Abstract
A case of intractable middle ear tuberculosis which required labyrinthectomy is reported.The patient is a 16-year-old boy who complained of left hearing loss, vertigo and left facial palsy. He had had middle ear operations three times in other hospitals without any improvement.The diagnosis of middle ear tuberculosis was made on the basis of the tuberculin test and cultures of aural discharge. It took one and a half years from the definite diagnosis to complete healing with combinations of chemotherapy and three operations. Because diagnosis was delayed, it was necessary to performed a labyrinthectomy.It is concluded that middle ear tuberculosis must be considered first in cases of progressive profound-deaf, facial paresis and resistant to the ordinary antibiotics because the course of this disease is rapid and irreversible.
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