Vol.96 No.6 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 96 No.6 June 2003
Clinical Findings in Patients with Acute Otitis
Media
Accompanied by Raised Bone Conduction
Nobuya Fujita, Toshiaki Yamanaka, Hideyuki Okamoto and Hiroshi Hosoi
(Nara Medical University)
Shuichi Tanabe
(Nara Prefectural Nara Hospital)
Acute otitis media is one of the most common diseases encountered in ENT clinics. Clinical findings in 12 cases (16 ears) with acute otitis media accompanied by elevated bone conduction were analyzed. There were no patients with vertigo as the chief complaint. All but one case had moderate hearing loss on pure tone audiometry. As for the prognosis of hearing recovery, 8 ears achieved recovery level (less than 20 dBHL), 8 ears were improved (from 10 to 30 dBHL). Treatment involved administration of antibiotics, steroid hormone, vitamin B12 and/or circulation enhancers. The combination of antibiotics and steroid was thought to be the best treatment. We recommend pure tone audiometry as the essential examination for patients with acute otitis media because it is not rare to encounter patients with sensorineural hearing impairment.
Key words : acute otitis media, raised bone conduction, pure tone audiometry, steroid