Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (5): 56-61.doi: 10.6040/j.issn.1673-3770.0.2019.147

• Original Article • Previous Articles     Next Articles

Secretory otitis media with sudden hearing loss: three cases′ report and a literature review

Xin CAO,Haijin YI(),Xin LI,Jia XU,Juanjuan GAO   

  1. Department of Otorhinopharyngology Head and Neck Surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 100218, China
  • Received:2019-03-21 Revised:2019-05-23 Online:2019-09-20 Published:2019-10-15
  • Contact: Haijin YI E-mail:di7599@163.com

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Abstract: Objective

To analysis and evaluate the clinical features and pathological mechanisms of secretory otitis media combined with sudden hearing loss in order to improve the understanding of this disease and the correct diagnosis and treatment.

Methods

Through analyzing clinical materials of three cases with secretory otitis media combined with sudden hearing loss and reviewing the literatures about this condition to summarize the clinical characteristics, possible pathological mechanisms and the key point of treatments.

 Results

Three subjects had the characteristics of secretory otitis media and sudden hearing loss. Two of the three cases had acute respiratory infection. All subjects were cured treated with antibiotics and systemic or topical administration of corticosteroids.

 Conclusion

Secretory otitis media combined with sudden hearing loss is a rare condition. The inner ear damage mechanisms of secretory otitis media combined with sudden hearing loss maybe associated with infection of media ear through the round membrane. Early and timely therapy may improve the treatment outcomes for patients with secretory otitis media combined with sudden hearing loss.

Key words: Deafness, sudden, Secretory otitis media, Treatment outcome

CLC Number: 

  • R764.21

Fig. 1

The result of pure tone audiogram. （a） The fist pure tone audiogram(Nov. 20th, 2018); （b） Pre-treatment pure tone(Nov. 21th, 2018); （c） Post-treatment pure tone (Nov. 24th, 2018)."

Fig. 2

The result of acoustic conductance audiometry. (a) The fist acoustic conductance audiometry(Nov. 20th, 2018); (b) Pre-treatment acoustic conductance audiometry(Nov. 21th, 2018); (c) Post-treatment acoustic conductance audiometry(Nov. 24th, 2018)."

Fig.3

The result of pure tone audiogram. (a) Pre-treatment pure tone audiogram(Dec. 4th, 2018); (b) Post-treatment pure tone audiogram(Dec.6th, 2018)."

Fig. 4

The result of acoustic conductance audiometry. (a) Pre-treatment acoustic conductance audiometry(Dec. 4th, 2018); (b) Post-treatment acoustic conductance audiometry(Dec. 6th, 2018)."

Fig.5

The result of pure tone audiogram. (a) Pre-treatment pure tone audiogram(Feb. 12th, 2019); (b) Post-treatment pure tone audiogram(Feb.21th, 2019)."

Fig.6

The result of Pre-treatment acoustic conductance audiometry(Feb. 12th, 2019)"

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