysis. JAMA Otolaryngol Head Neck Surg. 1-9, 2015
                                      3. Dinç AE et al: Audiometric correlations with pathologies of ossicular chain in 159 ears with chronic otitis media. Clin Otolaryngol. ePub, 2015
                                      4. Pandey AK et al: Is there a role for virtual otoscopy in the preoperative assessment of the ossicular chain in chronic suppurative otitis media? Comparison of HRCT and virtual otoscopy with surgical findings. Eur Radiol. 19(6):1408-16, 2009
                                      5. Lemmerling MM et al: Imaging of the opacified middle ear. Eur J Radiol. 66(3):363-71, 2008
                                      6. Carrillo RJ et al: Probabilities of ossicular discontinuity in chronic suppurative otitis media using pure-tone audiometry. Otol Neurotol. 28(8):1034-7, 2007
                                      7. Jeng FC et al: Relationship of preoperative findings and ossicular discontinuity in chronic otitis media. Otol Neurotol. 24(1):29-32, 2003
                                      8. Jung JY et al: Bone resorption in chronic otitis media: the role of the osteoclast. ORL J Otorhinolaryngol Relat Spec. 64(2):95-107, 2002
                                      9. Li Y et al: Prospective study of tympanic membrane retraction, hearing loss, and multifrequency tympanometry. Otolaryngol Head Neck Surg. 121(5):514-22, 1999
                                      10. Albu S et al: Prognostic factors in tympanoplasty. Am J Otol. 19(2):136-40, 1998
                                      11. Lemmerling MM et al: Normal and opacified middle ears: CT appearance of the stapes and incudostapedial joint. Radiology. 203(1):251-6, 1997
                                      12. Mills RP: Physiological reconstruction of defects of the incus long process. Clin Otolaryngol Allied Sci. 21(6):499-503, 1996
                                      13. Uno Y et al: Bone resorption in human cholesteatoma: morphological study with scanning electron microscopy. Ann Otol Rhinol Laryngol. 104(6):463-8, 1995
                                      14. Vartiainen E et al: Hearing results of surgery for acquired cholesteatoma. Ear Nose Throat J. 74(3):160-2, 164, 1995
                                      15. Vartiainen E et al: Hearing results of surgery for chronic otitis media without cholesteatoma. Ear Nose Throat J. 74(3):165-6, 169, 1995
                                      16. Lannigan FJ et al: The cellular mechanism of ossicular erosion in chronic suppurative otitis media. J Laryngol Otol. 107(1):12-6, 1993
                                      17. Swartz JD et al: Ossicular erosions in the dry ear: CT diagnosis. Radiology. 163(3):763-5, 1987
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Abbreviations

                                                  • Chronic otomastoiditis (COM)
                                                • Synonyms

                                                  • Noncholesteatomatous ossicular erosion; postinflammatory ossicular erosion
                                                • Definitions

                                                  • Erosive changes involving ossicles in absence of cholesteatoma in patient with history of COM

                                                IMAGING

                                                • General Features

                                                  • CT Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Gross Pathologic & Surgical Features

                                                            • Microscopic Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Albera R et al: Ossicular chain lesions in tympanic perforations and chronic otitis media without cholesteatoma. J Int Adv Otol. 11(2):143-6, 2015
                                                                          2. Blom EF et al: Influence of ossicular chain damage on hearing after chronic otitis media and cholesteatoma surgery: a systematic review and meta-analysis. JAMA Otolaryngol Head Neck Surg. 1-9, 2015
                                                                          3. Dinç AE et al: Audiometric correlations with pathologies of ossicular chain in 159 ears with chronic otitis media. Clin Otolaryngol. ePub, 2015
                                                                          4. Pandey AK et al: Is there a role for virtual otoscopy in the preoperative assessment of the ossicular chain in chronic suppurative otitis media? Comparison of HRCT and virtual otoscopy with surgical findings. Eur Radiol. 19(6):1408-16, 2009
                                                                          5. Lemmerling MM et al: Imaging of the opacified middle ear. Eur J Radiol. 66(3):363-71, 2008
                                                                          6. Carrillo RJ et al: Probabilities of ossicular discontinuity in chronic suppurative otitis media using pure-tone audiometry. Otol Neurotol. 28(8):1034-7, 2007
                                                                          7. Jeng FC et al: Relationship of preoperative findings and ossicular discontinuity in chronic otitis media. Otol Neurotol. 24(1):29-32, 2003
                                                                          8. Jung JY et al: Bone resorption in chronic otitis media: the role of the osteoclast. ORL J Otorhinolaryngol Relat Spec. 64(2):95-107, 2002
                                                                          9. Li Y et al: Prospective study of tympanic membrane retraction, hearing loss, and multifrequency tympanometry. Otolaryngol Head Neck Surg. 121(5):514-22, 1999
                                                                          10. Albu S et al: Prognostic factors in tympanoplasty. Am J Otol. 19(2):136-40, 1998
                                                                          11. Lemmerling MM et al: Normal and opacified middle ears: CT appearance of the stapes and incudostapedial joint. Radiology. 203(1):251-6, 1997
                                                                          12. Mills RP: Physiological reconstruction of defects of the incus long process. Clin Otolaryngol Allied Sci. 21(6):499-503, 1996
                                                                          13. Uno Y et al: Bone resorption in human cholesteatoma: morphological study with scanning electron microscopy. Ann Otol Rhinol Laryngol. 104(6):463-8, 1995
                                                                          14. Vartiainen E et al: Hearing results of surgery for acquired cholesteatoma. Ear Nose Throat J. 74(3):160-2, 164, 1995
                                                                          15. Vartiainen E et al: Hearing results of surgery for chronic otitis media without cholesteatoma. Ear Nose Throat J. 74(3):165-6, 169, 1995
                                                                          16. Lannigan FJ et al: The cellular mechanism of ossicular erosion in chronic suppurative otitis media. J Laryngol Otol. 107(1):12-6, 1993
                                                                          17. Swartz JD et al: Ossicular erosions in the dry ear: CT diagnosis. Radiology. 163(3):763-5, 1987