scholarly journals Complications of Chronic Suppurative Otitis Media AA Type-3 Years Experience at TUTH

2003 ◽  
Vol 40 (138) ◽  
pp. 77-82 ◽  
Author(s):  
Naramaya Thapa ◽  
R P Shrivastava ◽  
RC M Amatya ◽  
B K Sinha ◽  
H Bhattarai ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Otitis Media ◽  
Teaching Hospital ◽  
Granulation Tissue ◽  
Neck Surgery ◽  
University Teaching ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Intracranial Complications ◽  
Type 3

This retrospective study was carried out in the Department of ORL and Head &Neck Surgery, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu.Three hundred patients having atticoantral type of chronic suppurative otitis mediaunderwent emergency or routine mastoid exploration from 14 April 1997 to 12April 2000. Of the 300 patients, 64 (21.33%) had complications. Age of the patientswith complications ranged from 5-38 years. Thirty eight (59.38%) patients were malewhile 26 (40.62%) were female. Forty eight (75%) had extracranial and 15 (23.44%)had intracranial complications while 1 (2.08%) had both extra and intracranialcomplications. Cholesteatoma was present in 233 (77.66%) patients and of these 48(20.60%) had complications. Sixty seven (22.33%) patients had granulation tissue, ofthese 16 (23.88%) had complications.In cholesteatomatous cases 34 (70.83%) hadextracranial complications. Intracranial complications were present in 14(29.17%)cholesteatomatous cases. In patients with granulation tissue extracranial complicationwas present in 14 (87.50%) patients and only one patient had intracranialcomplication.Combination of extra and intracranial complications were found in 1patient with granulation tissue. When compared with types of pathology extracranialcomplications were higher in patients with granulation tissue (87.50% vs 70.83%)and intracranial complications were found more in cholesteatomatous cases (29.17%vs 6.26%). Both these findings were , however, statistically not significant. Reasonsbehind these findings may be presence of granulation tissue beneath the epitheliumof choleateatoma, and association of both types of pathology with infection andinflammatory process.Key Words: Chronic Suppurative Otitis Media, Atticoantral Type, Mastoid Exploration, Complications.

scholarly journals A study of complications of chronic suppurative otitis media at tertiary care hospital

2020 ◽  
Vol 6 (2) ◽  
pp. 330
Author(s):  
Bhagirathsinh D. Parmar ◽  
Sushil Jha ◽  
Vikas Sinha ◽  
Nirav Chaudhury ◽  
Gavendra Dave
Keyword(s):  
Otitis Media ◽  
Tertiary Care ◽  
Acute Otitis Media ◽  
Neck Surgery ◽  
Study Data ◽  
Chronic Suppurative Otitis Media ◽  
Common Disease ◽  
Care Hospital ◽  
Suppurative Otitis Media ◽  
Intracranial Complications

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) is a still common disease in developing country and is found sometimes difficult to treat. Different complications can develop inspite of availability of higher antibiotics. In pre-antibiotic era, complications of acute otitis media and CSOM were very common and lead to high mortality. Inspite of initial decline in the complication of CSOM due to higher antibiotics, the incidences are still on rise. CSOM remains a serious disease, particularly in developing countries and CSOM-related complications are still found life-threatening. The aim and objective was to study various clinical presentations and management of CSOM related complications.</p><p class="abstract"><strong>Methods:</strong> All patients of chronic supurrative otitis media with intra or extracranial complication who were admitted in Department of Otorhinolaryngology Head and Neck surgery, Sir. T. General Hospital, Government Medical College, Bhavnagar from July 2015 to December 2018 was included in this study. Data of clinical presentation, associated complication, management, and follow-up were analysed.  </p><p class="abstract"><strong>Results:</strong> Out of 250 patients of CSOM admitted during these 3 years in ENT Department, 36 patients presented with CSOM related complications. 15 patients presented with intracranial complications and 21 patients presented with extracranial complications.</p><p class="abstract"><strong>Conclusions:</strong> Inspite of availability of higher antibiotics, CSOM related complications are still common. In all the patients require higher intravenous antibiotics (which crosses blood brain barrier) followed by mastoid surgeries.</p>

scholarly journals Intra-operative findings of attico-antral type of chronic suppurative otitis media: A study of 85 patients.

2020 ◽  
Vol 27 (10) ◽  
pp. 2229-2234
Author(s):  
Naeem Akhtar ◽  
Muhammad Waqas ◽  
Asma Naeem
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Granulation Tissue ◽  
Tertiary Care ◽  
Neck Surgery ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Life Threatening ◽  
Operative Findings ◽  
Huge Challenge

Objectives: Chronic suppurative otitis media is the most common ear disease in Otolaryngology OPD and Head & Neck surgery in tertiary care hospitals worldwide. Due to its life threatening complications and management difficulties, attico-antral disease, a type of CSOM poses a huge challenge to otolaryngologists. Study Design: Descriptive study. Setting: Department of Otolaryngology and Head & Neck Surgery Allied Hospital (FMU) Faisalabad. Period: From January 2016 to December 2018. Material & Methods: Eighty five patients with CSOM of attico-antral type were included. Results: Forty six patients (54.1%) were male and thirty nine patients (45.9%) were female, aged 07 to 58 years with an average age of 23.7 years. 42 patients (49.4%) had a right ear disease and 43 patients (50.6%) had a left ear disease. Granulation tissue was observed in 50 patients (58.8%), cholesteatoma in 27 patients (31.7%) and both granulation tissue and cholesteatoma in 08 patients (09.5%). The main pathology was observed to involve the attic area only of 04 patients (04.7%), attic and middle ear of 44 patients (51.7%), attic and antrum of 16 patients (18.9%) and attic, middle ear, antrum and other mastoid air cells in 21 cases (24.7%). The malleus handle was found eroded in 10 patients (11.8%), head & handle in only 02 patients (02.4%). In 23 patients (27%) long process of incus was damaged while incus was completely eroded in 03 patients (03.5%). The suprastructure of stapes was found eroded in 03 patients (03.5%). Conclusion: Granulation tissue is the most common primary lesion along with cholesteatoma associated with attico-antral type of CSOM. Due to this pathology, the incus is the most frequently eroded small bone of the middle ear. In addition the management of granulation tissue and cholesteatoma poses a huge challenge to the otolaryngologists. Therefore, the general practitioners are needed to be educated for early referral to otolaryngologist for early and rapid management to prevent complications due to attico-antral type of CSOM.

scholarly journals Clinical and Bacteriological Study of Chronic Suppurative Otitis Media by Anaerobic Culture Methods in a Teaching Hospital

2014 ◽  
Vol 3 (2) ◽  
pp. 12-14 ◽  
Author(s):  
Jagdish Kumar ◽  
Bindu P Hima
Keyword(s):  
Head And Neck ◽  
Otitis Media ◽  
Teaching Hospital ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Chronic Suppurative Otitis Media ◽  
Anaerobic Culture ◽  
Culture Methods ◽  
Suppurative Otitis Media ◽  
Bacteriological Study

DOI: http://dx.doi.org/10.3126/njenthns.v3i2.10155 Nepalese Journal of Head and Neck Surgery Vol.3(2) 2012: 12-14

scholarly journals Challenges in management of chronic suppurative otitis media in a developing country

2007 ◽  
Vol 122 (1) ◽  
pp. 16-20 ◽  
Author(s):  
O V Akinpelu ◽  
Y B Amusa ◽  
E O Komolafe ◽  
A A Adeolu ◽  
A O Oladele ◽  
...  
Keyword(s):  
Developing Country ◽  
Otitis Media ◽  
Rural Areas ◽  
University Teaching ◽  
Chronic Suppurative Otitis Media ◽  
Teaching Hospitals ◽  
Suppurative Otitis Media ◽  
Intracranial Complications ◽  
University Teaching Hospitals ◽  
Nose And Throat

AbstractBackground:In developing countries, the rate of complications from chronic suppurative otitis media is still high, due to factors associated with poverty. This study aimed to determine the prevalence of chronic suppurative otitis media and associated complications.Patients and methods:We prospectively studied all patients presenting with chronic suppurative otitis media to the ear, nose and throat unit of the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria, over a two-year period.Results:One hundred and sixty new cases of chronic suppurative otitis media were seen. These constituted 11.1 per cent of all new cases and 21.5 per cent of all otological cases seen. About half (51.7 per cent) of these patients were younger than 15 years. Most patients were from rural areas and had been previously managed by unlicensed, untrained practitioners. Complications were mostly seen in children. Intracranial complications were seen in 10 (6.3 per cent) cases; this was associated with a high mortality rate.Conclusion:This study found that, in Nigeria, a developing country, ‘safe’ chronic suppurative otitis media was not without serious problems. Provision of adequate health facilities may reduce such problems.

scholarly journals Complications of Chronic Suppurative Otitis Media

2016 ◽  
Vol 3 (01) ◽  
pp. 32-37
Author(s):  
Arifullah . ◽  
Syed Zafar Hasan ◽  
Islam Gul ◽  
Waqar -Ud- Din ◽  
Aftab Ahmad
Keyword(s):  
Otitis Media ◽  
Teaching Hospital ◽  
Sinus Thrombosis ◽  
Chronic Suppurative Otitis Media ◽  
Lateral Sinus ◽  
Suppurative Otitis Media ◽  
Lateral Sinus Thrombosis ◽  
Intracranial Complications ◽  
History Of ◽  
Extracranial Complications

OBJECTIVEThe aim of the study was to find the complications of chronic suppurative otitis media.MATERIAL AND METHODSThe study was descriptive study conducted from 1st January 2008 to 31 December 2010 (3 years duration) at ENT department Khyber Teaching Hospital Peshawar. Total 250 patients of all age having complications due to chronic suppurative otitis media enrolled from admitted patients in ENT department Khyber Teaching Hospital Peshawar were included in the study, using convenience (non-probability) sampling.RESULTSIn total of 250 patients, all (100%) were having history of discharging ear, decreased hearing 250 (100%), earache in 75 (30%), fever in 31(12.4%), headache in 28 (11.2%), nausea and vomiting in 23 (9.2%) patients. The extracranial complications were found in 204/250 (81.6%) patients with mastoiditis being the most common in 155/204 (75.98%) patients followed by sensory reural hearing loss, post auricular abscess, facial paralysis, petrositis, labynthitis, Bezold’s abscess and cetili’s abscess in 7.84%, 6.37%, 5.88%, 1.7%, 0.98%, 0.98% and 0.49% patients respectively. While the intracranial complications were found in 46/250 (18.4%) patients with meningitis being the most common in 28/46 (60.9%) followed by brain abscess in 26%, lateral sinus thrombosis in 8.7% and otitic hydrocephalus in 4.4% patients.CONCLUSIONEarly detection and treatment of complications as a result of chronic suppurative otitis is vital to prevent morbidity and mortality.

Aerobic Bacteriology of Chronic Suppurative Otitis Media without Cholesteatoma in Children

1992 ◽  
Vol 101 (10) ◽  
pp. 866-869 ◽  
Author(s):  
Dan M. Fliss ◽  
Naftali Meidan ◽  
Ron Dagan ◽  
Alberto Leiberman
Keyword(s):  
Staphylococcus Aureus ◽  
Pseudomonas Aeruginosa ◽  
Prospective Study ◽  
Otitis Media ◽  
Granulation Tissue ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Gram Negative ◽  
Nonsurgical Management ◽  
A Prospective Study

Medical management of chronic suppurative otitis media without cholesteatoma in children was shown recently to be efficacious. We undertook a prospective study in order to determine 1) the organisms associated with the disease and their sensitivity to various antibiotics and 2) their association with clinical variables. Pseudomonas was isolated from 84% of the patients, enteric gram-negative bacilli from 32%, Staphylococcus aureus from 20%, streptococci from 14%, and Hemophilus influenzae from 15%. Pseudomonas aeruginosa was the sole isolate in 48 of the 128 patients (38%). The sensitivity of P aeruginosa (78 isolates) was 100% (of isolates) to mezlocillin and ciprofloxacin, 99% to tobramycin and ceftazidime, 97% to piperacillin, 94% to gentamicin, and 78% to ceftriaxone. The isolated organisms and their sensitivity to antibiotics were not associated with age, sex, duration of otorrhea, or the presence of granulation tissue or polyps. We believe that our data may contribute to the appropriate choice of antibiotics when nonsurgical management of chronic suppurative otitis media without cholesteatoma is considered.

Complications and Sequelae of Chronic Suppurative Otitis Media

1988 ◽  
Vol 97 (2_suppl) ◽  
pp. 38-40 ◽  
Author(s):  
Orval E. Brown ◽  
William L. Meyerhoff
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Facial Paralysis ◽  
Chronic Suppurative Otitis Media ◽  
Lateral Sinus ◽  
Suppurative Otitis Media ◽  
Intracranial Complications ◽  
Osseous Changes

Chronic suppurative otitis media is an infection of the ME space associated with irreversible tissue disease. This entity is generally seen clinically as ME infection associated with a nonhealing perforation of the TM. It has significant complications and sequelae. Otologic complications of C Supp OM include petrositis, facial paralysis, and labyrinthitis. Intracranial complications include lateral sinus thrombophlebitis, meningitis, and intracranial abscesses. Sequelae include osseous changes of the ME with associated hearing loss, cholesteatoma, and tympanosclerosis.

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