OPTIMIZATION OF DIAGNOSTIC AND SURGICAL STRATEGIES FOR TUBERCULOUS OTITIS MEDIA AND MASTOIDITIS

Abstract

this study aims to refine the diagnostic and surgical approaches for managing tuberculous otitis media and mastoiditis, a rare but serious manifestation of extrapulmonary tuberculosis. Due to its nonspecific clinical presentation, delayed diagnosis often leads to complications such as progressive hearing loss, intracranial infections, and facial nerve dysfunction. The study involved 44 patients who underwent a comprehensive diagnostic workup, including bacteriological, histopathological, and radiological assessments, followed by surgical treatment employing advanced techniques. The integration of precise diagnostic tools and individualized surgical interventions significantly improved clinical outcomes. Patients demonstrated better postoperative hearing recovery, reduced recurrence rates, and fewer complications. The findings emphasize the necessity of a multidisciplinary treatment strategy, incorporating modern imaging modalities, microbiological testing, and reconstructive surgical procedures. Early detection and appropriate intervention are crucial in preventing irreversible damage and improving long-term prognosis. This research underscores the importance of an evidence-based approach for optimizing patient care and minimizing the long-term impact of tuberculous otitis media and mastoiditis on overall health and quality of life.