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Causal Factors of Middle Ear Infection (Otitis Media) and Current Clinical Treatment

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A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Otolaryngology".

Deadline for manuscript submissions: closed (24 January 2024) | Viewed by 2167

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Special Issue Editor

Dr. Alessia Rubini

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Guest Editor

Department of Otolaryngology-Head and Neck Surgery, University Hospital of Modena, 41125 Modena, Italy
Interests: otology; neurotology

Special Issue Information

Dear Colleagues,

Chronic otitis media can be classified into a mucosal (inactive, active, and healed) type and a squamous disease (retraction and cholesteatoma). According to the type of chronic otitis media, treatment can be very different, with treatment options changing significantly over the years. Surgical treatment can sometimes be very challenging, especially for cholesteatoma.

This Special Issue on chronic otitis media will focus on its current indications and surgical treatment and on an evaluation of hearing and surgical outcomes.

I am pleased to invite you as author or as part of a research group to share your scientific experience focusing on the abovementioned topics, via an original manuscript that will be published in this Special Issue.

Dr. Alessia Rubini
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

chronic otitis media
tympanic membrane retraction
cholesteatoma
ear discharge
tympanic membrane perforation
tympanoplasty
endoscopic ear surgery
middle ear
myringoplasty

Published Papers (3 papers)

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Research

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11 pages, 642 KiB

Open AccessArticle

Toward Improved Detection of Cholesteatoma Recidivism: Exploring the Role of Non-EPI-DWI MRI

by Natalia Díaz Zufiaurre, Marta Calvo-Imirizaldu, Joan Lorente-Piera, Pablo Domínguez-Echávarri, Pau Fontova Porta, Manuel Manrique and Raquel Manrique-Huarte

J. Clin. Med. 2024, 13(9), 2587; https://doi.org/10.3390/jcm13092587 - 28 Apr 2024

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Abstract

Background: Cholesteatoma is a lesion capable of destroying surrounding tissues, which may result in significant complications. Surgical resection is the only effective treatment; however, the presence of cholesteatoma recidivism is common. This study evaluated the effectiveness of the Attic Exposure-Antrum Exclusion (AE-AE) surgical technique in treating cholesteatomas and identifying factors associated with recidivism. Additionally, the study aimed to assess the utility of non-echo-planar diffusion MRI (non-EPI-DWI MRI) in detecting cholesteatoma recidivism in patients undergoing AE-AE surgery. Methods: The study involved 63 patients who underwent AE-AE surgery for primary acquired cholesteatoma and were followed up clinically and radiologically for at least five years. The radiological follow-up included a non-EPI-DWI MRI. Results: Results showed that the AE-AE technique successfully treated cholesteatomas, with a recidivism rate of 5.2%. The study also found that non-EPI-DWI MRI was a useful diagnostic tool for detecting cholesteatoma recidivism, although false positives could occur due to the technique’s high sensitivity. As Preoperative Pure-tone average (PTA) increases, there is a higher probability of cholesteatoma recidivism in imaging tests (p = 0.003). Conclusions: Overall, the study highlights the importance of the AE-AE surgical technique and non-EPI-DWI MRI in managing cholesteatoma recidivism in patients, providing valuable insights into associated risk factors and how to manage recidivism. Non-EPI-DWI MRI can assist in patient selection for revision surgery, reducing unnecessary interventions and associated risks while improving treatment outcomes and patient care. Full article

(This article belongs to the Special Issue Causal Factors of Middle Ear Infection (Otitis Media) and Current Clinical Treatment)

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10 pages, 1159 KiB

Open AccessFeature PaperArticle

Determination of Tympanostomy Tube Types for Otitis Media with Effusion in Patients with Cleft Palate: Comparison between Paparella Type 1 and Type 2 Tubes

by Jungho Ha, Ga Young Gu, Se Hyun Yeou, Hantai Kim, Oak-Sung Choo, Jeong Hun Jang, Hun Yi Park and Yun-Hoon Choung

J. Clin. Med. 2023, 12(20), 6651; https://doi.org/10.3390/jcm12206651 - 20 Oct 2023

Viewed by 703

Abstract

This study examined the effects of different types of tympanostomy tubes in pediatric patients undergoing cleft palate (CP) surgery in order to provide guidance for the proper insertion of tympanostomy tubes in the management of otitis media with effusion (OME). A total of 101 ears with middle ear effusion in 51 patients with CP were included in this study. Patients underwent palatoplasty and tympanostomy tube surgery at the same time. The type of tube inserted (Paparella type 1 or 2), the severity of CP, and types of palatoplasty surgeries were investigated. All patients were followed up for at least 6 months, and recurrence rates, complications, and reinsertion surgery were evaluated. The rate of OME recurrence after spontaneous tube extrusion was significantly higher in the type 1 group than in the type 2 group (44.3% vs. 19.4%, respectively, p = 0.016). Persistent eardrum perforation was more common in the type 2 group than in the type 1 group (41.9% vs. 12.9%, respectively, p = 0.001). The tube reinsertion rate was higher in the type 1 group than in the type 2 group (22.9% vs. 3.2%, respectively, p = 0.015). The tube reinsertion rate decreased to 8.6% in cases of palatoplasty with Sommerlad’s technique, even with type 1 tube insertion, which was not significantly different from the reinsertion rate in the type 2 group (3.7%, p = 0.439). The Paparella type 1 tube would be a better choice in cases of palatoplasty performed using Sommerlad’s technique, particularly considering the higher rate of persistent eardrum perforation after extrusion associated with the Paparella type 2 tube. Alternatively, a larger size type 2 tube may be considered in other surgeries to decrease the frequency of recurrence and tube reinsertion. Full article

(This article belongs to the Special Issue Causal Factors of Middle Ear Infection (Otitis Media) and Current Clinical Treatment)

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Other

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11 pages, 3484 KiB

Open AccessCase Report

Middle Ear Cholesteatoma and Vestibular Schwannoma Resection Followed by Cochlear Implant: Surgical Challenges and Audiological Outcomes

by Natalia Carasek, Danielle Cristovão, Lucas Alves Teixeira Oliveira, Fernanda Ferreira Caldas, Fernando Massa Correia, Thais Gomes Abrahão Elias, Rivadávio Amorim and Fayez Bahmad Jr

J. Clin. Med. 2023, 12(22), 7139; https://doi.org/10.3390/jcm12227139 - 17 Nov 2023

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Abstract

(1) Background: The occurrence of vestibular schwannoma (VS) associated with cholesteatoma is rare. A hearing impairment is one of the most significant issues in such cases. Moreover, the presence of middle and inner ear pathologies combined may represent a surgical challenge. No studies have described a combined surgical approach for these coexisting conditions (VS and cholesteatoma), nor the hearing rehabilitation outcomes of using cochlear implants for these patients. (2) Case Report: This paper is on a female patient who underwent simultaneous surgical treatments for VS and middle ear cholesteatoma in the right ear followed by a cochlear implant, describing the technique and the audiological results. (3) Conclusions: The surgical approach was successful and enabled the resection of lesions with the auditory nerve and cochlea preservation. Cochlear implantation in the right ear showed positive postoperative results, with an improvement in the results with the CI in silent and noisy environments. Full article

(This article belongs to the Special Issue Causal Factors of Middle Ear Infection (Otitis Media) and Current Clinical Treatment)

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