Microbiology of Chronic Otitis Media and Shifting Trends of Its Antibiotic Susceptibility: A Prospective Observational Study in a Tertiary Care Institute of Western Rajasthan

2021 ◽  
Author(s):  
Semridhi Gupta ◽  
Payal Kumbhat
Keyword(s):  
Observational Study ◽  
Otitis Media ◽  
Antibiotic Susceptibility ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Care Institute

scholarly journals Type 1 tympanoplasty: does the status of contralateral ear affect the outcome?

2019 ◽  
Vol 5 (3) ◽  
pp. 722
Author(s):  
Arindam Das ◽  
Sandipta Mitra ◽  
Debasish Ghosh ◽  
Arunabha Sengupta
Keyword(s):  
Success Rate ◽  
Otitis Media ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Care Hospital ◽  
Type 1 Tympanoplasty ◽  
The Status ◽  
Contralateral Ear

<p class="abstract"><strong>Background:</strong> The objective of the study was to investigate the effect of contralateral ear status on the success rate (anatomical closure) of type 1 tympanoplasty.</p><p class="abstract"><strong>Methods:</strong> The study is a prospective observational study comprising of 60 patients diagnosed with chronic otitis media, who underwent type 1 tympanoplasty during 2016-2018 in a tertiary care hospital.  </p><p class="abstract"><strong>Results:</strong> In our study, contralateral ear was normal in 40 (66.7%) cases &amp; diseased in 20 (33.3%) cases. Success rate of type 1 tympanoplasty in patients with normal contralateral ear was 90% (n=36) but success rate was only 60% (n=12) in diseased contralateral ear. This was statistically significant (p=0.006).</p><p class="abstract"><strong>Conclusions:</strong> Our study revealed that the status of the opposite ear is an individual prognostic factor for type 1 tympanoplasty. In other words, graft-healing rates are poorer in individuals whose opposite ears are atelectatic or perforated because of chronic otitis media.</p>

scholarly journals OUTCOMES OF CIRCUMFERENTIAL V/S ANTERIOR TUCKING TYMPANOPLASTY TECHNIQUE IN INACTIVE MUCOSAL CHRONIC OTITIS MEDIA WITH SUBTOTAL PERFORATIONS: A PROSPECTIVE OBSERVATIONAL STUDY

2021 ◽  
pp. 95-98
Author(s):  
Sultan Singh Rulania ◽  
Sushma Mahich ◽  
Rekha Harshvardhan
Keyword(s):  
Observational Study ◽  
Success Rate ◽  
Otitis Media ◽  
Uptake Rate ◽  
Prospective Observational Study ◽  
Chronic Otitis Media ◽  
Hearing Gain ◽  
Group I ◽  
The Mean ◽  
Group Ii

Objective: The objective of the study is to compare circumferential versus anterior tucking underlay tympanoplasty technique. Methods: In this prospective observational study, 100 patients with chronic otitis media (Inactive mucosal type) were included, who were randomly allocated in two groups; Group I which comprised of 50 patients in which tympanoplasty with anterior tucking was done, and Group II comprised of 50 patients in which circumferential flap tympanoplasty was done. Improvement in the hearing gain and graft uptake success rate was compared. Results: The mean air-bone gap (ABG) changed from 28.74 dB to 11.52 dB after anterior tucking with a mean change of 17.22 dB and this change was found to be statistically significant (p<0.001). Similarly, the mean ABG changed from 28.92 dB to 11.86 dB after a circumferential flap with a mean change of 17.06 dB and this change was also found to be statistically significant (p<0.001). There was a slightly better improvement (17.22 dB) in the anterior tucking group as compared to the circumferential flap (17.06 dB). This difference was, however, not found to be statistically significant (p=0.830). Three-month graft uptake rate in the anterior tucking group was found 92% and in the circumferential group was 94%. (p>0.05). Conclusions: Our study concluded that both techniques have almost the same results with good graft uptake. Results of hearing improvements in both techniques were also comparable.

scholarly journals Myringoplasty in wet and dry ears: an observational study in a tertiary care center

2021 ◽  
Author(s):  
S. Umamaheswara Rao ◽  
K. Samatha Reddy ◽  
Siva Subba Rao Pakanati ◽  
S. Chandramouli
Keyword(s):  
Observational Study ◽  
Otitis Media ◽  
Care Center ◽  
Tertiary Care ◽  
Hearing Threshold ◽  
Chronic Otitis Media ◽  
Hearing Improvement ◽  
Female Ratio ◽  
Medical College ◽  
Maximum Improvement

<p class="abstract"><strong>Background: </strong>Chronic otitis media is the most common cause of hearing impairment in the developing countries with serious effects. The aim of the study was to compare the outcome of myringoplasty in dry and wet ears in tubo-tympanic type of chronic otitis media (COM) with respect to graft uptake and hearing improvement.</p><p class="abstract"><strong>Methods:</strong> This is an observational study done in the department of ENT, Mamata medical college, Khammam, during the study period of September 2019 to February 2021 on 40 patients of tubo-tympanic type COM. On simple random basis selected patients underwent myringoplasty by underlay technique. All patients were evaluated during post-operative follow-up.</p><p class="abstract"><strong>Results:</strong> In our study, majority of patients were in the age group of 26 to 45 years with slight female preponderance, with male to female ratio (0.73:1). In our study, the successful graft uptake was seen 90% in dry ears and 85% in wet ears, which seems to be not significant in difference. With respect to hearing improvement, post-operatively there was significant improvement in both the groups, when compared to pre-operative hearing. The maximum improvement in average hearing threshold after surgery, in dry ears with large perforation (12.66dB) and in wet ears with small central perforation (12.44dB) was almost equal.</p><p><strong>Conclusions: </strong>In this study, the success rate of graft uptake and hearing improvement is found almost equal in dry and wet ears by using underlay technique of myringoplasty. </p>

scholarly journals A study to evaluate bone and cartilage ossiculoplasty in patients of ossicular disruption due to chronic suppurative otitis media

2021 ◽  
Vol 8 (1) ◽  
pp. 69
Author(s):  
Hema Mehra ◽  
Sushma Mahich ◽  
Navneet Mathur ◽  
Mahima Singh
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Suppurative Otitis Media ◽  
Hearing Gain ◽  
Conductive Hearing ◽  
And Cartilage

<p class="abstract"><strong>Background:</strong> Ossiculoplasty for ossicualar disruption in patients of chronic otitis media (COM) can be done by using either bone or cartilage. The present study was planned to compare bone and cartilage ossiculoplasty in patients of ossicular disruption due to COM.</p><p class="abstract"><strong>Methods:</strong> The prospective observational study was carried out in patients, who were admitted in the department of otorhinolaryngology of a tertiary care teaching hospital of Rajasthan during two years from November 2017 to November 2019. All patients with ossicular disruption due to COM and conductive hearing loss more than 40db were included in the study. Patients with sensorineural hearing loss were excluded from the study. Pure tone audiometry (PTA) was done before surgery. Hearing improvement was assessed 3, 6 and 12 months after surgery.  </p><p class="abstract"><strong>Results:</strong> In the present study 20 patients underwent bone ossiculoplasty using autologous incus and autologous cartilage was used in 80 patients for ossiculoplasty. Post-operative hearing gain was significantly more in autologous incus patients (22.7±4.2 db) compared to autologous cartilage (19.5±3.4 db) (p=0.002).</p><p><strong>Conclusions:</strong> The present study concluded that post-operative hearing gain was significantly better with autologous incus compared to autologous cartilage although both showed good results in terms of hearing gain. </p>

scholarly journals BACTERIOLOGICAL PROFILE AND ANTIBIOTIC SUSCEPTIBILITY FROM CASES OF OTITIS MEDIA IN TERTIARY CARE HOSPITAL

2021 ◽  
pp. 25-27
Author(s):  
Rozina Sheikh ◽  
Sonal Chavan ◽  
Ravindra Khadse ◽  
Sharmila Raut
Keyword(s):  
Otitis Media ◽  
Antibiotic Susceptibility ◽  
Tertiary Care ◽  
Acute Otitis Media ◽  
Chronic Otitis Media ◽  
Signs And Symptoms ◽  
Care Hospital ◽  
Major Health Problem ◽  
Bacteriological Profile ◽  
Group 5

Introduction: Ear infection is one of major health problem in developing countries. It is classified as otitis media and otitis externa. Otitis media is inflammation of middle ear cleft.If not treated, complication such as recurrent acute otitis media,chronic otitis media,impairment in hearing,meningitis,brain abscess and sepsis may occur. Aim and objective:To determine bacteriological profile and its antibiotic susceptibility in patient with otitis media. Material and method : A total of 96 ear discharge samples of patients having signs and symptoms of otitis media were collected and were processed using standard microbiological procedures. Result: A total of 96 patients , 66(68.75%) were females and 30(31.25%) were males. Peak prevalence of otitis media seen in age group 5-15yr (45.83%).Out of 96 ear swabs , 80 samples were culture positive.The predominant organism was Staphylococcus aureus(42.50%) followed by Pseudomonas aeruginosa(32.50%).Gram positive isolates were highest sensitivity to Vancomycin(100%) and Linezolid(100%) and highest resistance to penicillin(54.06%).Gram negative isolates showed highest sensitivity to Colistin(95.34%), Imipenam(93.02%), Pipercillin-tazobactum(83.72%) and least sensitivity to ampicillin(2.32%). Conclusion:Continuous and periodic evaluations of etiological agents and its antibiotic susceptibility is important for otitis media for rationale use of antibiotic and to prevent progression of the disease.

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