Evidence map›Paper›PMID 32884559›Full record

ArticleJournal of otology2020

Tuberculous otitis media -series of 10 cases.

Susan K Sebastian, Aditya Singhal, Ankur Sharma, Pankajkumar Doloi

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in Journal of otology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Review
  3. Clinical insights into tuberculosis otitis media: diagnosis, treatment, and management outcomes.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
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  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. [Summary of the clinical characteristics of tuberculous otitis media].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Unusual presentation of tubercular mastoid cyst.SAGE open medical case reports · 2021
    Article
  16. Article
  17. Rare Extrapulmonary Tuberculosis: Covert symptoms and Diagnostic Dilemma.Nigerian medical journal : journal of the Nigeria Medical Association
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Susan K SebastianDepartment of ENT and Head & Neck Surgery, St Stephen's Hospital, Delhi, India.
Aditya SinghalDepartment of ENT and Head & Neck Surgery, St Stephen's Hospital, Delhi, India.
Ankur SharmaDepartment of ENT and Head & Neck Surgery, St Stephen's Hospital, Delhi, India.
Pankajkumar DoloiDepartment of ENT and Head & Neck Surgery, St Stephen's Hospital, Delhi, India.
St. Stephen’s Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberculosis (TB) of the middle ear cleft (MEC) is a rare extra-pulmonary manifestation. Signs and symptoms of tuberculous otitis media are indistinguishable from that of non-tuberculous otitis media making early diagnosis difficult.

objectivesTo study the clinical presentations, complications and effective diagnostic modalities in tuberculosis of middle ear cleft.

methodsWe retrospectively studied 10 patients diagnosed with chronic otitis media, unresponsive to 2 months conventional treatment. Pure tone audiogram, High resolution computed tomography (HRCT) of temporal bone, and AFB staining of ear discharge were done. All patients underwent mastoid surgery. AFB staining and histopathological examination of granulation tissue removed from the middle ear and mastoid were also done.

resultsClinical findings were mastoid swelling, facial palsy and post-aural fistula 3,4 & 2 patients respectively. All patients had persistent ear discharge and three had vertigo. Hearing loss was of moderate conductive type in five, sensorineural type in three and mixed type in two. HRCT of temporal bone revealed soft tissue density in MEC in 9 and evidence of bone destruction in 6 cases. Diagnosis of TB was confirmed either by (a) demonstration of AFB in ear discharge (4 patients)/tissue removed during surgery (4 patients) or (b) by demonstration of tuberculous granulomas with necrosis on histopathological examination of tissue from MEC (8 patients).

conclusionTuberculosis should be suspected in all cases of chronic otitis media unresponsive to conventional treatment particularly in endemic areas. Histopathological examination and AFB staining of tissue removed during mastoid surgery are reliable diagnostic methods.

Indexed as

Histopathological diagnosisMastoiditisOtitis mediaTuberculosis

Identifiers

PMID32884559
PMCPMC7451667
OpenAlexW2996353289

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.