Advancements in Otitis Media Diagnosis and Management

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Otolaryngology".

Deadline for manuscript submissions: 30 September 2025 | Viewed by 835

Special Issue Editors


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Guest Editor
Department of Otolaryngology-Head and Neck Surgery, Samson Assuta Ashdod University Hospital, Ashdod, Israel
Interests: otitis media; different otological diseases; mastoidectomy for cholesteatoma; hearing loss; tympanoplasty; mastoiditis; artificial intelligence

E-Mail Website
Guest Editor
Department of Otolaryngology-Head and Neck Surgery, Samson Assuta Ashdod University Hospital, Ashdod, Israel
Interests: otitis media; mastoiditis; vaccines; diagnosis; treatment; otolaryngology

Special Issue Information

Dear Colleagues,

Otitis media (OM) is a frequent childhood disease and a leading cause of antibiotic prescription. Three main interventions implemented during the last decades helped reduce the OM burden. They included the publication of OM diagnosis and management guidelines in many countries worldwide, calling for accurate diagnosis and a staged approach management algorithm, recommending to withhold immediate antibiotic therapy for most mild-moderate OM cases, the introduction of effective pneumococcal conjugate vaccines (PCVs) in various combinations, and the annual immunization against influenza, a potent ototropic virus. Despite these changes, OM is still common in primary care and ambulatory/hospital settings. This Special Issue will cover the latest developments in an era facing the introduction of new technologies for OM diagnosis, such as artificial intelligence, and new therapeutic strategies for the prevention and treatment of OM.

Prof. Dr. Sharon Ovnat Tamir
Dr. Tal Marom
Guest Editors

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Keywords

  • otitis media
  • mastoidectomy for cholesteatoma
  • vaccines
  • diagnosis
  • AI
  • mastoiditis
  • artificial intelligence
  • hearing loss

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Published Papers (1 paper)

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Research

15 pages, 19739 KiB  
Article
A Comparison of the Sticky Bone Obliteration Technique and Obliteration Using S53P4 Bioactive Glass After Canal Wall Down Ear Surgery: A Preliminary Study
by Aleksander Zwierz, Marta Staszak, Matthias Scheich, Krzysztof Domagalski, Stephan Hackenberg and Paweł Burduk
J. Clin. Med. 2025, 14(5), 1681; https://doi.org/10.3390/jcm14051681 - 1 Mar 2025
Viewed by 682
Abstract
Background: The aim of this study was to analyse the results of the mastoid obliteration technique with sticky bone (SB) and compare them with those obtained using bioactive glass S53P4 (BAG). Methods: This prospective preliminary study comprised 28 adults who underwent canal wall [...] Read more.
Background: The aim of this study was to analyse the results of the mastoid obliteration technique with sticky bone (SB) and compare them with those obtained using bioactive glass S53P4 (BAG). Methods: This prospective preliminary study comprised 28 adults who underwent canal wall down (CWD) surgery using two mastoid obliterative techniques: SB (n = 21) or BAG (n = 7). The SB group was treated with the patients’ own bone dust and injectable platelet rich fibrin (IPRF) (n = 13%) or bone dust, IPRF, and additionally allogenic lyophilised demineralised bone (n = 9%). Results: Nine months after the surgery, in the SB group, retroauricular depression was observed in three (14%) patients, temporary retroauricular fistula in one (5%), and a conical and smooth external auditory canal (EAC) was achieved in 15 (71%). Mean EAC capacity was 0.6 mL higher than in the contralateral ear. In the SB group, the tympanic membrane (TM) of nineteen (91%) patients was fully healed, one (5%) had TM perforation, and one (5%) developed a retraction pocket. In the BAG group, retroauricular depression was observed in four (57%) patients, temporary retroauricular fistula was present in one (14%), and a conical and smooth EAC was achieved in five (71%). Mean EAC capacity was 0.3 mL higher than on the opposite side. In the BAG group, we stated six (86%) patients with fully healed TM and one (14%) with a retraction pocket. One cholesteatoma was found in the BAG group and two in SB, (14% vs. 10%). After 9 months, all patients in both groups achieved a dry and self-cleaning cavity. Conclusions: Mastoid obliteration in CWD surgery using SB or BAG allows for reconstruction of the conical shape of the EAC with a volume similar to that of a healthy ear. Both techniques seem to have a minimal risk of complications and result in a dry, self-cleaning cavity. Further studies concerning a larger series of cases are necessary to confirm the findings of this preliminary analysis. Full article
(This article belongs to the Special Issue Advancements in Otitis Media Diagnosis and Management)
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