Evaluation of Middle Ear and Mastoid Cells of COVID-19 Patients
Journal Title: Journal of Ankara University Faculty of Medicine - Year 2021, Vol 74, Issue 1
Abstract
Objectives: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is isolated as the cause of coronavirus disease-2019 (COVİD-19). Middle ear and mastoid air cells are covered with the airway mucosa. In COVİD-19, an involvement occurs in the airway mucosa; however, although the involvement of eustachian tube covered with this mucosa, middle ear, and mastoid is not known, there can be an intervention. The aim of the study is to investigate the findings of temporal tomography and evaluate the middle ear and mastoid in COVİD-19. Materials and Methods: A retrospective observational study was planned. Patients with a positive polymerase chain reaction (PCR) test for SARS-CoV-2 and diagnosed with COVİD-19 were included in the study. COVİD-19 patients, who had temporal bone tomography scans (CT), were evaluated. One hundred twenty-nine COVİD-19 patients with positive PCR, who also had temporal bone scans, were included in the study. A grading system was used to evaluate the effusion in the middle ear and mastoid cells. According to this grading system, left and right middle ear and mastoid were evaluated separately. In the grading system, the scores were evaluated as 0=no effusion, 1=partial effusion, and 2=100% effusion. The maximum score was accepted as 8. Bilateral tympanic membranes of all the patients were normal. Results: Involvement was observed in three patients. Bilateral partial effusion and middle ear involvement were observed in two patients. In one patient, bilateral partial mastoid and unilateral partial middle ear involvement was detected. Temporal CTs of other patients were normal. Conclusion: No specific finding was found regarding temporal bone involvement from the temporal CT. Three patients had effusion in the middle ear and mastoid. SARS-CoV-2 generally does not affect the temporal bone; however, it rarely causes effusion in the mastoid and middle ear.
Authors and Affiliations
Yüce İslamoğlu, Müge Ayhan, Sami Bercin, Ayşe Kaya Kalem, Bircan Kayaaslan, Rahmet Güner
Keywords
Related Articles
- EP ID EP694407
- DOI 10.4274/atfm.galenos.2021.30306
- Views 104
- Downloads 0
Evaluation of the Reliabilty of Endoscopic Examination For Determining Gastritis
Objectives: This study was planned for evaluating the reliability of endoscopic examination findings in patients with dyspepsia. It can also be considered as a pilot study for broader, population studies. Materials and...
Correlation Between the Kidney Volume and Body Parametres in Normal Adults
Objectives: Evaluation of kidney size and volume is very important in the diagnosis, treatment and follow-up of kidney diseases. Ultrasonography is the preferred imaging modality which provides a safe, reliable and affor...
Comparison of E-cadherin and Beta-catenin Expression with Gleason Score and Other Prognostic Factors in Prostate Carcinomas
Objectives: Cell adhesion complex E-cadherin and beta-catenin have important roles in tissue integrity, organization, protection of epithelial phenotype, transcription and proliferation of epithelial cells. Changes in th...
Management of Malignant Pleural Mesothelioma
Malignant mesothelioma (MM) arises from mesothelial surfaces of the pleural cavity, peritoneal cavity, tunica vaginalis, or pericardium. MM is a rare and insidious neoplasm with a poor prognosis. Malignant pleural mesoth...
Serum Procalcitonin as a Marker for Differential Diagnosis Between Bacterial Pneumonia and Scleroderma-related Lung Disease
Objectives: Scleroderma/Systemic Sclerosis (SSc) is characterized by progressive fibrosis. SSc related interstitial lung disease (SSc-ILD) is a major cause of mortality and morbidity among SSc patients. Procalcitonin (PC...