Online ISSN: 2515-8260
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“PATTERNS OF OSSICULAR EROSION IN CHRONIC OTITIS MEDIA”

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1Mukhtar HussainMS 2Rabiya KhanamMD 3Monica ManhasMD 4 Padam Singh JamwalMS, 5Anchal Gupta MS 6Deepjyoti ManhasMS 7Yavan Bhardwaj MS

Abstract

Background and objectives 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. Methodology This hospital based prospective study was performed at GMC Hospital, Jammu, for one year at a stretch from November 2018 to October 2019 on 100 patients with CSOMpresenting with pure conductive hearing loss, who underwent surgery. Results The percentage of male patient was 69 while 39% patients were in between 21-30 years of age. Ossicular chain was accurate in 35% of the patients, eroded in 55% of thepatients and absent in 10% of the patients. The patients who had Safe CSOM were in the age group of 21-30 years. Ossicular chain was unscathed in 35% of the patients, eroded in 55% of the patients and absent in 10% of the patients. Safe CSOM was noted in 51 cases (51%) andunsafe CSOM was present in 49 (49%) cases. Malleus was unharmed in 90%, damaged in 6% andabsent in 4% of the cases. Incus was proper and unmarked in 42%, eroded in 52% and absent in 6% of thecases. Stapes was found undamaged in 96% and eroded in 3.92% of the cases. In all the cases, footplate was rightly placed. Conclusion and interpretation The number of incidence of ossicular erosion was larger in unsafe CSOMthan safe CSOM. Further erosion of incus is common than malleus and stapes.

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