Clinic and Paraclinic of Middle Ear Tubeculosis in the National ENT Hospital of Hanoi-Vietnam in the period from 08/2018 to 08/2019

Background Extrapulmonary tuberculosis is currently more and more in Vietnam, especially in the head and neck area with about 4-6%.

Methods We conducted a retrospective study of 30 inpatients at the National ENT Hospital of Hanoi with the diagnosis of "middle ear tuberculosis" in the period from 08/2018 to 07/2019.

Results Age distribution with an average of 33.4 years, the youngest patient is 2.5 years, the oldest 75 years old. The proportion of women is 85.6%. The time window from the first symptoms to diagnosis: 61% between 3 months to 5 years, under 1 month 9.7%. Clinical symptoms : ear pain: 66.6%, tinnitus: 55.7%, reduction of hearing: 61%, otorrhea: 14.3%, facial palsy 14.3%, cervical lymph nodes: 14.3%.

Conclusion Middle ear tuberculosis is sometimes difficult to diagnose. In case of suspicion, a biopsy (also several times and several pieces) is recommended. The antituberculostatic therapy is nessercery. It should be noted that tuberkulostatika resistances are increasing

Publication History

Article published online:
12 May 2023