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Date Published: 21/10/2025
Abstract Views: 1
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DOI: 10.60137/tmhvn.v70i71.260
Issue
Vol. 70 No. 71
Section
Articles
How to Cite
Tu, M. Q., Nguyen, T. T. U., & Bui, T. A. (2025). THE CLINICAL, AUDIOMETRIC AND TYMPANOMETRIC FEATURES OF MIDDLE EAR CHOLESTEROL GRANULOMA: A SCOPING REVIEW. Vietnam Journal of Otorhinolaryngology - Head and Neck Surgery, 70(71), 66-77. https://doi.org/10.60137/tmhvn.v70i71.260

THE CLINICAL, AUDIOMETRIC AND TYMPANOMETRIC FEATURES OF MIDDLE EAR CHOLESTEROL GRANULOMA: A SCOPING REVIEW

Minh Quang Tu1, , Thi To Uyen Nguyen1, The Anh Bui2
1 Trường Đại Học Y Hà Nội
2 Bệnh viện Tai Mũi Họng Trung Ương

Main Article Content

Abstract

To synthesize the symptoms, signs, audiometric and tympanometric features of middle ear cholesterol granuloma, this scientific article forms part of a scoping review on the treatment of middle ear cholesterol granuloma. A literature search was performed using the PubMed database supplemented by manual searching. Fifteen articles met the inclusion criteria. The most frequent presenting symptom was hearing loss, reported in 10/15 studies (accounting for 97.9% of patients). Other symptoms included aural fullness, tinnitus, otalgia, otorrhea, and vertigo at 82.4%, 43.4%, 34.1%, 31.4%, and 20.0% of patients, respectively. On otoendoscopy, the most common sign was a blue tympanic membrane, observed in 11/15 studies ( accounting for 78.3% of patients), other signs comprised tympanic membrane atelectasis (46.6%), swollen membrane tympanic (33.1%), and tympanic membrane perforation (16.8%) of patients. Audiometry typically demonstrated conductive or mixed hearing loss of varying severity depending on disease extent. Tympanometry was predominantly type B, consistent with middle-ear effusion and impaired middle-ear ventilation.

Keywords

Cholesterol granuloma, middle ear, treatment

Article Details

References

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