Causes of 73 Cases Msidiagnosed as Secretory Otitis Media at the First Visit
WANG Ying
GUAN Bing
ZHANG Jun-zhong
Abstract：Objective To discuss the causes of the diseases misdiagnosed as secretory otitis media at first vist, and propose preventive measures. Methods Clinical data of 73 cases misdiagnosed as secretory otitis media at first vist from Feb-ruary 2006 to April 2013 in our department was retrospectively analyzed. Results The main performances included ear full-ness with hearing loss (40 cases), hearing loss with enlarged retroauricular lymph nodes (20 cases), hearing loss and nasal obstruction (5 cases), ear fullness with headache (4 cases), aural fullness with nasal hemorrhage (2 cases) and ear fullness (2 cases). A total of 62 cases were misdiagnosed as secretory otitis media at first vist in other hospital, and 11 cases were in our hospital. The misdiagnosis duration was from 1 to 8 months ( averaged 3 months) . According to the history, clinical fea-tures, pathology and laboratory examinations, the final diagnosises were made:53 cases of nasopharyngeal carcinoma, 5 cases of cerebrospinal fluid leakage, 5 cases of adenoid hypertrophy, 4 cases of nasopharyngeal angiofibroma, 3 cases of parapharyn-geal cysts, 2 cases of perilymphatic fistula, and one case of internal carotid artery aneurysm. Conclusion The patients with middle ear effusion as first or combined symptom should be asked detail history and take physical examinations. Careful obser-vation of tympanic membrane morphology, color and effusion should be taken. We should combine audiometry and tympanom-etry results to analyze the disease. Sometimes nasopharyngoscope, CT and MRI are necessary for improving the accuracy rate of first diagnosis.
Keywords：Nasopharyngeal neoplasmsCerebrospinal fluid rhinorrheaDiagnostic errorsOtitis media with effusion
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 59-62 )