scholarly journals Periorbital Ecchymosis and Subconjunctival Hemorrhage following Ear Surgery

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Mohsen Rajati ◽  
Mehdi Bakhshaee ◽  
Kamran Khazaeni

Objective. To evaluate the occurrence of two periorbital complications of surgery for Chronic Suppurative Otitis Media (CSOM) and discuss the potential pathophysiologic mechanisms. Materials and Methods. This is a retrospective review of the CSOM surgeries performed between Oct, 2005, and Jan, 2011, in our hospital. The early postoperative conditions of the patients were scrutinized to identify periorbital ecchymosis and subconjunctival hemorrhage. Results. Eight cases out of 756 patients were noted to have periorbital ecchymosis, and two of the patients also had simultaneous subconjunctival hemorrhage. All cases in which the complications occurred had undergone tympanoplasty, and in three patients mastoidectomy had also been performed. The age of the affected patients ranged from 24 to 70 years old. In all of them the condition ensued the day after the surgery and became better within 5 to 10 days. Complete recovery took approximately 1 month. Conclusion. Periorbital ecchymosis and subconjunctival hemorrhage are rare but safe complications of ear surgeries. The conditions are self-limiting and no management is necessary.

2012 ◽  
Vol 6 (4) ◽  
pp. 31-35 ◽  
Author(s):  
LK Yadav ◽  
D Shrestha ◽  
J Pradhananga

Myringoplasty is one of the most common ear surgery performed for chronic suppurative otitis media tubo tympanic type. The prime concern for patients who are willing to undergo myringoplasty is hearing improvement. The aim of this study is to assess the improvement of hearing after myringoplasties for Chronic Suppurative Otitis Media tubo tympanic type. The total number of patients included in the study was 105. Myringoplasties were performed in 129 patients, and only those who had graft uptake i.e. 105, were selected for the study. Age of the patients varied from 13 to 45 years. Pure tone audiogram was done before the operation and four weeks after the operation, and air conduction thresholds were compared. It was found that 83% of the patients had some degree of hearing improvement after the operation. No significant complications were observed except that few patients complained of pain at the site of incision for harvesting the graft. Thus, this study shows that, patients can be assured that the chances of hearing improvement is acceptable and can undergo the operation without fearing complications. Journal of College of Medical Sciences-Nepal,2011,Vol-6,No-4, 31-35 DOI: http://dx.doi.org/10.3126/jcmsn.v6i4.6723


2014 ◽  
Vol 128 (5) ◽  
pp. 421-424 ◽  
Author(s):  
O Guntinas-Lichius ◽  
C Wittekindt ◽  
M Baier ◽  
J J Manni

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.


Author(s):  
Shashin Khadkekar ◽  
Libin Mathew Benny ◽  
Atishkumar B. Gujrathi ◽  
Nishikant Gadpayale ◽  
Yogesh Paikrao

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) is a very common disease that should be carefully treated, as severe complications can develop. Despite the significantly decrease incidence of CSOM-related complications since the introduction of antibiotics, this clinical problem has not been eliminated.</p><p class="abstract"><strong>Methods:</strong> This was an observational study conducted including 60 cases of attico-antral type of CSOM and its complications. Detailed study of determinants of attico-antral type of CSOM and its complications were studied. The various options in the management of disease and its complications with their outcomes were studied.  </p><p class="abstract"><strong>Results:</strong> Majority of study participants belonged to lower socio-economic group. intra-temporal complications were most common complications and most of the patients required canal wall down surgery. Majority patients had complete recovery of the disease without recurrence during 3 months of follow-up.</p><p class="abstract"><strong>Conclusions:</strong> Our study concluded majority of the patients belonged to the low socioeconomic status. It was also clear from the study that timely intervention in the form of early diagnosis and administration of proper treatment resulted in complete recovery of majority of patients.</p>


2012 ◽  
Vol 270 (1) ◽  
pp. 69-76 ◽  
Author(s):  
E. Yorgancılar ◽  
M. Yıldırım ◽  
R. Gun ◽  
S. Bakır ◽  
R. Tekın ◽  
...  

2021 ◽  
Vol 86 (1) ◽  
pp. 25
Author(s):  
M.R. Bogomilsky ◽  
M.M. Polunin ◽  
Yu.L. Soldatsky ◽  
V.S. Minasyan ◽  
A.M. Ivanenko ◽  
...  

Author(s):  
Amit Patil ◽  
Poonam Khairnar

<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>


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