Online ISSN: 2515-8260

Keywords : Chronic Suppurative Otitis Media


A Comparative Study of graft uptake and hearing improvement following Myringoplasty using Temporalis fascia and Tragal perichondrium in mucosal type of COM

Dr.M.Meena Kumari, Dr.Soujanya Kumari

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1599-1611

Aim: The aim of the study is to compare the results of myringoplasty performed using
temporalis fascia with that of tragal perichondrium.
Methodology: A Hospital based prospective study was conducted to compare the
success rate of myringoplasty performed with temporalis fascia versus tragal
perichondrial grafting at department of ENT,Govt ENT Hospital,Koti,Hyderabad..
Patients with chronic suppurative otitis media with tubo tympanic type were included
in the study.
Results: A total of 60 patients were studied among which 30 were in group A and 30 in
group B. Patients were diagnosed by clinical examination and otomicroscopy. Pre
operative hearing evaluation was done by pure tone audiometry. Myringoplasty was
performed using temporalis fascia and tragal perichondrium in group A and group B
respectively. Follow up was done at 3 weeks, 6 weeks, 3 months and at 6 months post
operatively. During the follow up, patients were assessed for graft uptake and hearing
improvement and the results were compared between both the groups. The results were
as follows: Age of pts was between 15- 60 yrs with majority between 20 to 40yrs. There
were a total of 33 males and 27 females. Right ear was operated in 33 patients and left
ear in 27 patients. A total of 14 cases were operated with presence of bilateral disease
(6:8). Overall graft uptake rate was 85%. Graft uptake rate was 83.33% with
temporalis fascia and 86.66% with tragal perichondrium. Mean improvement in
hearing for temporalis fascia was 9.81 ± 5.10 dB and for tragal perichondrium was 8.42
± 4.10 dB.
Conclusion: It is concluded that graft material does not influence the either graft uptake
or hearing improvement in safe type of CSOM when conductive hearing loss is less than
40 db and in the absence of central pathology and tympanosclerosis.

Ossiculoplasty using autologous incus in patients of chronic suppurative otitis media (CSOM): a prospective observational study

Dr. Suman Parmar, Dr. Sushma Mahich, Dr. Navneet Mathur

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1465-1470

Background: CSOM and associated hearing loss is significant in our society and an effort directed towards the assistance of those who are afflicted is indeed worthwhile. The problem of ossicular reconstructions for CSOM in difficult chronic ears however continues to represent a major rehabilitation challenge. Various materials have been used in reconstruction of middle ear including synthetic, bony and cartilaginous materials.
Methods: The present study was prospective observational study of 50 cases who underwent ossiculoplasty for middle ear surgery over the period of 2 and half years. CSOM patients with hearing loss >40 dB were included and patients with sensorineural hearing loss were excluded out from the study. Otoscopic examination, tuning fork tests, and examination under microscope were done in all the patients.
Results: A total number of 50 patients were included in the study. Graft was taken up in 90% cases and rejected in 5% subjects after 3 months postoperatively. The average pre-operative air-bone gap was 45±3.60 dB while the average post-operative air-bone gap was 25.66±9.25 dB. The average hearing gain was 19.34 dB which was statistically significant (p=0.000).
Conclusions: This study concluded that ossiculoplasty with an autologous incus graft is safe surgical approach with good results for reconstructing the ossicular chain due to lower extrusion rate with good post-operative hearing gain.

Study of anaerobic bacteria and their antibiotic susceptibility pattern in chronic suppurative otitis media

Dr.jyothi Byagari,Mrs.kalapriya,Dr V A Vipula,Dr Afreen Iqbal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 10639-10647

INTRODUCTION: Hearing is one of the most important senses of man which provides him
with the ability to perceive the world and also helps him in communication.Chronic suppurative
otitis media (CSOM),a tremendous health predicament since time immemorial, is a chronic
inflammation of the middle ear cleft which may lead to serious sequelae and complications. The
wide spread use of antibiotics has precipitated the emergence of multiple resistant strains of
bacteria which can produce both primary and postoperative infections.
MATERIALS AND METHODS: This is a Prospective studyconducted at Department of
Microbiology,Tertiary care teaching hospitalover a period of 1 year with200 samples were
collected from patients attendingat out Patient department of ENT included in the study.After
cleaning the external ear with alcohol, ear discharge is collected aided by a Bull lamp and aural
speculum with absorbable sterile cotton swabs under strict aseptic precaution.
RESULTS: Analysis of these cases of CSOM in both sexes and age groups as shown in Table -
1: revealed that the majority of cases of CSOM were in the age 11-20yrs in both sexes .The
overall incidence of CSOM was found to be more in males 117 than in females 83 and this
predominance was noted in all the age groups.The details of anaerobic organisms isolated in
csom cases.Bacteroidsfragilis is the predominant organism followed by peptosteptococcus.All
anaerobes were 100% sensitive to Metronidazole.
CONCLUSION:Out of 200 samples 14 anaerobic organisms were isolated of which
Bacteroidesfragilis 4(28.6%) were predominant anaerobes followed by Peptostreptococcus
species 3(21.4%).This sudy is designed to have the knowledge of the pathogens and antibiotic
sensitivity pattern responsible for CSOM and choosing suitable antibiotics according to
susceptibility tests should guide the management of disease treatment and reduce the recurrence
and complications of CSOM.

“PATTERNS OF OSSICULAR EROSION IN CHRONIC OTITIS MEDIA”

Mukhtar Hussain MS; Rabiya Khanam MD; Monica Manhas MD; Padam Singh JamwalM S; Anchal Gupta MS; Deepjyoti Manhas MS; Yavan Bhardwaj MS

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 3723-3735

The injury or damage of some of the parts or whole ossicular chain is concerned with
chronic su
The injury or damage of some of the parts or whole ossicular chain is concerned with
chronic suppurative otitis media involving active mucosaldisease.There are no precise or clear
cut elements which may specify or show that in case of safe CSOM , ossicular erosion is present
preoperatively. So, this research has been conducted to look into the pattern of ossicular erosion
in chronic otitis media in both the cases mucosal and squamosal disease.
ppurative otitis media involving active mucosaldisease.There are no precise or clear
cut elements which may specify or show that in case of safe CSOM , ossicular erosion is present
preoperatively. So, this research has been conducted to look into the pattern of ossicular erosion
in chronic otitis media in both the cases mucosal and squamosal disease.