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Secretory otitis media with malignant external otitis

D Cohen1

  • 1Department of Otolaryngology, Bikur Holim General Hospital, Jerusalem, Israel.

The American Journal of Otology
|May 1, 1990
PubMed

Insights

Secretory otitis media (SOM) frequently occurs with malignant external otitis (MEO), causing hearing loss. This suggests MEO infection spreads to the eustachian tube, leading to SOM.

Area of Science:

  • Otolaryngology
  • Infectious Diseases

Background:

  • Malignant external otitis (MEO) is a severe infection.
  • Secretory otitis media (SOM) is characterized by middle ear fluid and hearing loss.

Purpose of the Study:

  • To investigate the relationship between MEO and SOM.
  • To explore the mechanism by which MEO may cause SOM.

Main Methods:

  • Observational study of 12 patients with MEO.
  • Clinical otoscopy and audiometry.
  • Computed tomography (CT) scanning.

Main Results:

  • SOM was diagnosed in 6 of 12 MEO patients.
  • SOM in MEO patients presented with typical findings and hearing loss.
  • CT scans supported the hypothesis of medial MEO spread.

Conclusions:

  • Malignant external otitis may lead to secretory otitis media through eustachian tube infection.
  • SOM is a potential complication of MEO, impacting hearing.

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