Sensorineural loss in unsafe chronic suppurative otitis media in paediatric age group

1996 ◽  
Vol 48 (2) ◽  
pp. 125-129
Author(s):  
K. K. Handa ◽  
S. B. S. Mann ◽  
A. K. Gupta ◽  
Aru Handa
Keyword(s):  
Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Age Group ◽  
Suppurative Otitis Media ◽  
Paediatric Age ◽  
Sensorineural Loss

scholarly journals Prevalence and Risk Factors of Chronic Suppurative Otitis Media in a Teaching Hospital, Telangana

2021 ◽  
Vol 8 (20) ◽  
pp. 1495-1499
Author(s):  
Shyam G ◽  
Rachana G ◽  
Mohammed Yawar
Keyword(s):  
Risk Factors ◽  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Age Group ◽  
Upper Respiratory Tract ◽  
Suppurative Otitis Media ◽  
Upper Respiratory

BACKGROUND Chronic suppurative otitis media (CSOM) is defined as a chronic inflammation of the middle ear and mastoid cavity. The disease usually begins in childhood. We need to study the prevalence and risk factors of chronic suppurative otitis media in a teaching hospital in Telangana. METHODS This was a cross sectional study done among patients with CSOM attending the Department of ENT for a duration of one year from January 2019 to December 2019. Detailed history, otoscopic examination and culture sensitivity tests of ear discharge were done. RESULTS The sample size was 150. The prevalence of CSOM was reported to be 7.5 %. Majority of the cases were in the 11 - 15 years age group, i.e., 56.6 %. Tubotympanic type was most commonly reported and accounted for 80 % (100 / 150) whereas atticoantral type was 20 %. Pseudomonas aeruginosa was the most commonly isolated organism from the ear discharge. Most of the CSOM cases presented with upper respiratory tract infection i.e., 20 %. CONCLUSIONS The prevalence of CSOM in our study was 7.5 % and it was more common in the younger age group. CSOM was more common in the lower socioeconomic class. Upper respiratory tract infection is a frequent mode of presentation of CSOM. KEYWORDS CSOM, Ear Discharge, Tubotympanic CSOM, Atticoantral CSOM

scholarly journals EVALUATION OF SENSORINEURALHEARING LOSS IN TUBOTYMPANIC TYPE OF CHRONIC SUPPURATIVE OTITIS MEDIA

2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Dr. P. Surendra Babu
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Otitis Media ◽  
Cross Sectional Study ◽  
Clinical Findings ◽  
Sensorineural Hearing ◽  
Chronic Suppurative Otitis Media ◽  
Age Group ◽  
Cross Sectional ◽  
Suppurative Otitis Media

Background: To know the prevalence of sensorineural hearing loss among chronic suppurative otitis media patients To study the correlation between duration and clinical findings of CSOM with the degree of hearing loss. Materials and Methods Hospital based cross sectional study of patients aged between 10 to 45years with unilateral chronic suppurative otitis media attending Tirumala Super speciality Hospital, Kadapa from December 2015 to November 2017 with sample size of 100 cases were taken. Results: Out of the 100 cases, 10 patients were having sensorineural hearing loss. Thus the percentage is 10%. Out of the 10 cases of sensorineural hearing loss, no cases with sensorineural hearing loss between 10-15yr and 16-20yr age group. 2 were between in the age group of 26-30yr, 31-35yr and 36-40yr age group and 4 patients were in the age group of 41-45yr. Out of 100 patients 52 were males and 48 were females. Out of 10 patients with sensorineural hearing loss 6 were males and 4 were females. The duration of ear discharge ranged from 3 months to more than 15 years. Among the 100 patients studied 64 had ear discharge from 3months to 5yr. 16 had ear discharge from 6-10yr, 11 had ear discharge from 11-15yr and 9 had ear discharge of more than 15years. Conclusion: Our study shows presence of significant (10%) sensorineural hearing loss in patients with chronic suppurative otitis media. Duration of ear discharge correlates well with sensorineural hearing loss. No significant correlation between sex and sensorineural hearing loss. Keywords: Chronic suppurative otitis media, tubotympanic disease, sensorineural hearing loss.

scholarly journals A comparative study of superiorly based circumferential tympanomeatal flap tympanoplasty with anteriorly anchoring flap tympanoplasty in large, subtotal, and anterior tympanic membrane central perforations in chronic suppurative otitis media of mucosal type

2018 ◽  
Vol 4 (2) ◽  
pp. 432
Author(s):  
Amitkumar Rathi ◽  
Vinod Gite ◽  
Sameer Bhargava ◽  
Neeraj Shetty
Keyword(s):  
Comparative Study ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Statistical Difference ◽  
Chronic Suppurative Otitis Media ◽  
Age Group ◽  
Hearing Improvement ◽  
Suppurative Otitis Media ◽  
Gap Closure ◽  
The Mean

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The main objective of the study was to assess and compare the graft uptake, hearing improvement, complications in large, subtotal, and anterior moderate perforations by each technique viz; superiorly based circumferential tympanomeatal flap tympanoplasty (STT)/full cuff and anterior anchoring flap tympanoplasty (AAT)/anterior tucking. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">In our study of 30 cases age group in the range of 10 years to 60 years. The mean air bone gap for the 8 patients with anterior moderate perforation was 31.75 db, for 17 patients with large central perforations was 38.75 db and for 5 patients with subtotal perforations was 41.4 db.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Mean air bone gap closure after 3 months of surgery in the STT group was 21.4 db while that after 6months of the surgery for the same group was 22.06 db. Mean air bone gap closure after 3 months of surgery in the AAT group was 18.2 db while that after 6months of the surgery for the same group was 18.73 db. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Comparing the air bone gap closure in patients who underwent surgery by AAT and STT technique we found that there is no statistical difference. Both techniques (viz: superiorly based circumferential tympanomeatal flap tympanoplasty and anteriorly anchoring flap tympanoplasty) can be used for the repair of large, subtotal, and anterior tympanic membrane central perforations in chronic suppurative otitis media of mucosal type.</span></p>

scholarly journals UNILATERAL CHRONIC SUPPURATIVE OTITIS MEDIA: EFFECT OF NASAL SEPTAL DEVIATION

2021 ◽  
Vol 9 (03) ◽  
pp. 122-126
Author(s):  
Ali Abdulridha Atiyah ◽  
◽  
Nada Saadi Majeed ◽  
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Septal Deviation ◽  
Chronic Suppurative Otitis Media ◽  
Age Group ◽  
Media Effect ◽  
Suppurative Otitis Media ◽  
Female Ratio ◽  
Nasal Septal Deviation ◽  
Medical City

Background:Otitis media is an inflammation of part or all of the mucoperiosteal lining of the middle ear cleft. It can be acute, subacute and chronic otitis media infection. Septal deviation has got many unwanted changes such as: nasal obstruction, mucosal changes. Methodology:A descriptive clinical study, carried out on adult patients consulting ENT department at medical city. Those patients have a unilateral chronic suppurative otitis media. Results:The unilateral CSOM can affect any age group, with a slightly higher prevalence in the age group (21-30) year forming 29% of the total patients.Male to female ratio was 1.2:1. Eighty-nine patients presented with aural discharge. Patients with tubotympanic having only perforation and associated with septal deviation forming 68.1% of the patients. Patients with atticoantral having only perforation and associated with septal deviation 63.2% of patients. Conclusion: Unilateral chronic suppurative otitis media can affect all age group and both sexes. The tubotympanic type is mor prevalent. Nasal septal deviation is commonly found in patients with unilateral chronic suppurative otitis media.

scholarly journals Prevalence of Chronic Suppurative Otitis Media in Out Patient Department (OPD) in a District Level 250 Bedded General Hospital, Gopalganj, Bangladesh

2020 ◽  
Vol 22 (2) ◽  
pp. 102-109
Author(s):  
Md Sirajul Islam Mahfuz ◽  
Kabir A ◽  
AHM Zahurul Haq ◽  
Allam Chowdhury ◽  
Ahmmad Taous ◽  
...  
Keyword(s):  
General Hospital ◽  
Rural Area ◽  
Otitis Media ◽  
Health Care Facilities ◽  
District Level ◽  
Chronic Suppurative Otitis Media ◽  
Medium Size ◽  
Age Group ◽  
Suppurative Otitis Media ◽  
Female Ratio

Aims: To find out the prevalence and profile of chronic suppurative otitis media (CSOM) in district level of Bangladesh. Methods: This was a prospective cross sectional study which was carried out patients of chronic suppurative otitis media attended in OPD of 250 Bedded General Hospital, Gopalganj. A total number of 200 patients of CSOM were randomly selected from OPD irrespective of sex and religion during period of July 2015 to June 2016. Age ranging 0- 60 years and person residents of Gopalganj and adjacent districts. Results: In this study 60.5% were male and 39.5%female. Male Female ratio 3:2. Majority of respondents were age group is 11 to 20 years. (36.5%). Mean age of patient 29.98 years. Maximum families 52% had monthly income of TK 10,000 to 15,000 and maximum patients were dependant (37.5%). 5- 6 family members were highest group (60%), 60% respondent lived in Kacha house, 75% lived in rural area and 35% respondents used to bath in pond. The majority of clinical features were otorrhea (100%), deafness (32%), otalgia (42%), itchy ear (10%), tinnitus (50%), odor from ear (10%) and vertigo (5%). Most of ears (90%) were tubotymponic type of CSOM and medium size perforation were maximum (32.5%). Conclusion: Prevalence of CSOM is still high in rural area of our country and community found in younger age group. Improvement of socio-demographic factors, health awareness campaign, improved health education and easy accessibility to health care facilities can reduce the incidence of disease. Bangladesh J Otorhinolaryngol; October 2016; 22(2): 102-109

scholarly journals Retrospective Study of Clinical Profile of Patients with Chronic Suppurative Otitis Media at a Tertiary Health Centre

2014 ◽  
Vol 1 (1) ◽  
pp. 7 ◽  
Author(s):  
Shreeya Kulkarni ◽  
Kiran S. Burse ◽  
Devashri Patil ◽  
Chaitanya Bharadwaj ◽  
Vandana Sancheti ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Otitis Media ◽  
Health Centre ◽  
Chronic Suppurative Otitis Media ◽  
Graft Material ◽  
Age Group ◽  
Temporalis Fascia ◽  
Suppurative Otitis Media ◽  
Nerve Paralysis ◽  
Mastoid Surgery

<strong>Introduction:</strong> Chronic Suppurative Otitis Media (CSOM) is frequently associated with symptoms of inflammation like discharge from the ear or pain. In many cases, patients suffer from hearing loss causing communication problems and social withdrawal. Tubotympanic type of chronic suppurative otitis media is characterized by a perforation of pars tensa, while marginal &amp; attic perforations are pathognomonic of attico-antral variety. The latter category is usually associated with the presence of cholesteatoma. In cases of cholesteatoma, complications like facial nerve paralysis, meningitis, cerebellar abscess, sigmoid sinus thrombosis may develop and potentially threaten the patient's life. The aim of this study was to retrospectively perform analysis of patients suffering from Chronic Suppurative Otitis Media, visiting our Tertiary Health Centre, Nashik. <strong>Materials and Methods:</strong> This was a retrospective study, conducted in a tertiary care medical college hospital over a period of 5 years. The study group comprised 528 patients in and around Nashik District and were subjected to Tympanoplasty or Mastoid surgery. <strong>Results:</strong> Complete data records from 528 patients were available for statistical analysis. Maximum numbers of patients were in age group 21-40. High prevalence of CSOM was found in females. 408 patients had CSOM of Safe type. 97 patients had CSOM of unsafe type, whereas 23 patients had unsafe CSOM with complications. 381 patients underwent Type 1 Tympanoplasty, while 31 patients underwent Modified Radical Mastoid Surgery. 61 patients were operated for MRM with Tympanoplasty and 28 patients were operated for MRM with Myringostapediopexy. 27 patients were operated for revision tympanoplasty. Different methods of tympanoplasty were performed. Simple underlay was done in 123 patients. Maximum patients about 245 were operated by cartilage support method of tympanoplasty. Anterior tucking was done in 40 patients. Myringostapediopexy was done in 28 patients. Ossiculoplasty with tragal or conchal cartilage was done in 61 patients. Graft was not placed in 31 patients. Temporalis fascia was used in maximum patients. In 90.9% of patients temporalis fascia was used. Fascia Lata was used in 3.2% of patients. <strong>Conclusion:</strong> Retrospective study of patients with CSOM shows: females were affected more than males. Majority of patients were in age group of 21 to 40 years. The reason could be that this age group is socially active and health conscious. 77.3% of patients had safe CSOM while 22.7% of patients had unsafe CSOM. 2.27% of patients had extra-cranial complication, and 2.08% of patients had intracranial complications. 5.1% of patients underwent revision tympanoplasty surgery. Temporal is fascia as a graft material was used for tympanoplasty in maximum patients, and cartilage support method of tympanoplasty was used in majority of patients. Maximum patients were operated in year 2012. This was due to conduction of camps in peripheral areas around Nashik City which shows that CSOM is more common in patients of lower socioeconomic group, overcrowding, sub-standard hygiene and under resourced health care.

scholarly journals Status of Ossicles in Cholesteatoma

2016 ◽  
Vol 21 (2) ◽  
pp. 97-101
Author(s):  
Mohammad Delwar Hossain ◽  
Md Nasir Uddin Ahamed ◽  
Mohammad Misbah Al Kabir Sumon ◽  
Bhuiyan ARM Shoyeb
Keyword(s):  
Otitis Media ◽  
Age Groups ◽  
Disease Process ◽  
Ossicular Chain ◽  
Young Age ◽  
Chronic Suppurative Otitis Media ◽  
Age Group ◽  
Suppurative Otitis Media ◽  
Different Types

The study was conducted to detect and analyze the different types of ossicular chain defect in chronic suppurative otitis media with cholesteatoma on mastoid exploration and to identify the ossicle most commonly eroded by the disease process. A total 60 cases of CSOM with cholesteatoma of different age groups, who underwent surgery were included in this study and their intra operative ossicular chain findings were noted. 100% cases were presented with long standing aural discharge. It was observed that cholesteatoma was more common in male (60%) than female (40%) and 53.33% patients were in young age group (21-35 years). 90% cases showed ossicular erosion while only 10% cases showed intact ossicles. The incus was found to be absent in 15% cases and eroded in 75% cases. And the malleus was observed as the most resistant ossicle to be eroded.Bangladesh J Otorhinolaryngol; October 2015; 21(2): 97-101

scholarly journals Impact of cortical mastoidectomy on tympanoplasty for recurrent suppurative otitis media: a prospective study

2019 ◽  
Vol 6 (1) ◽  
pp. 56
Author(s):  
Shalini Singh Sisodia ◽  
Vinnakota Sriprakash
Keyword(s):  
Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Age Group ◽  
Suppurative Otitis Media ◽  
Group I ◽  
Cortical Mastoidectomy ◽  
Mild Hearing Loss ◽  
Group Ii ◽  
Media Condition ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media condition is characterized by an ear discharge and a perforation in the tympanic membrane. Tympanoplasty and tympanoplasty with mastoidectomy are the two common surgeries performed to manage this condition.</p><p class="abstract"><strong>Methods:</strong> 50 patients were divided into two groups of 25 each. On Group I, tympanoplasty alone was done and on Group II tympanoplasty along with mastoidectomy was performed and outcome was noted.  </p><p class="abstract"><strong>Results:</strong> The most common age group to be affected was 21-30 years. Discharge of 1-3 years was observed in 32% in Group I and 36% in Group II. 84% in Group I and 72% in Group II had mild hearing loss, and in both the groups, moderate perforations were more common. 84% of the patients in Group I and 88% in group II showed acceptance to the surgeries and the hearing gain in both the groups was around 10.</p><p class="abstract"><strong>Conclusions:</strong> This study shows that tympanoplasty with mastoidectomy has no added advantage over tympanoplasty alone in the patients with chronic suppurative otitis media.</p>

Perbedaan sensitivitas tetes telinga antibiotik terhadap Pseudomonas aeruginosa pada otitis media supuratif kronik

2012 ◽  
Vol 42 (2) ◽  
Author(s):  
Anton Budhi Darmawan ◽  
Dwi Utami Anjarwati
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Test Results ◽  
Sectional Study ◽  
Suppurative Otitis Media ◽  
Number Of Patients ◽  
Significant Difference ◽  
Cochran Test ◽  
Post Hoc

Background: Chronic suppurative otitis media (CSOM) is one infectious disease of the middle ear, most commonly caused by Pseudomonas aeruginosa. A high number of patients come to the ENT outpatient clinic with active benign type of CSOM. The bacteria Pseudomonas aeruginosa is capable of producing biofilm which protects itself from penetration of antibiotics, and therefore creates resistance towards antibiotics and difficult to eradicate. Objective: The aim of this study was to compare the sensitivity levels of chloramphenicol, polymyxin-neomycin, cyprofloxacin and ofloxacine against Pseudomonas aeruginosa in patients with active benign type CSOM in ENT clinic. Method: The method used was across sectional study on 25 patients, from August 2010 until December 2010. Samples were taken withear swab and then put on sensitivity test to chloramphenicol, polymyxin-neomycin, cyprofloxacin andofloxacine using the diffusion disc method. The analysis used in this study was Cochran test. Results: Results showed a significant difference in sensitivity among chloramphenicol (38,70%), polymyxinneomycin(83,87%),cyprofloxacin(90,32%)andofloxacin(58,06%)withp=0,000(p<0,05).PostHocanalysisusing the Mc Nemar indicated that there were significant differences in sensitivity betweenpolymyxin-neomycin to chloramphenicol with p=0,000 (p<0,05), ciprofloxacin to chloramphenicol andciprofloxacin to ofloxacine with p= 0,002, but there were no significant differences between cyprofloxacinto polymyxin-neomycin with p=0,687, polymyxin-neomycin to ofloxacin p=0.057 and ofloxacin tochloramphenicol p=0,109.   There were significant differences in antibiotic ear dropssensitivity to Pseudomonas aeruginosa in patients with active benign type of CSOM. Cyprofloxacin andpolymyxin-neomycin were more sensitive than ofloxacin and chloramphenicol. Keywords: Pseudomonas aeruginosa, active benign type of chronic suppurative otitis media, antibioticear drops.  Abstrak :  Latar belakang: Otitis media supuratif kronik (OMSK) merupakan penyakit infeksi kronik telinga tengah yang sering dijumpai di klinik THT. Penyebab tersering OMSK adalah bakteri Pseudomonasaeruginosa. Pseudomonas aeruginosa mempunyai kemampuan untuk membentuk biofilm yangmelindunginya dari penetrasi antibiotik sehingga menimbulkan resistensi terhadap antibiotik dan sulituntuk eradikasinya. Tujuan: Untuk mengetahui perbandingan tingkat sensitivitas kloramfenikol,polimiksin-neomisin, ciprofloksasin dan ofloksasin terhadap isolat Pseudomonas aeruginosa padapasien OMSK benigna aktif di klinik THT RSMS. Metode: Metode yang digunakan adalah crosssectional terhadap 29 pasien OMSK di klinik THT RSMS periode bulan Agustus 2010 - Desember2010. Pengambilan sampel dilakukan dengan swab telinga. Uji sensitivitas terhadap kloramfenikol,polimiksin-neomisin, ciprofloksasin dan ofloksasin dilakukan dengan metode cakram secara difusi.Analisis yang digunakan dalam penelitian ini adalah Cochran dan analisis post hoc. Hasil: Didapatkansensitivitas kloramfenikol sebesar 38,70%, polimiksin-neomisin sebesar 83,87%, ciprofloksasin sebesar90,32% dan ofloksasin sebesar 58,06% dengan p=0,01 (P<0,05), yang menunjukkan adanya perbedaansensitivitas yang bermakna antara kloramfenikol, polimiksin-neomisin, ciprofloksasin dan ofloksasinterhadap Pseudomonas aeruginosa. Analisis post hoc menggunakan Mc Nemar menunjukkan bahwaterdapat perbedaan sensitivitas yang bermakna antara tetes telinga polimiksin-neomisin terhadapkloramfenikol, dan ciprofloksasin terhadap kloramfenikol p=0,000 (p<0,05), serta terdapat perbedaanyang bermakna antara tetes telinga ciprofloksasin terhadap ofloksasin, p=0,002, tetapi tidak terdapatperbedaan yang bermakna antara ciprofloksasin terhadap polimiksin-neomisin, p=0,687, polimiksinneomisinterhadap ofloksasin p=0,057, dan kloramfenikol terhadap ofloksasin p=0,109. Kesimpulan:Terdapat perbedaan sensitivitas yang bermakna tetes telinga antibiotik terhadap Pseudomonas aeruginosa pada pasien OMSK benigna aktif. Ciprofloksasin dan polimiksin-neomisin tetes telinga mempunyai sensitivitas yang lebih baik dibanding ofloksasin dan kloramfenikol. Kata kunci: Pseudomonas aeruginosa, otitis media supuratif kronik, tetes telinga antibiotik 

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