Knowledge of invasion of the temporal bone by the tubercle bacillus has increased greatly in recent years. Few of the earlier textbooks on otology mentioned aural tuberculosis. References to it were usually buried in the chapter on chronic suppurations of the ear. Louis mentioned that Ménière was the first to direct attention to the destructive action of the tubercle bacillus on the tympanic membrane. This, he claimed, resulted in deafness. Ménière's observations are of interest because they were made before the discovery of the tubercle bacillus by Koch in 1882. It was during the same year that Politzer first reported his histopathologic studies of tuberculosis.
In evaluating reports on tuberculosis of the middle ear and mastoid it is important to consider the age of the patient and the country from which the report emanates. There occurs a relatively large incidence of bovine tuberculous infection of the middle ear in countries
MYERSON MC, GILBERT JG. TUBERCULOSIS OF THE MIDDLE EAR AND MASTOID. Arch Otolaryngol. 1941;33(2):231–250. doi:10.1001/archotol.1941.00660030234007
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