호산구성 중이염 2예

Abstract

Eosinophilic otitis media is characterized by thickened, bulging and pale tympanic membrane with viscous or gelatinous secretion in the middle ear cavity. Gelatin-like fluid contains many eosinophils and this disease may occur in patients with adult onsetbronchial asthma. It is intractable otitis media which resists all therapy including myringostomy and tympanomastoidectomy due to abnormal mucosa until the allergic factor is controlled. In these patients, oral steroid is very effective in controlling the disease. Major complication of eosinophilic otitis media is sensorineural hearing loss which may occur despite steroid therapy. We report two cases of patients with bilateral otitis media with bronchial asthma, which were treated with oral and topical steroid therapies.