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Chronic Otomastoiditis With Tympanosclerosis
Nicholas A. Koontz, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Chronic otomastoiditis (COM) with tympanosclerosis
            • Synonyms

              • COM with focal calcification or ossification
              • Postinflammatory ossicular fixation
            • Definitions

              • Calcific, bony, or fibrous middle ear foci typically due to suppurative COM, much less commonly trauma

            IMAGING

            • General Features

              • CT Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        • Reporting Tips

                                          Selected References

                                          1. Larem A et al: Reliability of high-resolution CT scan in diagnosis of ossicular tympanosclerosis. Laryngoscope Investig Otolaryngol. 6(3):540-8, 2021
                                          2. Nguyen T et al: Conductive hearing loss with a "dry middle ear cleft"-a comprehensive pictorial review with CT. Eur J Radiol. 110:74-80, 2019
                                          3. Magliocca KR et al: Idiopathic, infectious and reactive lesions of the ear and temporal bone. Head Neck Pathol. 12(3):328-49, 2018
                                          4. Doluoglu S et al: Increased carotid artery intima-media thickness in patients with tympanosclerosis: Common risk factors with atherosclerosis? Kaohsiung J Med Sci. 31(4):199-202, 2015
                                          5. Mutlu F et al: An analysis of surgical treatment results of patients with tympanosclerosis. J Craniofac Surg. 26(8):2393-5, 2015
                                          6. Stankovic MD: Hearing results of surgery for tympanosclerosis. Eur Arch Otorhinolaryngol. 266(5):635-40, 2009
                                          7. Celik H et al: Analysis of long-term hearing after tympanosclerosis with total/partial stapedectomy and prosthesis used. Acta Otolaryngol. 128(12):1308-13, 2008
                                          8. Yetiser S et al: Management of tympanosclerosis with ossicular fixation: review and presentation of long-term results of 30 new cases. J Otolaryngol. 36(5):303-8, 2007
                                          9. Tsuzuki K et al: Tympanosclerosis involving the ossicular chain: mobility of the stapes in association with hearing results. Acta Otolaryngol. 126(10):1046-52, 2006
                                          10. Karlidağ T et al: Comparison of free radicals and antioxidant enzymes in chronic otitis media with and without tympanosclerosis. Laryngoscope. 114(1):85-9, 2004
                                          11. Pulec JL et al: Long-term ventilating tube with tympanosclerosis. Ear Nose Throat J. 82(1):8, 2003
                                          12. Forséni Flodin M et al: Possible inflammatory mediators in tympanosclerosis development. Int J Pediatr Otorhinolaryngol. 63(2):149-54, 2002
                                          13. Teufert KB et al: Tympanosclerosis: long-term hearing results after ossicular reconstruction. Otolaryngol Head Neck Surg. 126(3):264-72, 2002
                                          14. Vincent R et al: Stapedotomy for tympanosclerotic stapes fixation: is it safe and efficient? A review of 68 cases. Otol Neurotol. 23(6):866-72, 2002
                                          15. Albu S et al: Surgical treatment of tympanosclerosis. Am J Otol. 21(5):631-5, 2000
                                          16. Palacios E et al: Tympanosclerosis. Ear Nose Throat J. 79(1):17, 2000
                                          17. Asiri S et al: Tympanosclerosis: review of literature and incidence among patients with middle-ear infection. J Laryngol Otol. 113(12):1076-80, 1999
                                          18. Forséni M et al: Development of tympanosclerosis: can predicting factors be identified? Am J Otol. 18(3):298-303, 1997
                                          19. Lemmerling MM et al: Normal and opacified middle ears: CT appearance of the stapes and incudostapedial joint. Radiology. 203(1):251-6, 1997
                                          20. Mafee MF et al: Chronic otomastoiditis: a conceptual understanding of CT findings. Radiology. 160(1):193-200, 1986
                                          21. Swartz JD et al: Postinflammatory ossicular fixation: CT analysis with surgical correlation. Radiology. 154(3):697-700, 1985
                                          22. Kinney SE: Postinflammatory ossicular fixation in tympanoplasty. Laryngoscope. 88(5):821-38, 1978
                                          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) with tympanosclerosis
                                                    • Synonyms

                                                      • COM with focal calcification or ossification
                                                      • Postinflammatory ossicular fixation
                                                    • Definitions

                                                      • Calcific, bony, or fibrous middle ear foci typically due to suppurative COM, much less commonly trauma

                                                    IMAGING

                                                    • General Features

                                                      • CT Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Staging, Grading, & Classification

                                                                • Gross Pathologic & Surgical Features

                                                                  • Microscopic Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Consider

                                                                              • Image Interpretation Pearls

                                                                                • Reporting Tips

                                                                                  Selected References

                                                                                  1. Larem A et al: Reliability of high-resolution CT scan in diagnosis of ossicular tympanosclerosis. Laryngoscope Investig Otolaryngol. 6(3):540-8, 2021
                                                                                  2. Nguyen T et al: Conductive hearing loss with a "dry middle ear cleft"-a comprehensive pictorial review with CT. Eur J Radiol. 110:74-80, 2019
                                                                                  3. Magliocca KR et al: Idiopathic, infectious and reactive lesions of the ear and temporal bone. Head Neck Pathol. 12(3):328-49, 2018
                                                                                  4. Doluoglu S et al: Increased carotid artery intima-media thickness in patients with tympanosclerosis: Common risk factors with atherosclerosis? Kaohsiung J Med Sci. 31(4):199-202, 2015
                                                                                  5. Mutlu F et al: An analysis of surgical treatment results of patients with tympanosclerosis. J Craniofac Surg. 26(8):2393-5, 2015
                                                                                  6. Stankovic MD: Hearing results of surgery for tympanosclerosis. Eur Arch Otorhinolaryngol. 266(5):635-40, 2009
                                                                                  7. Celik H et al: Analysis of long-term hearing after tympanosclerosis with total/partial stapedectomy and prosthesis used. Acta Otolaryngol. 128(12):1308-13, 2008
                                                                                  8. Yetiser S et al: Management of tympanosclerosis with ossicular fixation: review and presentation of long-term results of 30 new cases. J Otolaryngol. 36(5):303-8, 2007
                                                                                  9. Tsuzuki K et al: Tympanosclerosis involving the ossicular chain: mobility of the stapes in association with hearing results. Acta Otolaryngol. 126(10):1046-52, 2006
                                                                                  10. Karlidağ T et al: Comparison of free radicals and antioxidant enzymes in chronic otitis media with and without tympanosclerosis. Laryngoscope. 114(1):85-9, 2004
                                                                                  11. Pulec JL et al: Long-term ventilating tube with tympanosclerosis. Ear Nose Throat J. 82(1):8, 2003
                                                                                  12. Forséni Flodin M et al: Possible inflammatory mediators in tympanosclerosis development. Int J Pediatr Otorhinolaryngol. 63(2):149-54, 2002
                                                                                  13. Teufert KB et al: Tympanosclerosis: long-term hearing results after ossicular reconstruction. Otolaryngol Head Neck Surg. 126(3):264-72, 2002
                                                                                  14. Vincent R et al: Stapedotomy for tympanosclerotic stapes fixation: is it safe and efficient? A review of 68 cases. Otol Neurotol. 23(6):866-72, 2002
                                                                                  15. Albu S et al: Surgical treatment of tympanosclerosis. Am J Otol. 21(5):631-5, 2000
                                                                                  16. Palacios E et al: Tympanosclerosis. Ear Nose Throat J. 79(1):17, 2000
                                                                                  17. Asiri S et al: Tympanosclerosis: review of literature and incidence among patients with middle-ear infection. J Laryngol Otol. 113(12):1076-80, 1999
                                                                                  18. Forséni M et al: Development of tympanosclerosis: can predicting factors be identified? Am J Otol. 18(3):298-303, 1997
                                                                                  19. Lemmerling MM et al: Normal and opacified middle ears: CT appearance of the stapes and incudostapedial joint. Radiology. 203(1):251-6, 1997
                                                                                  20. Mafee MF et al: Chronic otomastoiditis: a conceptual understanding of CT findings. Radiology. 160(1):193-200, 1986
                                                                                  21. Swartz JD et al: Postinflammatory ossicular fixation: CT analysis with surgical correlation. Radiology. 154(3):697-700, 1985
                                                                                  22. Kinney SE: Postinflammatory ossicular fixation in tympanoplasty. Laryngoscope. 88(5):821-38, 1978