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 CSOM

2009 ◽  
Vol 16 (03) ◽  
pp. 414-418
Author(s):  
ZAFAR IQBAL GILL ◽  
ZUBAIR I QBAL BHUTTA ◽  
KASHIF IQBAL MALIK
Keyword(s):  
Otitis Media ◽  
Age Groups ◽  
Pure Tone Audiometry ◽  
Ossicular Chain ◽  
Chronic Suppurative Otitis Media ◽  
X Rays ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Canal Wall Down ◽  
Atticoantral Disease

Objective: The current study aims to find the extent of ossicular chain damage in patients with chronic suppurative otitis media,associated with cholesteotoma and/or granulation tissue formation. D e s i g n : Descriptive study. Place a n d Duration of Study: The study wasconducted at the department of ENT unit 1, Jinnah hospital/ Allama Iqbal Medical College Lahore from March, 2007 to March, 2008. Patientsa n d Methods: A total of fifty consecutive patients presenting with atticoantral disease of different age groups were included in the study. Allpatients were examined clinically and under microscope. X- rays mastoids and pure tone audiometry was done in all patients. Mastoidexploration was done in all the patients and ossicullar status was assessed peroperatively. Canal wall down procedure was adopted in all thepatients. Results: Among different age groups included, majority (more than 70%) of them, were below 30 years of age, showing thatatticoantral variant of CSOM is a disease of the young people. Males were more in number (70%). Duration of the symptoms was usuallyprolonged. On radiological examination, 39 cases (78%) had sclerotic mastoid. Audiological records of patients showed the air bone gap of morethan 40 dB in most of (78%) of patients. Perforation was marginal in most of the patients (64%). In gross pathologic findings, cholesteotomaonly, was seen in 21 cases (42%), granulations seen in 13(26%) cases, while cholesteotoma and granulations seen in 16 cases (32%). All casesshowed erosion of the ossicles, complete or partial. Incus was a most commonly involved ossicle. C o n c l u s i o n : Chronic suppurative otitis media,atticoantral variant do commonly damage the ossicles and routinely it is multiossicular damage. Incus, is damaged most with involvement ofits long process.

scholarly journals Correlation of the Puretone Audiometry Findings with Intraoperative Findings in Patients with Chronic Suppurative Otitis Media

2015 ◽  
Vol 2 (1) ◽  
pp. 4
Author(s):  
Devashri Uday Patil ◽  
Kiran S. Burse ◽  
Shreeya Kulkarni ◽  
Vandana Sancheti ◽  
Chaitanya Bharadwaj
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Ossicular Chain ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Number Of Patients ◽  
Operative Findings ◽  
Air Conduction

Chronic suppurative otitis media is one of the common otological conditions in India for which patients seek advice from an otorhinolaryngologist. Chronic suppurative otitis media is recurrent and progressive disease which is characterized with tympanic membrane perforation and suppurative discharge. Pure tone audiometry is the most common test used to evaluate auditory sensitivity. Since hearing loss is a common complication of chronic suppurative otitis media, we designed this study to evaluate preoperative pure tone audiometry findings in patients with chronic suppurative otitis media and its correlation with the intra-operative findings. <strong>Aims and Objectives:</strong> 1] To assess the intra-operative findings in patients with chronic suppurative otitis media. 2] To evaluate the correlation between the preoperative pure tone audiometry findings and intra-operative findings in patients with chronic suppurative otitis media. 3] To assess the type of hearing loss and degree of hearing loss in patients with chronic suppurative otitis media. <strong>Materials and Methods:</strong> This is an Observational study carried over a period of 3 years from August 2011 to August 2013. Total number of patients included in this study was 100. <strong>Result:</strong> Out of 100 patients studied 69 % of patients had Tubo-Tympanic type of CSOM, 31 % of patients had Attico-antral type of CSOM. In patients of Safe CSOM; Central perforation was seen in maximum cases 46.4 %, anterior central perforations was seen in 8.7 % cases, posterior central perforations seen in 20.2 % cases, and subtotal perforations seen in 24.63 % cases. In patients of Unsafe CSOM posterosuperior cholesteatoma was seen in maximum cases 67.74 %, and attic cholesteatoma was seen in 32.2 % cases. In safe CSOM patients all ossicles were intact and mobile whereas in unsafe CSOM patients only 4 patients had intact ossicular chain, while maximum patients had ossicular defect. <strong>Conclusion:</strong> Hearing loss depends on size of perforation. Hearing loss increases as the size of perforation increases. Average air conduction threshold and air bone gap did not differ significantly between various groups of ossicular defect. This shows us that neither air conduction nor air bone gap are reliable parameters on basis of which we can predict ossicular status preoperatively.

Frequency of Incus Bone Erosion on Mastoid Exploration in Chronic Suppurative Otitis Media with Middle Ear Cholesteotoma

2021 ◽  
Vol 15 (6) ◽  
pp. 1426-1428
Author(s):  
W. Javaid ◽  
A. Rashid ◽  
M. U. K. Amin ◽  
T. Khan ◽  
M. Fatima
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Bone Erosion ◽  
Age Groups ◽  
Chronic Suppurative Otitis Media ◽  
Cross Sectional ◽  
Suppurative Otitis Media ◽  
Middle Ear Cholesteatoma ◽  
Sample Technique ◽  
Operative Findings

Background: Cholesteotoma is a benign but destructive lesion leading to ossicular necrosis. Objective: To see the frequency of incus bone erosion on mastoid exploration in chronic suppurative otitis media with middle ear cholesteotoma. Study Design: Cross-sectional descriptive study. Setting: This study was carried out in the Department of ENT Unit-2, Sir Ganga Ram Hospital, Lahore. Duration of Study: Fifteen months months (10th April, 2019 to 9th July, 2020) Sample technique: Non- probability purposive sampling Methods: One hundred and twenty patients were admitted through outpatient department of ENT Unit-2, Sir Ganga Ram Hospital Lahore. Patients were included after fulfilling the inclusion criteria and information was collected on a prescribed proforma. Finally during surgery under general anesthesia, the operative findings were noted to know the incus bone erosion after middle ear cholesteatoma formation in chronic suppurative otitis media. Results: A total number of one hundred and twenty patients of chronic suppurative otitis media with middle ear cholesteatoma were included. Out of which 80 (66.7%) were males and 40 (33.3%) were females(Table 1).The patients shown in table 2 were divided in six age groups (Table 2).Table 3 shows that the procedure of mastoidectomy was performed in 112 patients (93.3%) and modified radial mastoidectomy was performed in 8 patients (6.7%).Incus bone erosion in chronic suppurative otitis media with middle ear cholesteatoma in 102 patients (85%) and 18 patients (15%) have no incus bone erosion (Table 4). Conclusion: Ear discharge was the most common presenting characteristic of chronic suppurative otitis media with cholesteatoma. The majority of the cases had ossicular erosion, with the incus being the most common site of involvement. Males are more likely than females to develop cholesteatoma. Keywords: erosion of incus bone, Mastoid exploration, Chronic suppurative otitis media, Cholesteatoma

scholarly journals Microbiological Study of Chronic Suppurative Otitis Media

2019 ◽  
Vol 46 (2) ◽  
pp. 7-9
Author(s):  
Rifat Nousin Shumi ◽  
Abdullah Siddiqe ◽  
Arefa Akter
Keyword(s):  
Otitis Media ◽  
Age Groups ◽  
Chronic Suppurative Otitis Media ◽  
Klebsiella Pneumonia ◽  
Biochemical Tests ◽  
College Hospital ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Microbiological Profile ◽  
Gram Staining

Chronic suppurative otitis media (CSOM) is a prevailing and notorious infection in developing countries causing serious local damage and threatening complications. The purpose of the present study was determine the microbiological profile of isolates from discharge in CSOM. This study was conducted at out-patient department of ENT at Rajshahi Medical College Hospital, Rajshahi from January 2014 to December 2014. Samples were taken from 185 patients (both male and female) in all age groups suffering from chronic suppurative otitis media. Their Gram staining, culture, and biochemical tests were carried out to identify the organisms. It showed the predominance by staphylococcus aereus (29.13%), followed by Pseudomonas Aeruginosa (22.83%), Streptococcus Pyogen (14.96%), E.Coli (9.44%), Proteus Mirabilis (6.29%), Klebsiella Pneumonia ( 4.72%). Bangladesh Med J. 2017 May; 46 (2): 7-9

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 A clinical study of evaluation of tympanoplasty with mastoidectomy in mucosal chronic otitis media

2019 ◽  
Vol 6 (1) ◽  
pp. 163
Author(s):  
Ritesh Mahajan ◽  
Nidhi Abraham ◽  
Nagaraj T. M.
Keyword(s):  
Otitis Media ◽  
Disease Process ◽  
Chronic Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Cortical Mastoidectomy ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) is one of the most common ear diseases in developing countries with a varying incidence of 3% to 57%. It the disease process is further divided into mucosal type and squamosal type depending on clinical presentation. The mainstay of therapy in CSOM remains surgery which aims at eradication of disease and restoring the hearing mechanism. The main objective of our study was to evaluate the changes and impact of tympanoplasty with mastoidectomy as a surgical treatment modality in mucosal type of CSOM.</p><p class="abstract"><strong>Methods:</strong> A prospective study was conducted in Rajarajeshwari Medical College and Hospital between November 2015 and June 2017, involving 50 patients with mucosal type of chronic otitis media. These patients, after complete clinical examination and hearing analysis, underwent tympanoplasty with cortical mastoidectomy. Follow-up of the patients was done at one month and three months after the surgery where the parameters recorded preoperatively were assessed.  </p><p class="abstract"><strong>Results:</strong> The graft uptake three months after the surgery was 94%. Patients reported a subjective improvement in symptoms of ear discharge, decreased hearing, earache and tinnitus to 94%, 70%, 86% and 78% respectively. There was hearing improvement in ears that had discharge preoperatively and those ears that did not.</p><p class="abstract"><strong>Conclusions:</strong> Chronic suppurative otitis media is a very common problem and it can lead to recurrent ear discharge and hearing problems. Timely intervention is necessary as early diagnosis results in good surgical outcomes and can make an impact on patient’s quality of life.</p>

scholarly journals Radio-surgical correlation of chronic suppurative otitis media

2019 ◽  
Vol 6 (1) ◽  
pp. 118
Author(s):  
Yogeesha B. S. ◽  
Nagaraj Maradi ◽  
Ravi Shekhar ◽  
Rohini D. Urs
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Predictive Value ◽  
Ossicular Chain ◽  
Chronic Suppurative Otitis Media ◽  
High Resolution Computed Tomography ◽  
Suppurative Otitis Media ◽  
Fallopian Canal ◽  
Ear Ossicles ◽  
Kappa Value

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) because of disease nature and location of vital structures like middle ear ossicles, facial nerve, and lateral semicircular canal poses clinical as well as radiological challenge in diagnosis, especially the squamosal variety. Hence this study to evaluate radio-surgical correlation in cases of CSOM.</p><p class="abstract"><strong>Methods:</strong> We retrospectively analysed 92 case records who met the inclusion criteria. Their pre-operative high-resolution computed tomography (HRCT) temporal bone imaging was evaluated for erosion of the ossicular chain and the fallopian canal. This was correlated with the surgical findings noted intra-operatively. The appropriate statistical analysis was carried out. The radio-surgical correlation was evaluated by Cohen’s kappa value.  </p><p class="abstract"><strong>Results:</strong> The kappa value for status of ossicular chain was 0.805 and 0.384 for status of fallopian canal. HRCT imaging had a positive predictive value and negative predictive value of 94.3% and 85.3% respectively, in detecting ossicular chain erosion. In detecting fallopian canal erosion, HRCT showed a sensitivity of 33.3%. Analysing the individual ossicles, we found kappa to be 0.266 for malleus, 0.463 for incus and 0.827 for stapes.</p><p class="abstract"><strong>Conclusions:</strong> There was excellent radio-surgical correlation for ossicular chain erosion while it was poor for fallopian canal erosion. HRCT showed excellent radio-surgical correlation for stapes, moderate for incus and poor for malleus. In-spite of its shortcomings in differentiating cholesteatoma and non-cholesteatomatous pathologies of the middle ear cleft, HRCT imaging plays a key role in assessing the status of the ossicles and fallopian canal.</p><p> </p>

The value of CT scanning in chronic suppurative otitis media

1991 ◽  
Vol 105 (12) ◽  
pp. 990-994 ◽  
Author(s):  
B. J. O'Reilly ◽  
E. B. Chevretton ◽  
I. Wylie ◽  
C. Thakkar ◽  
P. Butler ◽  
...  
Keyword(s):  
Otitis Media ◽  
Bone Erosion ◽  
Ct Scanning ◽  
Ossicular Chain ◽  
Chronic Suppurative Otitis Media ◽  
Facial Canal ◽  
High Definition ◽  
Suppurative Otitis Media ◽  
Small Areas ◽  
Lateral Canal

AbstractHigh definition CT has been advocated for the evaluation of chronic suppurative otitis media (CSOM) either generally or in selected cases. It is said to be capable of producing the fine detail needed to detect lateral canal fistulae, exposed dura and facial canal dehiscences, and to demonstrate the ossicular chain. At present there is no agreement on either the indications for CT scanning in CSOM or the most appropriate scanning plane. To determine the value of high definition CT in CSOM and to decide a unit policy for its application, 36 cases of CSOM underwent pre-operative CT scanning and their scans were compared with the operative findings.Our results show CT to be highly sensitive to the presence of soft tissue disease and bone erosion, moderately sensitive to the presence of lateral canal fistulae but less sensitive to the presence of small areas of exposed dura, ossicular continuity and facial canal dehiscence. Axial scans were better able to demonstrate the lateral canal but otherwise coronal scans were superior; ideally patients should be scanned in both planes. The principle value of CT in CSOM is its ability to demonstrate disease which is not clinically apparent.

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