scholarly journals Role of 1.5% acetic acid irrigation and medical management in chronic persistent suppurative otitis media

2021 ◽  
Vol 7 (6) ◽  
pp. 1010
Author(s):  
Bhavya Kanakarajulu ◽  
Lanke Sowmya ◽  
Teja .
Keyword(s):  
Acetic Acid ◽  
Otitis Media ◽  
Medical Management ◽  
Symptomatic Relief ◽  
Tympanic Membrane Perforation ◽  
Suppurative Otitis Media ◽  
Acid Irrigation ◽  
Membrane Perforation ◽  
Group 2 ◽  
Systemic Antibiotics

<p><strong>Background</strong>: Chronic ear discharge in chronic suppurative otitis media (CSOM) persisting for more than two weeks has become difficult to treat for ENT specialists due to resistance to the available antibiotics and patient's affordability for its cost. Also, biofilms have been responsible for the disease and cause tympanic membrane perforation and deafness. The use of 1.5% acetic acid irrigation acts as an antiseptic, and altering the middle ear's pH to treat otorrhea in CSOM needs to be studied. Aim of the study to assess results of 1.5% acetic acid irrigation and topical and systemic antibiotic in CSOM and to consider the most appropriate medical management</p><p><strong>Methods</strong>: A total of 100 patients of CSOM was divided equally into two groups. Group 1 patients were treated with 1.5% acetic acid irrigation every other day, and group 2 was treated with topical and systemic antibiotics three drops’ times daily. Follow up of both groups every week up to symptomatic relief.</p><p><strong>Results</strong>: Otorrhoea resolution in the group treated with acetic acid was 88%, and healing of perforation was noted in 28 %, while the failure rate of 12%.</p><p><strong>Conclusions</strong>: Medical management of persistent CSOM with tubotympanic type by frequent aural cleaning, 1.5% acetic acid irrigation can be the more desirable choice than the topical and oral antibiotics. It is safe without any side effects and economical. Alteration of ear canal PH is one of the main factors for healing, in addition to mechanical disruption of biofilm and removal of deep-seated debris.</p><p><strong> </strong></p>

Efficacy of Acetic Acid Irrigation in Management of Chronic Suppurative Otitis Media “A Prospective Study

2021 ◽  
Vol 15 (10) ◽  
pp. 3300-3303
Author(s):  
Nasir Riaz ◽  
Shakaib Faiz ◽  
Danish Hassnain ◽  
Ayesha Fayyaz ◽  
Tarique Khan ◽  
...  
Keyword(s):  
Acetic Acid ◽  
Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Acid Versus ◽  
Acid Irrigation ◽  
Group A ◽  
Group B ◽  
A Prospective Study ◽  
Systemic Antibiotics

Background: Prior to surgical management of chronic suppurative otitis media (CSOM) for the dry ear medical management is necessary. CSOM is a biofilm disease and due to this has antibiotic resistance. The pillar of its treatment included aural cleaning according to standard protocols, application of topical germ free antiseptic and use of antimicrobials. Acetic acid due to its ability in reducing the pH may be effective in reducing the growth of microorganisms. Objective: The aim of the study was to compare the efficacy of irrigation with acetic acid versus systemic antibiotics in CSOM patients. Materials & Methods: A total of 134 patients, who came to the ENT department of Sheikh Zayed Hospital, Lahore between 1st April 2020 to 30th September 2020, who had CSOM, of age 15 to 55 years and both genders were included in the study. The patients were divided randomly into two groups. Group A patients received aural toilets and irrigation with acetic acid and Group B received 500 mg of ciprofloxacin twice a day for 2 weeks. Results: The mean age (in years) of the patients in Group A was 37.45±7.32 and in Group B, it was 37.96±7.57. The efficacy of irrigation with acetic acid versus systemic antibiotics was 89.55% and 68.66% respectively and this difference between the two groups was found to be statistically significant (p=0.003). Conclusion: Irrigation with acetic acid was better than systemic antibiotics in managing patients with CSOM. Key words: Acetic acid, CSOM, Middle ear

scholarly journals Otitis Media Supuratif Kronik di Poliklinik THT-KL RSUP Prof. Dr. R. D. Kandou Manado Periode Januari 2014 – Desember 2016

e-CliniC ◽  
2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Debora M. Pangemanan ◽  
Oraetlabora I. Palandeng ◽  
Olivia C.P Pelealu
Keyword(s):  
Clinical Symptom ◽  
Otitis Media ◽  
Inflammatory Process ◽  
Clinical Symptoms ◽  
Tympanic Membrane Perforation ◽  
Chronic Suppurative Otitis Media ◽  
Medical Record Data ◽  
Suppurative Otitis Media ◽  
Record Data ◽  
Membrane Perforation

Abstract: Chronic suppurative otitis media is an inflammatory process caused by mucoperiosteum infection in the middle ear cavity marked by tympanic membrane perforation. This study was aimeds to obtain the profile of chronic suppurative otitis media at Prof. Dr. R. D. Kandou Hospital Manado form January 2014 to December 2016. This was a descriptive retrospective study using medical record data. The results showed that there were 78 cases diagnosed as chronic suppurative otitis media; 30 cases (38%) were 18-40 years old. There was no difference in number by gender. Location of this disease was more often unilateral. Otorrhea was the clinical symptom found in 87% of patients, followed by otalgia and hearing disturbance. Drug treatment was the most used treatment. Conclusion: Chronic suppurative otitis media was most common in age 18-40 years and there was no difference between sexes. Otorrhea was the most frequent clinical symptom. Most cases had unilateral otitis media and treated with medical treatment.Keywords: chronic suppurative otitis media, age, gender, clinical symptoms Abstrak: Otitis media supuratif kronik (OMSK) merupakan proses peradangan yang disebabkan oleh infeksi mukoperiosteum dalam rongga telinga tengah yang ditandai oleh perforasi membran timpani. Penelitian ini bertujuan untuk mengetahui gambaran umum penderita OMSK di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2014 – Desember 2016. Jenis penelitian ini ialah deskriptif retrospektif menggunakan data rekam medis. Hasil penelitian mendapatkan 78 kasus dengan diagnosis OMSK, terbanyak didapatkan pada tahun 2016, diikuti tahun 2015 dan 2014. Kelompok usia 18-40 tahun yang terbanyak menderita OMSK, yaitu sebanyak 30 kasus (38%). Tidak ada perbedaan jumlah penderita berdasarkan jenis kelamin. Otore merupakan gejala klinik yang ditemukan pada 87% penderita, diikuti oleh otalgia dan pendengaran berkurang. Lokasi sering terjadi pada salah satu telinga. Penanganan medika mentosa ialah penanganan yang paling sering dilakukan. Simpulan: OMSK terbanyak didapatkan pada usia 18-40 tahun dan tidak terdapat perbedaan pada kedua jenis kelamin. Otore merupakan gejala klinik yang paling sering. Umumnya lokasi OMSK unilateral dan jenis penanganan tersering ialah medikamentosa.Kata kunci: otitis media supuratif kronik, usia, jenis kelamin, gejala klinik

scholarly journals Comparative study of outcomes of type-1 tympanoplasty with and without anterior tucking

2020 ◽  
Vol 6 (4) ◽  
pp. 657
Author(s):  
Kiran Gangadar S. ◽  
G. Priyadarshini
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Tympanic Membrane Perforation ◽  
Hearing Improvement ◽  
Type 1 Tympanoplasty ◽  
Membrane Perforation ◽  
Group 2

<p class="abstract"><strong>Background:</strong> Tympanoplasty is a surgical procedure for closing the tympanic membrane perforation and reconstructing the tympanic membrane and hearing, commonly after trauma and chronic otitis media. The aim of the study was to compare the clinical and audiological outcomes of tympanoplasty with or without anterior tucking.</p><p class="abstract"><strong>Methods:</strong> In this prospective study, 50 patients with chronic otitis media (COM) were divided into two groups. Group 1 underwent type 1 tympanoplasty with anterior tucking method, and group 2 underwent type 1 tympanoplasty without anterior tucking. The result was measured on graft uptake and hearing outcome at 6 months postoperatively by performing pure tone audiometry.  </p><p class="abstract"><strong>Results:</strong> The hearing improvement was almost the same in both the groups. Graft uptake was good in type 1 tympanoplasty with tucking (96%) when compared to without tucking tympanoplasty (92%). Complications like residual perforation were seen in both groups equally. Anterior marginal blunting was noted (8%) in type 1 tympanoplasty with tucking.</p><p class="abstract"><strong>Conclusions:</strong> The hearing improvement of type-1 tympanoplasty with anterior tucking and without anterior tucking is the same. Type-1 tympanoplasty with anterior tucking has a better graft acceptance. The only disadvantage of type-1 tympanoplasty with anterior tucking is anterior marginal blunting.</p>

scholarly journals Observation of hearing loss in patients with chronic suppurative otitis media tubotympanic type

1970 ◽  
Vol 7 (4) ◽  
pp. 397-401 ◽  
Author(s):  
M Maharjan ◽  
P Kafle ◽  
M Bista ◽  
S Shrestha ◽  
KC Toran
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Chronic Suppurative Otitis Media ◽  
Common Finding ◽  
Hearing Level ◽  
Suppurative Otitis Media ◽  
Low Frequencies ◽  
Membrane Perforation

Background: It is acknowledged that size and site of tympanic membrane perforation is proportional to degree of hearing loss but there are many studies which suggests otherwise. Persistent ear discharge is also supposed to deteriorate hearing level with passage of time. This study is carried out to find out the relation between size and site of tympanic membrane perforation and duration of ear discharge on hearing loss. Objectives: The objective of this study is to study the effect of size and site of tympanic membrane perforation and duration of ear discharge on hearing loss. Materials and methods: This is a cross-sectional prospective study conducted at Kathmandu Medical College, department of ear nose and throat from January till July 2009. One hundred patients aged between 8 to 60 years with pars-tensa perforations were included in the study. Detail clinical examination and history was carried out followed by hearing evaluation by audiometry was done in all cases. All the data is collected, statistical analysis is done using SPSS program and documented for study. Results: One hundred patients with 119 perforated tympanic membrane, age ranged between 8 to 60 years, 44 males and 56 females were studied. Bilateral tympanic membrane perforation were seen in 19 patients, right sided perforation in 39 and left sided in 42 patients respectively. Large central perforation involving all four quadrants was the most common otologic findings seen in 72 ears (60.50%) whereas perforation in posterosuperior quadrant was the least common finding seen in 3 patients (2.52%). Significant relation is observed between site of perforation and degree of hearing loss; posterior placed perforations seem to have larger hearing loss. Ninety-five perforations (79.83%) showed more loss in low frequencies with larger air bone gap at low frequencies. The longer the duration of ear discharge, the more the hearing loss. Conclusion: The larger the perforation, the greater the decibel loss in sound perception. The location of perforation on the tympanic membrane and the duration of ear discharge have significant effect on the magnitude of hearing loss. Key words: chronic suppurative otitis media; tympanic membrane perforation; hearing loss DOI: 10.3126/kumj.v7i4.2761 Kathmandu University Medical Journal (2009) Vol.7, No.4 Issue 28, 397-401

scholarly journals Hubungan Angka Kejadian OMSK Terhadap PHBS Di Poliklinik THT-KL Rumah Sakit Pertamina Bintang Amin Kota Bandar Lampung

2021 ◽  
Vol 3 (1) ◽  
pp. 108-115
Author(s):  
Muslim Kasim ◽  
Selvia Anggreani ◽  
Fatah Satya Wibawa ◽  
Eunike Kusuma Yanti
Keyword(s):  
Otitis Media ◽  
Coming Out ◽  
Significant Relationship ◽  
Tympanic Membrane Perforation ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Suppurative Otitis Media ◽  
Membrane Perforation ◽  
Relationship Of

ABSTRACT: RELATIONSHIP RELATIONSHIP OF CSO EVENTS TO PHBS IN THT-KL POLICLINIC PERTAMINA BINTANG AMIN HOSPITAL BANDAR LAMPUNG CITY Background: Chronic suppurative otitis media (CSOM) is an inflammation of middle ear and mastoid occurs more than 2 months, characterized by tympanic membrane perforation and the presence of fluid coming out of the ear canal. Clean and Healthy Living Behavior (PHBS) is the basis for health development to improve public health status. PHBS is a protection against the threat of diseases such as CSOM.Method: This study is a quantitative study. The method is using medical records and questionnaires. Data analysis method Chi square test.Result: The study was conducted at Pertamina Bintang Amin Hospital with a total of 54 respondents, 32 (59.3%) male and 22 (40.7%) female. The incidence of OMSK with good PHBS was 18 people or 33.3% of the total, which included 16 people or 88.9% of whom did not experience OMSK, while as many as 2 people or 11.1% experienced OMSK. Respondents with bad PHBS were 36 people or 66.7% of the total, which included 7 people or 19.4% did not experience OMSK, while 29 people or 80.6% experienced OMSK. Then, a bivariate analysis was performed and p value was obtained = 0.001. Thus, there was a significant relationship between OMSK and PHBS in the ENT-KL polyclinic at Bintang Amin Hospital, Bandar Lampung City.Conclusion: There is a significant relationship between the incidence of CSOM and PHBS in the ENT-KL polyclinic at Bintang Amin Hospital, Bandar Lampung City. Keywords: CSOM, PHBS, Ears, Nose, Throat. INTISARI: HUBUNGAN ANGKA KEJADIAN OMSK TERHADAP PHBS DI POLIKLINIK THT-KL RUMAH SAKIT PERTAMINA BINTANG AMIN KOTA BANDAR LAMPUNG Latar Belakang: Otitis media supuratif kronik (OMSK) merupakan suatu peradangan di telinga tengah dan bagian mastoid yang terjadi lebih dari 2 bulan ditandai dengan perforasi membran timpani dan adanya cairan yang keluar dari liang telinga. Perilaku Hidup Bersih dan Sehat (PHBS) adalah dasar pembangunan kesehatan untuk meningkatkan status kesehatan masyarakat. PHBS merupakan pelindung terjadinya ancaman penyakit seperti OMSK.Metode Penelitian: Penelitian ini adalah penelitian kuantitatif. Cara pengumpulan dengan meggunakan rekam medis dan kuesioner. Metode analisis data Uji Chi square.Hasil: Penelitian dilakukan di Rumah Sakit Pertamina Bintang Amin dengan jumlah responden sebanyak 54 orang dengan jenis kelamin laki-laki sebanyak 32 (59,3%) orang lebih banyak daripada jenis kelamin perempuan sebanyak 22 (40,7%) orang. Angka kejadian OMSK dengan PHBS yang baik sebanyak 18 orang atau 33,3% dari total keseluruhan yang mencakup 16 orang atau 88,9% diantaranya tidak mengalami OMSK sedangkan sebanyak 2 orang atau 11,1% mengalami OMSK. Responden dengan PHBS yang buruk sebanyak 36 orang atau 66,7% dari total keseluruhan yang mencakup 7 orang atau 19,4% tidak mengalami OMSK sedangkan sebanyak 29 orang atau 80,6% mengalami OMSK. Kemudian, dilakukan analisis bivariat dan didapatkan nilai p = 0,001. Dengan demikian, terdapat hubungan bermakna antara OMSK dengan PHBS di poliklinik THT-KL Rumah Sakit Bintang Amin Kota Bandar Lampung.Kesimpulan : Terdapat hubungan yang signifikan antara angka kejadian OMSK dengan PHBS di poliklinik THT-KL Rumah Sakit Bintang Amin Kota Bandar Lampung. Kata Kunci: OMSK, PHBS, Telinga, Hidung, Tenggorokan

scholarly journals A study of graft uptake rate of myringoplasties in Bir Hospital

2012 ◽  
Vol 7 (1) ◽  
pp. 24-27
Author(s):  
LK Yadav ◽  
J Pradhananga
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Uptake Rate ◽  
Tympanic Membrane Perforation ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
The People ◽  
Access To Health ◽  
Number Of Patients ◽  
Membrane Perforation

Chronic suppurative otitis media-tubotympanic type is one of the commonest ear diseases in the practice of otolaryngology. It mainly occurs in the people with poor socio-economic conditions hence, its magnitude is immense in remote areas of Nepal where poverty prevails the most and in people who do not have access to health facilities. The main features of this disease are ear discharge lasting more than three months, hearing loss, and perforation of the tympanic membrane. The aim of this study is to evaluate the graft uptake rate of patients who underwent Myringoplasties for Chronic Suppurative otitis media tubotympanic type. The total number of patients in the study was 129. Age of the patients varied from 13 to 45 years. Myringoplasties were performed on these patients. They were followed up at one week for stitch and ear pack removal, and then at four weeks to see for graft uptake. The graft uptake rate was found to be 81.4 %. There were no significant complications, except that few patients complained of pain at the site of incision for harvesting the graft. This study showed that myringoplasty has good success rate./7 and can be carried out safely for closure of tympanic membrane perforation in cases of chronic suppurative otitis media tubo-tympanic type. DOI: http://dx.doi.org/10.3126/jcmsn.v7i1.5969 JCMSN 2011; 7(1): 24-27

scholarly journals Interlay technique type 1 tympanoplasty, an alternative for closing large central tympanic membrane perforation

2020 ◽  
Vol 50 (1) ◽  
pp. 84
Author(s):  
Anton Budhi Darmawan
Keyword(s):  
Success Rate ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Google Scholar ◽  
High Success Rate ◽  
Suppurative Otitis Media ◽  
Type 1 Tympanoplasty ◽  
Membrane Perforation

Background: Type 1 tympanoplasty or myringoplasty is the most frequently performed procedure in the field of otology. Type 1 tympanoplasty is a surgical procedure to repair and only involves the restoration of the perforated tympanic membrane. There are three most accepted methods often used universally, namely underlay, overlay, and interlay. The interlay method is a relatively new method developed in 1992 for closing tympanic membrane perforation. This method has a high success rate of 96%. Objective: To report the success of type 1 tympanoplasty with an interlay method to close large central tympanic membrane perforations at Margono Soekarjo District Hospital. Case Report: Reporting 3 cases of chronic tubotympanic suppurative otitis media with large central tympanic membrane perforation which were repaired by type 1 tympanoplasty using interlay method. Clinical Question: Does interlay method type 1 tympanoplasty performed on large central tympanic membrane perforation provide better result compared with other methods of type 1 tympanoplasty? Review Method: Studying the evidence-based literatures on type 1 tympanoplasty interlay methods through Cochrane, Pubmed, and Google Scholar databases. Based on the inclusion and exclusion criteria, three journals were relevant with the reported cases. Result: All three journals stated that interlay method type 1 tympanoplasty had high success rate in terms of closing the tympanic membrane perforation and diminishing air-bone gap. Conclusion: Type 1 Tympanoplasty interlay method could be used as an alternative for the closure of a large central tympanic membrane perforation.Keywords: Chronic Tubotympanic Suppurative Otitis Media, large central tympanic membrane perforation, interlay tympanoplasty ABSTRAK Latar belakang: Timpanoplasti tipe 1 atau miringoplasti merupakan prosedur di bidang otologi yang paling sering dilakukan. Timpanoplasti tipe 1 merupakan metode pembedahan yang bertujuan untuk memperbaiki, dan terbatas hanya di membran timpani. Terdapat tiga metode yang paling diterima dan sering digunakan secara universal, yaitu underlay, overlay, dan interlay. Metode interlay merupakan metode penambalan perforasi membran timpani yang relatif baru, dikembangkan pada tahun 1992. Metode ini mempunyai keberhasilan yang tinggi yaitu mencapai 96%. Tujuan: Melaporkan keberhasilan timpanoplasti tipe 1 dengan metode interlay untuk penutupan perforasi membran timpani sentral besar di RSUD Margono Soekarjo. Laporan kasus: Dilaporkan 3 kasus otitis media supuratif kronik tipe tubotimpani dengan perforasi sentral besar, yang dilakukan timpanoplasti tipe 1 dengan metode interlay. Pertanyaan klinis: Apakah metode interlay timpanoplasti tipe 1 yang dilakukan pada perforasi membran timpani yang besar, dapat memberikan hasil yang lebih baik daripada metode lain timpanoplasti tipe 1? Telaah literatur: Telaah berbasis bukti mengenai timpanoplasti tipe 1 metode interlay melalui database Cochrane, Pubmed, dan Google Scholar. Berdasarkan kriteria inklusi dan ekslusi didapatkan tiga jurnal yang relevan dengan kasus yang dilaporkan. Hasil: Ketiga jurnal tersebut menyatakan bahwa timpanoplasti tipe 1 metode interlay mempunyai angka keberhasilan yang tinggi dalam hal penutupan perforasi membran timpani maupun mengurangi air-bone gap. Kesimpulan: Timpanoplasti tipe 1 metode interlay dapat digunakan sebagai alternatif untuk penutupan perforasi membran timpani sentral yang besar

scholarly journals Assessment of short term hearing improvement in patients of cartilage interposition ossiculoplasty for lenticular process of incus necrosis in cases of chronic suppurative otitis media: mucosal disease

2017 ◽  
Vol 3 (4) ◽  
pp. 821
Author(s):  
Shashikant K. Mhashal ◽  
Neeraj R. Shetty ◽  
Amit S. Rathi ◽  
Vinod A. Gite
Keyword(s):  
Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Chronic Suppurative Otitis Media ◽  
Hearing Improvement ◽  
Short Term ◽  
Suppurative Otitis Media ◽  
Mucosal Disease ◽  
Membrane Perforation ◽  
Prevalent Disease

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Chronic suppurative otitis media is a highly prevalent disease in developing countries. Hearing loss associated with this disease is significantly more in cases associated with ossicular necrosis along with tympanic membrane perforation. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">We would like to present a study of such cases of mucosal chronic suppurative otitis media associated with lenticular process necrosis treated by cartilage interposition ossiculoplasty. The patients were followed up for a minimum period of 6 months and their pre op and post op hearing was documented and analyzed.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">An average air bone gap of 39.07 decibels in pre op was reduced to 18.13 decibels in post-operative period and these improvements persisted over 6 months of follow-up. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">We have hereby concluded that the hearing improvement is comparable to other methods of ossiculoplasty with minimum disruption of natural hearing assembly in lenticular process of incus necrosis.</span></p><p class="abstract"> </p>

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