Follow up System in Middle Ear Surgery for Chronic Suppurative Otitis Media

2004 ◽  
pp. 387-389
Author(s):  
Helmi Abdullah
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Chronic Suppurative Otitis Media ◽  
Middle Ear Surgery ◽  
Ear Surgery ◽  
Suppurative Otitis Media

Transcanal endoscopic middle ear surgery in children with chronic suppurative otitis media

2021 ◽  
Vol 86 (1) ◽  
pp. 25
Author(s):  
M.R. Bogomilsky ◽  
M.M. Polunin ◽  
Yu.L. Soldatsky ◽  
V.S. Minasyan ◽  
A.M. Ivanenko ◽  
...  
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Chronic Suppurative Otitis Media ◽  
Middle Ear Surgery ◽  
Ear Surgery ◽  
Suppurative Otitis Media

scholarly journals A cross sectional study to assess effects of mastoid drill on hearing levels in chronic suppurative otitis media cases in a tertiary care hospital in northern Maharashtra

2017 ◽  
Vol 3 (2) ◽  
pp. 264
Author(s):  
Amit Patil ◽  
Poonam Khairnar
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Otitis Media ◽  
Middle Ear ◽  
Chronic Suppurative Otitis Media ◽  
Middle Ear Surgery ◽  
Government Medical College ◽  
Ear Surgery ◽  
Suppurative Otitis Media ◽  
Medical College

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) is most common middle ear disease that is encountered in daily practice. It is accepted that middle ear surgery carries a small risk of sensorineural hearing loss. The present study was done to assess the effects of mastoid drilling on hearing loss in operating ear and contralateral ear in cases of CSOM.</p><p class="abstract"><strong>Methods:</strong> 80 patients with CSOM (with or without complications) age group 15 - 60 years attended the ENT outpatient department of Government Medical College and Hospital after taking consent were selected for the study using universal sampling technique, between August 2014 to August 2016.  </p><p class="abstract"><strong>Results:</strong> The study was conducted on 80 patients, aged between 15 to 60 years, who underwent ear surgery for CSOM at Government Medical College Hospital, from August 2014 to August 2016. We found no postoperative SNHL in 28 patients, while 52 patients (48 patients with temporary SNHL &amp; 4 patients with permanent SNHL) had suffered from development of mild SNHL after middle ear surgery.</p><p><strong>Conclusions:</strong> Mastoid drilling used during ear surgery can cause mild sensorineural hearing loss in immediate postoperative period in operated ear. </p>

Interferon-gamma in suppurative otitis media: significance of otorrhoea type and disease outcome

2009 ◽  
Vol 123 (10) ◽  
pp. 1103-1107 ◽  
Author(s):  
A O Lasisi ◽  
O Olayemi ◽  
O G Arinola ◽  
S A Omilabu
Keyword(s):  
Standard Deviation ◽  
Otitis Media ◽  
Middle Ear ◽  
Interferon Γ ◽  
Chronic Suppurative Otitis Media ◽  
Enzyme Linked Immunosorbent Assay ◽  
Suppurative Otitis Media ◽  
The Mean ◽  
Prospective Longitudinal

AbstractBackground:Interferon-γ has been reported to have an immunoregulatory role in otitis media with effusion. However, such a role remains to be determined in acute suppurative otitis media.Aim:To determine the levels of interferon-γ in middle-ear secretion in children with acute suppurative otitis media, and to determine the significance of interferon-γ to the nature of otorrhoea and the outcome of otitis media.Settings and design:Prospective, longitudinal follow up of patients selected from community and tertiary health centres.Methods:We selected children with acute suppurative otitis media, diagnosed as otorrhoea of less than three months' duration. Middle-ear secretions were collected by pipetting and stored at −80°C. Interferon-γ was assayed using enzyme-linked immunosorbent assay. The patients were treated and followed up for nine to 12 months, to separate those with resolved acute suppurative otitis media from those with chronic suppurative otitis media.Result:The study initially included 358 cases of acute suppurative otitis media. Nine-month follow up was achieved in 304 patients (85 per cent). Of these patients, acute suppurative otitis media resolved in 187 (61 per cent), while chronic suppurative otitis media was evident in 117 (39 per cent). The children with completed follow up comprised 173 boys and 131 girls, aged between four months and nine years (mean age 6.6 years; standard deviation 1.32). These children had purulent otorrhoea in 171 cases (56 per cent) and mucoid otorrhoea in 133 cases (44 per cent). The children's middle-ear secretion interferon-γ concentrations ranged from 12 to 126 pg/ml. The mean middle-ear secretion interferon-γ concentration was 27.2 pg/ml (standard deviation 8.8) in patients whose acute suppurative otitis media resolved, and 73.1 pg/ml (standard deviation 9.5) in those progressing to chronic suppurative otitis media. In children with purulent otitis media, the mean middle-ear secretion interferon-γ concentration was 43.5 pg/ml (standard deviation 15.6); in those with mucoid otitis media, it was 74.3 pg/ml (standard deviation 19.1). Univariate analysis revealed significant differences in middle-ear secretion interferon-γ concentration, comparing resolved acute suppurative otitis media and chronic suppurative otitis media cases (p = 0.00), and comparing purulent and mucoid otitis media cases (p = 0.00). Pearson correlation testing revealed significant inverse correlation between interferon-γ concentration and middle-ear secretion immunoglobulin G concentration (p = 0.01), immunoglobulin E concentration (p = 0.03) and immunoglobulin A concentration (p = 0.00).Conclusion:A high concentration of interferon-γ in middle-ear secretions promotes chronicity of suppurative otitis media. Further research in this area may lead to the development of agents which assist the control of suppurative otitis media chronicity.

Biofilm presence in humans with chronic suppurative otitis media

2009 ◽  
Vol 141 (5) ◽  
pp. 567-571 ◽  
Author(s):  
Michael Robert Lee ◽  
Karen Sue Pawlowski ◽  
Amber Luong ◽  
Alexis Dorian Furze ◽  
Peter Sargent Roland
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Group Versus ◽  
Laser Scanning Microscopy ◽  
Chronic Suppurative Otitis Media ◽  
Control Group ◽  
Middle Ear Surgery ◽  
Suppurative Otitis Media ◽  
Female Ratio ◽  
Significant Difference

Objective: To study the presence of biofilm formation in humans with chronic suppurative otitis media (CSOM). Study Design: Cross-sectional study. Setting: Tertiary academic hospital. Subjects and Methods: Patients undergoing middle ear surgery between July 2006 and March 2008. Tissue samples were obtained from 25 patients, of which 20 specimens were successfully processed for this study. The remaining samples were not analyzed due to sample damage or loss during preparation. Of the 20 specimens studied, 10 were harvested as the experimental group from patients with CSOM and the other 10 harvested as controls from patients undergoing otologic surgery for acoustic neuroma, cochlear implant, or routine tympanoplasty. Ages ranged from 26 to 74 years (mean 45 yrs). Male-to-female ratio was 2:3. Scanning electron microscopy and confocal laser scanning microscopy were used to identify the presence of biofilms. Live-dead staining was used to assess whether bacteria present were viable. The outcome measured was the presence of adherent biofilms on middle ear mucosa. Results: Biofilms were present in six of 10 samples (60%) from the CSOM group, but only in one of 10 control samples (10%). Comparative analysis revealed a statistically significant difference ( P < 0.05) in the presence of biofilms in specimens from the CSOM group versus the control group. Conclusion: Biofilms were statistically more common in patients with CSOM compared with control patients.

Optimising the pre-treatment process before mobile ear surgery for chronic suppurative otitis media in Wolisso and Attat, Ethiopia

2014 ◽  
Vol 128 (5) ◽  
pp. 421-424 ◽  
Author(s):  
O Guntinas-Lichius ◽  
C Wittekindt ◽  
M Baier ◽  
J J Manni
Keyword(s):  
Otitis Media ◽  
Rural Community ◽  
Treatment Process ◽  
Chronic Suppurative Otitis Media ◽  
Middle Ear Surgery ◽  
African Countries ◽  
Ear Surgery ◽  
Suppurative Otitis Media ◽  
Sub Saharan ◽  
Pre Treatment

AbstractBackground:Chronic suppurative otitis media is a major cause of long-standing hearing impairment in many Sub-Saharan African countries.Methods:Attempts were made to optimise the pre-treatment process before mobile ear surgery for chronic suppurative otitis media in Wolisso, a semi-urban community in the Oromia region, and in Attat, a rural community in the Gurage region, both in the south-west of Ethiopia, between 2008 and 2010. This included special training for ENT nurses, and the use of a strict scheduling regime and improved topical treatment.Results and conclusion:This strategy allowed effective middle-ear surgery to be carried out using simple means and with a mobile ear surgery team, the latter of which is only transiently but regularly on site.

scholarly journals Impact of depressive disorders on quality of life after middle ear surgery in patients with chronic otitis media

2020 ◽  
Author(s):  
Susen Lailach ◽  
Theresa Langanke ◽  
Thomas Zahnert ◽  
Susan Garthus-Niegel ◽  
Marcus Neudert
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Otitis Media ◽  
Middle Ear ◽  
Short Form ◽  
Chronic Otitis Media ◽  
Middle Ear Surgery ◽  
Ear Surgery ◽  
Sf 36

Abstract Purpose The aim of this study was to determine whether preoperative depressive symptoms influence health-related quality of life (HRQOL) after middle ear surgery in patients with chronic otitis media (COM). Methods This prospective clinical case study was conducted at a tertiary referral center. All 102 patients who had undergone middle ear surgery for COM were assessed clinically and by audiometric testing (pure tone audiometry) in pre- and postoperative settings. Disease-specific HRQOL was assessed by the validated chronic otitis media outcome test 15 (COMOT-15) and the Zurich chronic middle ear inventory (ZCMEI-21). General HRQOL was measured using the short form 36 (SF-36). Depressive symptoms were assessed using the patient health questionnaire (PHQ-D). The Charlson comorbidity index (CCI) was used to classify comorbidities. The middle ear status was determined using the ossiculoplasty outcome parameter staging (OOPS) index. Results After middle ear surgery, the total COMOT-15 and ZCMEI-21 scores improved significantly (p < 0.001). General HRQOL (total SF-36 score) was unaffected by surgery (p < 0.05). Patients without elevated depressive symptoms had significantly better total scores for the COMOT-15 (p < 0.01), ZCMEI-21 (p < 0.001), and for SF-36 (p < 0.001) postoperatively. The results of the multiple regression analyses show that, after adjusting for the OOPS, CCI, and hearing improvement, preoperative depressiveness was significantly associated with worse postoperative COMOT-15 and ZCMEI-21 outcome scores (β = 0.425 and β = 0.362, p < 0.001). Conclusion Preoperative depressiveness was an essential predictive factor for HRQOL in patients with COM. This should be considered during patient selection to provide more suitable preoperative counseling.

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