Silent otitis media and subtle complications

Rafael da Costa Monsanto, Michael M. Paparella

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The concept of silent otitis media (OM) was introduced by Paparella in the decade of 1970. Silent otitis media refers to the presence of clinically intractable middle ear tissue changes behind an intact tympanic membrane, which contrasts with the definition that chronic otitis media requires the presence of a tympanic membrane perforation. Experimental and human temporal bone studies have consistently demonstrated these middle ear abnormalities in patients with intact tympanic membrane. Silent otitis media constitutes a clinical challenge for physicians: the absence of major tympanic membrane abnormalities might preclude general practitioners to adequately diagnose and treat this disease. Undiagnosed silent otitis media cases can result in multiple complication and sequelae, some of which are potentially fatal. In this chapter, we will discuss the pathophysiological mechanisms, the most frequent complications and sequelae, and diagnosis and treatment strategies.

Original languageEnglish (US)
Title of host publicationTextbook of Otitis Media
Subtitle of host publicationThe Basics and Beyond
PublisherSpringer International Publishing
Pages279-286
Number of pages8
ISBN (Electronic)9783031409493
ISBN (Print)9783031409486
DOIs
StatePublished - Dec 29 2023

Bibliographical note

Publisher Copyright:
© Springer Nature Switzerland AG 2023. All rights reserved.

Keywords

  • Complications
  • Hearing loss
  • Otitis media
  • Treatment
  • Vestibular diseases

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