The Journal of Laryngology & Otology

Main Articles

Tympanosclerosis: review of literature and incidence among patients with middle-ear infection

Saad Asiria1, Alaa Hashama1, Fatma Al Anazya2 c1, Siraj Zakzouka1 and Adel Banjara3

a1 Departments of ENT, Security Forces Hospital, Madina, Saudi Arabia.

a2 Departments of ENT, King Abdul Aziz University Hospital, Madina, Saudi Arabia.

a3 Departments of ENT, Riyadh, and Ohud Hospital, Madina, Saudi Arabia.


The aim of the study was to review the literature of tympanoscierosis especially its pathogenesis, to study the general incidence of tympanoscierosis among patients with chronic suppurative otitis media (CSOM), its association with cholesteatoma and also the type of hearing loss as well as its relation to the degree and site of tympanosclerosis.

Seven hundred and seventy-five patients with CSOM were studied retrospectively. A full history was taken and thorough ENT examinations were carried out. Pure tone audiograms (PTA) of all patients were done and analysed. The operative finding of tympanosclerosis as well as middle-ear status were inspected.

The incidence of tympanosclerosis was found to be 11.6 per cent (90 patients out of 775 CSOM cases). Most tympanosclerosis cases had dry ear, (85.6 per cent). Of the 57.8 per cent who had myringosclerosis, their PTA showed an AB gap 20–40 dB. When sclerosis affect both the tympanic membrane and middle ear, 61 per cent of patients had an AB gap >40 dB. The association of cholesteatoma and tympanosclerosis may be regarded as uncommon, 2.2 per cent.

The exact aetiology and pathogenesis of tympanosclerosis is as yet not well known. Our study concentrated on the clinical picture of tympanosclerosis among patients with CSOM. The majority of hearing loss associated with tympanosclerosis was of the conductive type.

(Accepted August 24 1999)


c1 Address for correspondence: Dr Fatma H. Al-Anazy, ENT Department, King Abdul Aziz University Hospital, P.O. Box 245, Riyadh 11411, Saudi Arabia. Fax: (966) 1-477 5748