PMID: 1587037Apr 1, 1992Paper

Routine nasopharyngeal biopsy in adult secretory otitis media

Clinical Otolaryngology and Allied Sciences
M N GazeP F Hardcastle

Abstract

This study was to determine whether routine examination under anaesthesia and nasopharyngeal biopsy in adults presenting with deafness due to secretory otitis media (SOM) is necessary for detection of nasopharyngeal malignancy. Two patient groups were studied. The first comprised 72 adults with SOM. Of these patients, 3 had nasopharyngeal tumours, 2 of whom also had cervical lymphadenopathy. The prevalence of malignancy in patients with SOM but no other suspicious signs was 1/72 (1.4%). The second group comprised 66 patients receiving treatment for nasopharyngeal neoplasms. In this group, 8 patients had SOM at presentation, 7 of whom had other features suspicious of malignancy. SOM as the sole presenting feature of nasopharyngeal malignancy was 1/66 (1.5%). EUA and biopsy of the nasopharynx is a cost effective investigation which continues to be indicated in adults presenting with deafness due to SOM.

References

Nov 1, 1989·Archives of Otolaryngology--head & Neck Surgery·H B Neel, W F Taylor
Oct 1, 1988·Clinical Otolaryngology and Allied Sciences·J H Dempster, D C Simpson
Aug 1, 1987·Clinical Otolaryngology and Allied Sciences·P M Robinson
Aug 1, 1985·The Journal of Laryngology and Otology·M S Shanmugham

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Citations

Nov 13, 2013·Seminars in Ultrasound, CT, and MR·Kristine M Mosier
Jan 1, 1996·The Journal of Laryngology and Otology·W C LeeJ B Campbell
Dec 14, 1999·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·H BreuningerF Schimek
Sep 11, 2020·The Journal of Laryngology and Otology·H A CunniffeJ S Phillips

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