Knowledge, attitudes, beliefs and practices related to chronic suppurative otitis media and hearing impairment in Pokhara, Nepal

AbstractBackground:Nepal has a high prevalence of chronic suppurative otitis media and hearing impairment. An improved understanding of patients' knowledge, attitudes, beliefs and practices is therefore important for effective healthcare planning and intervention.Method:Questionnaires designed to explore their current knowledge, attitudes, beliefs and practices were completed by 153 participants: 71 were affected by a known ear disease and 82 were unaffected.Results:In the unaffected group, 31.7 per cent considered breast milk to be a risk factor for ear infection. Home remedies (e.g. leaf paste, oils, and urine and/or bodily fluids) had been used by 42.3 per cent of the affected group. Most participants (71.9 per cent) believed that society discriminates against those with hearing impairment.Conclusion:Knowledge deficits and false beliefs were found in both groups, along with a significant use of home remedies and a perception of discrimination against people with hearing impairment. These findings are relevant for healthcare providers and may aid the development of policy, interventions and public education initiatives.

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Hearing impairment in unilateral chronic suppurative otitis media

Kazan medical journal ◽

10.17816/kazmj70711 ◽

1986 ◽

Vol 67 (5) ◽

pp. 370-372

Author(s):

A. Ya. Nugumanov

Keyword(s):

Hearing Loss ◽

Hearing Impairment ◽

Otitis Media ◽

Mixed Type ◽

Chronic Suppurative Otitis Media ◽

Auditory Function ◽

Suppurative Otitis Media ◽

Long Time

When studying the auditory function of patients suffering from unilateral chronic purulent otitis media for a long time, we noticed that along with hearing reduction in the diseased ear of the mixed type, there was often hearing reduction in the opposite ear of the neurosensory hearing loss type. These changes were even more pronounced when chronic purulent otitis media was combined with labyrinthitis. In patients aged 50 years and older, hearing loss in the opposite ear, exceeding age thresholds, was more frequent.

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Sociodemographic Factors of Atticoantral Chronic Suppurative Otitis Media

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v26i2.50641 ◽

2020 ◽

Vol 26 (2) ◽

pp. 136-141

Author(s):

Mohammed Sirazul Islam ◽

Md Bashir Ahmed ◽

Nazneen Khan ◽

AKM Asaduzzaman

Keyword(s):

Hearing Impairment ◽

Otitis Media ◽

Neck Surgery ◽

Sociodemographic Factors ◽

Chronic Suppurative Otitis Media ◽

Military Hospital ◽

Common Disease ◽

Suppurative Otitis Media ◽

The Right ◽

Almost All

Background: Chronic suppurative otitis media (CSOM) is an inflammatory process in the middle ear cleft. When there is attic or marginal perforation it is called the atticoantral variety of COSM which is manifested as foul smelling aural discharge and hearing impairment. In Bangladesh, chronic suppurative otitis media (CSOM) is a common disease in clinical practice. Objective: The aim of this study was to find out the clinical presentation of atticoantral chronic suppurative otitis media (CSOM) in defence personnel and their families. Methods: A retrospective study was carried out in the Department of ENT and Head-Neck Surgery, Combined Military Hospital (CMH), Dhaka from 01 April 2017 to 31 December 2019.Forty seven patients of Atticoantral variety of CSOM were included by matching inclusion and exclusion criteria. Results: Majority of the patients presented in the second and third decade of life(11-20 years: 29.79%, 21-30 years: 44.68%). All the patients belonged to the soldiers and their families. The maximum numbers of patients were from rural area(51.06%), completed only primary education (48.94%). Most of them lived in a kutcha building. Almost all the patients presented with multiple symptoms. Discharge from ear(s) (100%), and hearing impairment (82.97%) were the leading features. Only (2.14%) had extracranial complication and there was no intracranial complication. Most of the patients were having unilateral atticoantral CSOM, in the right side (61.70%), left side (36.17%) and only one (2.12%) had bilateral involvement. Audiometric tests were done in 100% of the patients and found; mild deafness (19.14%), moderate deafness (78.72%) and moderately severe deafness (2.14%). Conclusion: The frequency of chronic suppurative otitis media is higher in the younger age group and lacking of education. By increasing health awareness of the general people and early diagnosis of atticoantral CSOM and timely surgical intervention may be helpful to eradicate the disease and prevent complications. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 136-141

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Treatment of Chronic Suppurative Otitis Media: A Comparison between Topical, Systemic and Combined Topical-Systemic antibiotics

Ibrahim Cardiac Medical Journal ◽

10.3329/icmj.v4i1.52871 ◽

2015 ◽

Vol 4 (1) ◽

pp. 27-32

Author(s):

Syed Hasan Imam Al Masum ◽

Ali Jacob Arsalan

Keyword(s):

Hearing Impairment ◽

Otitis Media ◽

Hearing Threshold ◽

Chronic Suppurative Otitis Media ◽

Treatment Modalities ◽

Suppurative Otitis Media ◽

Duration Of Illness ◽

Significant Difference ◽

Successful Resolution ◽

Systemic Antibiotics

Background and Objectives: The present study was undertaken to determine which of the three treatment modalities (topical, systemic and topical systemic combined) is the best in treating chronic suppurative otitis media (CSOM) in children. Patients & Methods: This comparative clinical trial was conducted prospectively in Dhaka Shisu Hospital, Sher-e-Bangla Nagar, Dhaka over a period of 6 months. We enrolled 92 children with chronic CSOM, aged 5- 12 years, from patients attending at pediatric ENT OPD. The children were randomly assigned to three treatment groups. All parents were advised dry mopping of their children two times daily. The first group (n = 51) received topical ciprofloxacin 4 times daily, the second group received systemic ciprofloxacin only10 mg/kg body weight/day twice daily for 14 days and the third group received both systemic and topical ciprofloxacin. The primary outcome measures were resolution of otorrhoea by 2 - 3 weeks of intervention and healing of tympanic membranes on otoscopy by 8-12weeks of intervention. Hearing levels were assessed by audiometry. Results: Of the three groups of children enrolled in the study, the topical-systemic group was significantly older than the topical and systemic groups (p = 0.003). However, the groups were not different in terms of sex and duration of illness (p = 0.125 and p = 0.191 respectively). The cardinal presentation was otorrhoea. Over half of the children in each group had marginal perforation (p=0.062). Most of the children in each group had mild hearing impairment (p = 0.212). Poor attention and poor academic performance were rarely found. After 2 weeks of treatment, majority of patients in Topical, Systemic and Topical Systemic Combined Group had a successful resolution (92.1%, 95.4% and 94.7%) with no significant difference among the groups (p = 0.641). Time taken for resolution was almost similar among the groups with mean resolution time being 2 weeks (p = 0.313). Difference among the groups regarding hearing impairment was evident with highest impairment being in the Topical and the lowest in the combined group (p = 0.048). Among groups, topical and systemic group had higher improvement of hearing threshold than topical, systemic combined group (p=0.024). The groups were no different with respect to treatment failure (p = 0.595) Conclusions: The study concluded that there was no significant difference in outcome in three modalities of treatment - topical, systemic and topical-systemic combined. So only topical antibiotics will do suffice in the treatment of CSOM, unless there is no sign of complications (like fever and/or pain). Ibrahim Cardiac Med J 2014; 4(1): 27-32

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A RETROSPECTIVE STUDY ON CLINICAL AND EPIDEMIOLOGICAL PROFILE AMONGST POST OPERATED PATIENTS OF CHRONIC SUPPURATIVE OTITIS MEDIA (CSOM) AT A TERTIARY CARE CENTER.

UP STATE JOURNAL OF OTOLARYNGOLOGY AND HEAD AND NECK SURGERY ◽

10.36611/upjohns/volume8/issue2/5 ◽

2020 ◽

Vol VOLUME 8 (ISSUE 2) ◽

pp. 23-27

Author(s):

Harendra Kumar Gautam

Keyword(s):

Socioeconomic Status ◽

Retrospective Study ◽

Hearing Impairment ◽

Otitis Media ◽

Care Center ◽

Tertiary Care ◽

Chronic Suppurative Otitis Media ◽

Tertiary Care Center ◽

Suppurative Otitis Media ◽

Socioeconomic Burden

Abstract Background: Chronic suppurative otitis media (CSOM) remains one of the most common ear diseases in the general population. The socioeconomic burden of CSOM is still very high both nancially and non-nancially for the society. There is a need for capacity building to reduce the burden as well as the associated risk. Aims and Objectives: The aim of this study was to study the clinical and epidemiological prole of post operated patients of chronic suppurative otitis media (CSOM) at a tertiary care center. Materials and Methods: This was a retrospective study of 265 patients of clinically diagnosed CSOM. The study was carried out at the ENT department, LLR hospital, GSVM medical college Kanpur during the period of 6 years from August 2013 to July 2019. Results: The data collec ted from the Clinicoepidemiological study of chronic suppurative otitis media carried out on 265 patients, showed that 197 patients had unilateral ear disease while 68 patients had bilateral ear disease. Among 265 patients, 126 (47.54%) were male and 139 (52.42%) were female. 44.15% patients were in age group 11to20 years of age. 72.82% patients belonged to lower socioeconomic status. Tubotympanic type constituted majority 207 (78.12%) cases followed by atticoantral type in 58 (21.88%) cases. Most patients presented with moderate hearing impairment 113 (42.64%). Conclusion: CSOM is a preventable cause of hearing impairment. Early diagnosis and management can effectively reduce the socioeconomic burden and prevent deafness. Keywords: CSOM, Socioeconomic status, Hearing impairment

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Study on Hearing Impairment in Bangladesh

Chattagram Maa-O-Shishu Hospital Medical College Journal ◽

10.3329/cmoshmcj.v20i1.53592 ◽

2021 ◽

Vol 20 (1) ◽

pp. 72-76

Author(s):

Mohammad Mahabubul Alam Chowdhury ◽

Kamrul Hassan Tarafder ◽

Pran Gopal Datta ◽

Mostafa Zaman ◽

Nasima Akhtar ◽

...

Keyword(s):

Hearing Loss ◽

Hearing Impairment ◽

Otitis Media ◽

Conductive Hearing Loss ◽

Otitis Media With Effusion ◽

Public Awareness ◽

Chronic Suppurative Otitis Media ◽

Suppurative Otitis Media ◽

Ear Wax ◽

Conductive Hearing

Background : Hearing impairment is one of the leading causes of disability in Bangladesh. Since half the cases can be prevented through public awareness, early detection and timely management, planning of public health interventions become necessary. To achieve this, a nationwide level of evidence is required. This survey was conducted with the aim of determining the prevalence of hearing impairment in Bangladesh. Materials and methods : The study was a cross-sectional one, conducted between January to May 2013, where a multistage, geographically clustered sampling approach was used. A total of 52 primary sampling units were selected, and from each unit households were selected at random followed by random selection of an individual from each household. In total, 5,220 people were targeted out of which data collection could be completed from 4260 individuals. (82%). Following clinical assessment of study subjects, hearing status was assessed by pure tone audiometry and otoacoustic emission test. Results : The mean age was 32 years among which 58% were females. Among men, there were 29% students, 28% agriculture workers and 14% business men. A major portion of females (63%) were home makers. On clinical examination, 11.5% respondents had impacted ear wax, 6.2% had chronic middle ear infections with eardrum perforation, and 5.3% had otitis media with effusion.On hearing assessment, 34.6% respondents had some form of hearing loss (>25dB in better ear). Conductive hearing loss was found in 12.0%, sensorineural in 4.5% and mixed in 3.8%, where the latter two increased in prevalence with age. Out of the total respondents, 9.6% had disabling hearing loss according to WHO criteria, with a higher prevalence in adults > 60 years(37%). Logistic regression analysis showed age, socioeconomic status, presence of ear wax, chronic suppurative otitis media, otitis media with effusion and otitis externa were significant predictors of disabling hearing loss. Conclusion : The major causes of conductive hearing loss are chronic suppurative otitis media and otitis media with effusion. Chatt Maa Shi Hosp Med Coll J; Vol.20 (1); January 2021; Page 72-76

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Characteristics of hearing impairment in Yemeni children with chronic suppurative otitis media: A case–control study

International Journal of Pediatric Otorhinolaryngology ◽

10.1016/j.ijporl.2009.12.004 ◽

2010 ◽

Vol 74 (3) ◽

pp. 283-286 ◽

Cited By ~ 23

Author(s):

Mohamed A. Elemraid ◽

Bernard J. Brabin ◽

William D. Fraser ◽

Gregory Harper ◽

Brian Faragher ◽

...

Keyword(s):

Hearing Impairment ◽

Otitis Media ◽

Case Control Study ◽

Case Control ◽

Chronic Suppurative Otitis Media ◽

Suppurative Otitis Media ◽

Control Study

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Disabling hearing impairment in the Bangladeshi population

The Journal of Laryngology & Otology ◽

10.1017/s002221511400348x ◽

2015 ◽

Vol 129 (2) ◽

pp. 126-135 ◽

Cited By ~ 8

Author(s):

K H Tarafder ◽

N Akhtar ◽

M M Zaman ◽

M A Rasel ◽

M R Bhuiyan ◽

...

Keyword(s):

Hearing Loss ◽

Hearing Impairment ◽

Otitis Media ◽

Otoacoustic Emissions ◽

Otitis Media With Effusion ◽

Multiple Logistic Regression Analysis ◽

Pure Tone Audiometry ◽

Chronic Suppurative Otitis Media ◽

Suppurative Otitis Media ◽

Ear Wax

AbstractObjective:This study aimed to determine the prevalence of hearing impairment in Bangladeshi people of all ages.Methods:A nationally representative cross-sectional survey was carried out in 2013. A total of 4260 subjects (1774 males and 2486 females), with a mean age of 32 years, participated. Hearing impairment was determined by pure tone audiometry and otoacoustic emissions testing.Results:Disabling hearing loss (greater than 40 dB loss in adults, and greater than 30 dB loss in children younger than 15 years, in their better hearing ears) was present in 9.6 per cent (95 per cent confidence interval, 8.5–10.8 per cent) of the respondents. Hearing loss was more prevalent in socio-economically deprived people and in those older than 60 years. Multiple logistic regression analysis identified age, socio-economic deprivation, family history, impacted ear wax, chronic suppurative otitis media, otitis media with effusion, and otitis externa as the significant predictors of disabling hearing loss.Conclusion:Deafness prevention should focus mainly on chronic suppurative otitis media, otitis media with effusion, and impacted ear wax prevention, integrated within the primary healthcare system and addressing the equity issue.

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Comparative study of tubotympanic and atticoantral variety of Chronic suppurative otitis media

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v16i2.6846 ◽

1970 ◽

Vol 16 (2) ◽

pp. 113-119 ◽

Cited By ~ 4

Author(s):

Md Rafiqul Islam ◽

Ahmmad Taous ◽

Md Monwar Hossain ◽

AFM Ekramuddaula ◽

Mohammed Shafiqul Islam

Keyword(s):

Hearing Impairment ◽

Otitis Media ◽

Economic Status ◽

Pond Water ◽

Cross Sectional Study ◽

Chronic Suppurative Otitis Media ◽

College Hospital ◽

Cross Sectional ◽

Suppurative Otitis Media ◽

Female Ratio

Objectives: To find out the difference between tubotympanic and atticoantral type of chronic suppurative otitis media in their presentation, complications and hearing impairment they produce. Methods: This cross sectional study done in the department of Otolaryngology of Mymensingh Medical College Hospital and Bangabandhu Sheikh Mujib Medical University, during the period of January 2005 to February 2006. For this study 100 Patients who were diagnosed as a case of chronic suppurative otitis media by detailed history, clinical examination and related investigations were collected. Results: In this study majority of the patients were within 10-20 years of age & male female ratio 2.1:1. This condition was common in rural population with low socio economic status having poor nutrition and those who take bath in river or pond water in rural area. Common presentation of tubotympanic type of CSOM was aural discharge and deafness but presentation of atticdntral type of CSOM was aural discharge and deafness with other symptoms like earache, fever, headache tinnitus and vertigo, etc. Hearing loss was found more in atticoantral type of disease. Complication of CSOM was found only in atticoantral type of disease. Conclusion: Complications are more frequent and hearing impairment is morein severity in case of atticoantral type of chronic suppurative otitis media Key word: CSOM; Tubotympanic; Atticoantral.DOI: 10.3329/bjo.v16i2.6846Bangladesh J Otorhinolaryngol 2010; 16(2): 113-119

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Study of clinical profile, pathological and functional changes in contralateral ear in patients of chronic suppurative otitis media

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20193885 ◽

2019 ◽

Vol 5 (5) ◽

pp. 1368

Author(s):

Ritu Nigam ◽

Rajesh Kumar Bairwa ◽

Ayesha Goel

Keyword(s):

Tympanic Membrane ◽

Hearing Impairment ◽

Otitis Media ◽

Neck Surgery ◽

Clinical Profile ◽

Chronic Suppurative Otitis Media ◽

Suppurative Otitis Media ◽

Functional Changes ◽

Pars Tensa ◽

Contralateral Ear

Background: Since unilateral chronic suppurative otitis media (CSOM) does not look to be an isolated entity, but rather a series of constitutional events that affect both ears. The aim of the present study is to study the clinical profile, pathological and functional changes in contralateral ear in patients of CSOM.Methods: Three thundred CSOM patients were studied in the Department of Otorhinolaryngology and Head and Neck Surgery. Patients were examined with otoscope after complete history and sociodemographic taking. Results: CSOM was more prevalent among females (54%) of young age group (41.6%) and with lower socioeconomic status (46%). Right ear was mostly affected (52.66%). Majority had discharge with hearing impairment (49.3%), 32.3% had ear discharge and 13.6% had hearing impairment and majority had pars tensa perforation (82.66%). In mucosal type CSOM, in CLE majority had abnormal tympanic membrane TM, of them majority had thinning (17.33%) and out of 65 patients with pars tensa retraction, majority had Grade I (22.17%). In squamosal type of CSOM, in CLE, 75% had abnormal TM, out of that 34.61% had pars tensa retraction and of that 23.07% had Grade I.Conclusions: Abnormal contralateral ear was more prevalent. Mucous type of CSOM has a chance forming various grades of tympanic membrane retraction, tympano sclerosis, thin healed membrane in the contralateral ear whereas squamous type of CSOM has a greater chance of contralateral ear involvement like, retraction granulation.

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Prevalence and determinants of chronic suppurative otitis media in school going children in Bareilly (Uttar Pradesh)

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20180701 ◽

2018 ◽

Vol 4 (2) ◽

pp. 348

Author(s):

Aditya Singhal ◽

Pooja Agrawal ◽

Vijender Kumar Agrawal

Keyword(s):

Health Care ◽

Hearing Impairment ◽

Otitis Media ◽

Uttar Pradesh ◽

Health Care Facilities ◽

Chronic Suppurative Otitis Media ◽

Care Hospital ◽

Care Providers ◽

Suppurative Otitis Media ◽

Ear Diseases

Background: Chronic suppurative otitis media (CSOM) is one of the most common ear diseases in the South East Asia having a prevalence of approximately 5.2% in the general population. The objective of the study was to find the prevalence of CSOM in school going children in urban field practice area of tertiary care hospital in Bareilly (UP). Methods: Cross-sectional study involving 495 schools going children in Bareilly district of Uttar Pradesh. Results: The prevalence of CSOM was found to be 6.46%, with tubotympanic type constituting majority 81.25% trailed by atticoantral type 18.75%. Most patients presented with moderate hearing impairment (43.75%) and mild hearing impairment (31.25%). With respect to socioeconomic groups, upper lower, groups had 40.63%, and lower group had 34.37% prevalence. Conclusions: Improvement of health care facilities and awareness among health-care providers would definitely be helpful in reducing the prevalence of ear diseases in the developing countries like India.

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