• The external auditory meatus is the passageway through the temporal bone and is coated in cerumen (earwax). (kenyon.edu)
  • Antituberculosis drugs have provided good results in most patients and surgery is performed to remove bony sequestra, to treat complications, or to begin middle ear exploration. (medscape.com)
  • The common presentation of a draining ear is nearly indistinguishable from that of common otitis media. (medscape.com)
  • Tuberculosis of the middle ear is a rare disease and accounts for between 0.04-0.9% of all cases of chronic suppurative otitis media. (medscape.com)
  • It is difficult to diagnose because the disease presents like other chronic suppurative otitis media. (medscape.com)
  • The classic triad of symptoms in tuberculous otitis media is known as a painless otorrhea, multiple small perforations of the tympanic membrane, and peripheral facial nerve palsy. (medscape.com)
  • The diagnosis of middle ear tuberculosis may be delayed because of its similarity to other forms of otitis media in the early stages. (medscape.com)
  • Otitis media with early involvement of vestibular, auditory, or facial nerve function is highly suggestive of middle ear tuberculosis. (medscape.com)
  • In addition, if the tympanic membrane can be visualized and is red, a pneumatoscope or tympanometry should be used to ascertain whether associated otitis media is present. (enricocasarosa.com)