The unexpected finding was that there were no cases of
otorrhea - a difficult to manage condition where pus and fluid drains out of the middle ear and into the ear canal.
The patient was admitted, and otoscopic examination found
otorrhea, inflammation, and stenosis of the right external auditory canal; we could not see the tympanic membrane.
CSOM was diagnosed by the presence of a non-intact tympanic membrane and
otorrhea for >3 months.
A shorter closure time and a higher closure rate were observed with EGF treatment but led to
otorrhea. Also administration of higher doses of EGF may lead to infection and severe ear discomfort.
Evaluation criteria for clinical efficacy are as follows: (1) cured: no feelings of ear fullness, no
otorrhea or effusion, and tympanogram converted to Type A or Type As (2) effective: residual feeling of ear fullness, tympanogram converted to Type A or Type C, and tympanocentesis showed no effusion or presence of residual perforation without
otorrhea; (3) ineffective: no improvement in feeling of ear fullness or hearing loss, still presenting with a blue eardrum, coffee-colored liquid obtained on tympanocentesis or residual perforation accompanied by
otorrhea, and tympanogram was still Type B; (4) recurrence: the symptoms reappeared after the patient was cured or showed improvement for 1 year.
A 47-year-old male patient was referred to our clinic with complaints of recurrent
otorrhea and hearing loss for more than 10 years in his right ear.
A 76-year-old woman presented with a remote history of chronic otitis media with purulent
otorrhea in her childhood.
A 43-year-old patient presented with chronic otitis media with cholesteatoma that progressed over many years with hearing loss and
otorrhea. As in patient 1 the progressive nature of the disorder led to adequate compensation.
Results: There were 25 (17%) cases of CSF leakage, including 24 incisional CSF leaks and one case of CSF
otorrhea. In eight patients with incisional CSF leakage treated initially with conservative measures including re-suturing of the wound, CSF leakage stopped in only two cases.
A 63 year-old man presented in transfer to the Transplant Intensive Care Unit, three years after cadaveric renal transplant, with
otorrhea and altered mental status.
One patient (1.25%) developed CSF rhinorrhea,
otorrhea, facial nerve paresis and deafness each.
AOM is a common childhood infection involving the middle ear space with rapid onset of symptoms, such as fever, irritability, ear pain (otalgia), and/or drainage of fluid from the ear (
otorrhea) (Spiro & Arnold, 2011).