Keywords : mastoiditis
A Clinico Pathological Study of Extra Cranial Complications of Chronic Suppurative Otitis Media(CSOM) and Their Management in A Tertiary Care Centre
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 3, Pages 12209-12215
Background: Despite the rise in antibiotics use,complications of chronic suppurative otitis media(CSOM)remain quite frequent, have high morbidity and mortality rates, and pose a challenge to the otolaryngologist especially in developing countries like India.The present prospective study was conducted at our tertiary care hospital to evaluate the clinico pathological profile of Extracranial complications of CSOM and their management.
Materials And Methods: We analysed all patients presenting with Extracranial complications with regards to their age,sex distribution and types of complications and types of surgical management.
Result: In our study a total of 50 cases of Extracranial complications were reviewed in the study period of 2yrs.Of the total 50 cases, 32 cases were male and 18 cases were females. Age distribution of the patients ranges from 4 - 70 yrs with a mean age of 37 yrs. Of these 22 patients(44%) had mastoiditis alone as a complication of CSOM,subperiosteal abscess in 14 patients (28%), 7 cases (14%) had Postauricular fistula. 4 cases (8%) of Facial nerve weakness and 3 cases(6%) of Labyrinthitis. Surgery was the main modality of treatment of which Canalwall down mastoidectomy was done in 25 cases (50%), intact canal wall mastoidectomy in 16 cases (32%)and cortical mastoidectomy in 9 cases(18%).
Conclusion: Extracranial complications of CSOM are rare today, but they still have a hazardous potential.Early diagnosis and prompt treatment reduce the incidence and improve quality of life in these patients. Our study emphazizes the same,and we hope to generate some awareness leading to further reduction in morbidity and mortality.