STUDY ON EVALUATION OF SURGICAL OUTCOMES IN PATIENTS WITH CHRONIC SUPPURATIVE OTITIS MEDIA
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 2812-2818
AbstractIntroduction: Back ground: Chronic suppurative otitis media (CSOM) is one of the most common childhood infectious diseases worldwide and is a leading cause of hearing impairment in resource-limited settings. It is less frequently seen in resource-rich settings. It is characterized by chronic drainage from the middle ear associated with tympanic membrane (TM) perforation. CSOM is usually preceded by an episode of acute otitis media (AOM).
Aim and Objective of the study. The aim and objectives of the study is to evaluate the surgical outcomes chronic suppurative otitis media.
Materials and Methods: Informed consent was obtained from all patients included in the study. The study was approved by institutional ethical committee. The data were collected by the active participation of the patients’ interview by the preformed proforma of data collection sheet and then data were gathered and tabulated. Detail history, physical examination and relevant investigations were done pre-operatively and post-operatively. Post-operative follow up after 1month, 2 months and 3 months were done.
Results and Discussion: In the present study, we included a total of 80 patients with CSOM who underwent surgical intervention. The aim and objectives of the study is to evaluate the surgical outcomes chronic suppurative otitis media. The number of subjects in the age group of 5-10 years were 3, 11-20 years were 20, 21-30 years were 15, 31-40 years were 22 and 41-50 years were 20. The number of males were 62% and females were 38%. It is evident from the table 2 that 100% presented with discharge, 22.5% with granulation tissue, 21.25% with aural polyp, 55% with attic perforation and 35% with postero-superior marginal perforation. It is evident from table 3 that 52.5% had dry ear, 15% had discharging ear and 1.25% had granulation tissue at 1st month. Similarly, that 55% had dry ear, 10% had discharging ear and none of the subjects had granulation tissue at 3rd month. It is evident from table 4 that 3.75 % had deterioration, 8.75% had unchanged and 87.5% had improvement in hearing.
Conclusion: Hearing loss arising from COM is a matter of serious concern because of its long-term effects on communication, language development and educational process. Early diagnosis and intervention by skilled Otologist is recommended to regain hearing as well as to prevent disability and complications.
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