scholarly journals Study on otitis media with effusion

1970 ◽  
Vol 15 (2) ◽  
pp. 50-54
Author(s):  
Syed Hasan Imam Al-Masum ◽  
Md Arif Hossain Bhuiyan ◽  
Md Abu Yusuf Fakir
Keyword(s):  
Medical Treatment ◽  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Chronic Otitis Media ◽  
Neck Surgery ◽  
Age Group ◽  
Suppurative Otitis Media ◽  
Presenting Symptoms ◽  
Head Neck Surgery ◽  
Head Neck

Objective: To study the clinical, audiological and radiological characteristics along with the management outcome of chronic otitis media with effusion. Setting: Department of Otolaryngology & Head - Neck Surgery, Dhaka Shishu Hospital and Apollo Hospital's Dhaka, Bangladesh. Materials and Methods: This study included three hundred and thirty patients of chronic Otitis media with effusion that have been treated in the department of Otolaryngology and Head-Neck Surgery, at Dhaka Shishu Hospital and Apollo Hospitals, Dhaka from January, 2007 to July, 2008. The data of patients included age, sex, presenting symptoms and signs, preoperative investigations like pure tone audiometry (PTA) and Impedance test, operation notes, complications of surgery and state at follow up. Results: This study included 198 males and 132 females. 222 patients (67.27%) were in the age group of 2-5 years. Main presenting symptom was fullness of the ear (50.30%) and main presenting sign was dull eardrum (72.18%). Turning fork test and PTA have been done in the age group of 7-10 years. In 166(59.30%) patients Impedence was type B. 222 (66.69%) patients have been cured with medical treatment. 69(20.90%) patients underwent grommet insertion as medical treatment has been failed in those patients. Two patients developed postoperative chronic suppurative otitis media with central perforation and one patient developed thinned tympanic membranes that have been treated conservatively. Conclusion: Chronic otitis media with effusion is usually not a threat to life but result in complications. As long as fluid is present in the middle ear, hearing will be affected. Hearing problems can interfere with language development in children. Any fluid that lasts longer than 3 months should be treated surgically. Keywords: Otitis Media with effusion; myringotomy; audiometry. DOI: 10.3329/bjo.v15i2.5057 Bangladesh J Otorhinolaryngol 2009; 15(2): 50-54

scholarly journals An increase in cases of complicated chronic otitis media: an indirect impact of COVID pandemic

2021 ◽  
Vol 8 (1) ◽  
pp. 5
Author(s):  
Faizah A. L. Deva
Keyword(s):  
Otitis Media ◽  
Middle Age ◽  
Chronic Otitis Media ◽  
Common Disease ◽  
Study Group ◽  
Age Group ◽  
Suppurative Otitis Media ◽  
Indirect Impact ◽  
Accurate Treatment ◽  
Fatal Complications

<p><strong>Background:</strong> Chronic otitis media is the most common disease dealt by an otologist, the cases of complication of which are remarkably low. The use of antibiotics and mastoidectomies have resulted in the fall of the fatal complications. COVID-19 pandemic called for restrictions which lead to medical care delay.</p><p><strong>Methods:</strong> This study was conducted in the department of otolaryngology of GMC and associated hospitals, Jammu from June 2020 and May 2021. The data was retrospectively collected the data from March 2018 to June 2020. The study group included the patients diagnosed with Chronic suppurative otitis media (CSOM) on otoscopy and the patients with complications of CSOM were evaluated for the symptoms of complication, type of complication, bacteriology, treatment and hospital stay.</p><p><strong>Results:</strong> The 38 (7.5%) patients among these were diagnosed with one or other complication, out of which 29 (76.3%) cases occurred during the COVID pandemic. The extra-cranial complications were more common and young to middle age group was more commonly involved.</p><p><strong>Conclusions:</strong> COM is a common otological disease, the occurrence of which should not be taken lightly. Without timely and accurate treatment, the complications ensue which are difficult to treat and require expertise.</p>

Role of intratympanic steroid injection in treatment of otitis media with effusion: A systematic review/ Meta -Analysis

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ahmed A Mohammed ◽  
Tarek A Hamdy ◽  
Anas M Askoura ◽  
Ahmed M Abdulhakim
Keyword(s):  
Systematic Review ◽  
Medical Treatment ◽  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Chronic Otitis Media ◽  
Good Effect ◽  
Major Health Problem ◽  
Best Medical Treatment ◽  
Intratympanic Injection ◽  
Ventilation Tubes

Abstract Background Otitis media with effusion (OME) is a worldwide major health problem for both children and adult, who have a history of chronic eustachian tube dysfunction. Aim of the Work to review the effect of intratympanic injection of steroids in treatment of chronic otitis media with effusion (persistent more than 3 months after failure to medical treatment [e.g. local & systemic steroids or decongestants] or surgical ventilation tubes). Material and Methods This systematic review was done as a collective analysis of 5 retrospective and prospective cohort studies done on patients with OME. Studies on Patients who were diagnosed with chronic otitis media with effusion not responding to conventional methods of treatment. Results The data analysed and results showed an improvement of 41.2% of the cases treated with intratympanic injection of steroids compared to 11% improvement in cases treated by conventional medical methods with a relative improvement around 6.4 folds to intratympanic injection of steroids over medical treatment. All of these studies have shown that there are more advantages of directed ototopical steroid therapy over systemic therapy. Topical medications often have limited systemic effects due to their limited systemic uptake. It may be less expensive as compared to systemic medications. Conclusion Intratympanic injection of long acting steroids has good effect in management of OME resistant to medical and surgical treatment and has superior effect and high rate of recovery on local nasal steroid spray. In children combination of ventilation tubes and intratymapnic injection of steroids is the best known modality of treatment. Further studies are needed to evaluate the best medical treatment of chronic OME.

Neutrophil Elastase and its Complex with Alpha1-Antitrypsin in the Pathogenesis of Chronic Suppurative Otitis Media

1992 ◽  
Vol 101 (10_suppl) ◽  
pp. 26-31 ◽  
Author(s):  
Yukiyoshi Hamaguchi ◽  
Yasuo Sakakura
Keyword(s):  
Otitis Media ◽  
Neutrophil Elastase ◽  
Bacterial Infections ◽  
Otitis Media With Effusion ◽  
Chronic Otitis Media ◽  
Mean Value ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Significant Difference ◽  
The Mean

Neutrophil elastase (NE) and its complex with α1-antitrypsin were quantified in ear discharges from 15 patients with chronic suppurative otitis media (CSOM), and their levels were compared to those in middle ear effusions from 10 pediatric patients with chronic otitis media with effusion (OME). The localization of immunoreactive NE was also examined by immunocytologic study. The mean value of total NE was 161.8 ± 29.5 μg/mL in CSOM, which was significantly higher than that in OME (16.5 ± 6.7 μg/mL). The mean value of NE–α1-antitrypsin complex was 13.7 ± 8.8 μg/mL in CSOM and 7.8 ± 4.0 μg/mL in OME. There was no significant difference between culture-positive and culture-negative samples in CSOM. Immunoreactive NE could be observed in the neutrophils of ear discharges, and extracellular release of NE was also observed. Ear discharges in CSOM contain a considerable amount of uncomplexed NE, of which the level does not depend on active bacterial infections. Uncomplexed NE seems to play a role in the chronicity of CSOM.

scholarly journals Epidemiological and Clinical Aspects and Therapy of Chronic Otitis Media in the “ENT” and Cervicofacial Surgery Ward in the University Hospital of Ouagadougou

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Y. M. C. Gyebre ◽  
R. W.-L. Ouedraogo ◽  
A. Elola ◽  
B. P. Ouedraogo ◽  
M. Sereme ◽  
...  
Keyword(s):  
Prospective Study ◽  
Otitis Media ◽  
Preventive Measures ◽  
Otitis Media With Effusion ◽  
Chronic Otitis Media ◽  
University Hospital ◽  
Clinical Aspects ◽  
Age Group ◽  
A Prospective Study ◽  
The University

Objectives. The aim of this study was to analyze the epidemiological and clinical aspects of chronic otitis media and its therapeutic processes in our context. Patients and Methods. In a prospective study over a period of 1 year (March 2009–February 2010), 79 patients with chronic otitis media have been cared for in the otolaryngology ward of the University Hospital of Ouagadougou. Results. Chronic otitis media (COM) commonly occurs in the age group from 0 to 15 years (40.50%). Otorrhea was the main reason for consultation in 53 cases (67.10%); the most frequently encountered clinicopathological forms were simple COM (71%) followed by otitis media with effusion (24.30%). Intra-auricular instillations of traditional products (46.09%) were the dominant favoring factor. Treatment was essentially through medication in 59 cases with a stabilization of lesions. Endotemporal complications were noticed in 6 cases. Conclusion. The fight against chronic otitis media is carried out through preventive measures of education the of people.

scholarly journals UNILATERAL CHRONIC SUPPURATIVE OTITIS MEDIA: EFFECT OF NASAL SEPTAL DEVIATION

2021 ◽  
Vol 9 (03) ◽  
pp. 122-126
Author(s):  
Ali Abdulridha Atiyah ◽  
◽  
Nada Saadi Majeed ◽  
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Septal Deviation ◽  
Chronic Suppurative Otitis Media ◽  
Age Group ◽  
Media Effect ◽  
Suppurative Otitis Media ◽  
Female Ratio ◽  
Nasal Septal Deviation ◽  
Medical City

Background:Otitis media is an inflammation of part or all of the mucoperiosteal lining of the middle ear cleft. It can be acute, subacute and chronic otitis media infection. Septal deviation has got many unwanted changes such as: nasal obstruction, mucosal changes. Methodology:A descriptive clinical study, carried out on adult patients consulting ENT department at medical city. Those patients have a unilateral chronic suppurative otitis media. Results:The unilateral CSOM can affect any age group, with a slightly higher prevalence in the age group (21-30) year forming 29% of the total patients.Male to female ratio was 1.2:1. Eighty-nine patients presented with aural discharge. Patients with tubotympanic having only perforation and associated with septal deviation forming 68.1% of the patients. Patients with atticoantral having only perforation and associated with septal deviation 63.2% of patients. Conclusion: Unilateral chronic suppurative otitis media can affect all age group and both sexes. The tubotympanic type is mor prevalent. Nasal septal deviation is commonly found in patients with unilateral chronic suppurative otitis media.

scholarly journals Spectrum of clinical characteristics of chronic suppurative otitis media unsafe type: a retrospective study from a tertiary care teaching hospital in Central India

2021 ◽  
Vol 7 (7) ◽  
pp. 1105
Author(s):  
Rashmi Hansdah ◽  
Kavita Sachdeva
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Tertiary Care ◽  
Disease Process ◽  
Chronic Otitis Media ◽  
Central India ◽  
Neck Surgery ◽  
Chronic Suppurative Otitis Media ◽  
Retropharyngeal Abscess ◽  
Suppurative Otitis Media

<p><strong>Background: </strong>Chronic suppurative otitis media (CSOM)-unsafe type or atticoantral disease or chronic otitis media-squamosal type is a commonly encountered bone eroding disease of the middle ear whose complications can be potentially fatal.</p><p><strong>Methods:</strong> Retrospective analysis of 80 patients who underwent mastoid exploration in the department of otolaryngology and head and neck surgery, NSCBMCH, Jabalpur between June 2016 and May 2017.</p><p><strong>Results: </strong>Unsafe CSOM is commoner in young males of 16-30-year age group. Foul smelling, scanty, purulent ear discharge was the commonest symptom (97.5%). Attic perforation was the most consistent otoscopic finding (47.5% cases). 15% of our patients had central perforations. Conductive hearing loss was most common (62%) followed by mixed hearing loss (23%) and sensorineural hearing loss (11%). Commonest complication encountered was mastoiditis (27 cases). Mastoidectomy with tympanoplasty was done in almost all cases (97.5%). Attic (96.2%), additus (90%), and antrum (86.2%) were commonly involved by disease process. Incus was found to be most susceptible to erosion (88.5%) while stapes was most resistant (36.25%).</p><p><strong>Conclusions:</strong> Unsafe CSOM presenting late warrant prompt diagnosis and surgical intervention. Unusual presentation like retropharyngeal abscess and trismus should raise suspicion of complicated unsafe CSOM in patients with history of otorrhoea. Canal wall down mastoidectomy with rehabilitation of hearing is the surgery of choice in patients who are unlikely to follow up regularly.</p>

Acute Otitis Media

1996 ◽  
Vol 17 (6) ◽  
pp. 191-195
Author(s):  
Suzanne Maxson ◽  
Terry Yamauchi
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Acute Otitis Media ◽  
Clinical Signs ◽  
Chronic Otitis Media ◽  
Sudden Onset ◽  
Purulent Discharge ◽  
Suppurative Otitis Media ◽  
Physician Visits

Definitions Acute otitis media with effusion (AOME) is a clinically identifiable, suppurative infection of the middle ear. The infection has a relatively sudden onset and short duration. It denotes inflammation of the mucoperiosteal lining of the middle ear. The inflamed tympanic membrane (TM) is bulging, opacified, or both. The condition chronic otitis media is poorly defined, but it may be categorized into two clinical entities for simplification: chronic otitis media with effusion (COME) and chronic suppurative otitis media (CSOM). COME, also known as serous or non-suppurative otitis media, is characterized by the presence of a middle ear effusion (MEE) behind an intact TM that persists for more than 2 to 3 months. It may be asymptomatic except for hearing loss. There generally are no acute clinical signs or symptoms, and the TM is not red or bulging. CSOM is characterized by chronic perforation of the TM, with purulent discharge, for a prolonged period of time, usually more than 6 weeks. There generally is an insidious clinical onset. Either COME or CSOM may follow AOME. Epidemiology Otitis media is one of the most frequent causes for physician visits by children. Approximately 25% of such visits during the first year of life are for middle ear disease; this increases to 40% for children 4 to 5 years of age.

scholarly journals Comparison between outcome of Inside-out & Outside-in mastoidectomy

2020 ◽  
Vol 24 (1) ◽  
pp. 29-36
Author(s):  
Md Afzal Karim ◽  
Md Mostafizur Rahman ◽  
Fatema Nihar ◽  
Ahmmad Taous ◽  
Sheikh Mohammad Rafiqul Hossain ◽  
...  
Keyword(s):  
Neck Surgery ◽  
Cross Sectional Study ◽  
Mastoid Cavity ◽  
Sectional Study ◽  
Cross Sectional ◽  
Suppurative Otitis Media ◽  
Loss Of Hearing ◽  
Inside Out ◽  
Head Neck Surgery ◽  
Head Neck

Background: Chronic suppurative otitis media is a disease that is known worldwide and that is more common in developing countries. Many techniques are available for operating the disease. Objectives: To compare outcome between Inside-out & Outside-in mastoidectomy. Methods: A cross-sectional study was conducted to compare outcome between Inside-Out & Outside-in mastoidectomy. Period of study was from July’ 2010 to March, 2012 in the Department of Otolaryngology and Head-Neck Surgery, BSMMU- Dhaka Result: majority of the patient were found dry mastoid cavity 13(68.42%) and rest were wet mastoid cavity 6 (31.58%).On the other hand in outside–in mastoidectomy dry mastoid cavity were 80.6% and wet were 19.4%. In inside-out mastoidectomy, among 8 attic cholesteatoma cases 5(62.50%) had gained hearing (average 6.66 dB) and 3(37.50%) had no gain or loss of hearing (average 3.89dB); among 11 entire mastoid bowl cholesteatoma cases 3(27.27%) had gained of hearing (average 6.11dB) and 8(72.73%) had no gain or loss of hearing (average 6.87dB) Bangladesh J Otorhinolaryngol; April 2018; 24(1): 29-36

Skull base meningiomas mimicking otitis media

2012 ◽  
Vol 126 (6) ◽  
pp. 619-624 ◽  
Author(s):  
R Shihada ◽  
M Lurie ◽  
M Luntz
Keyword(s):  
Skull Base ◽  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Chronic Otitis Media ◽  
Rare Condition ◽  
Presenting Symptoms ◽  
Benign Tumours ◽  
Case Presentations ◽  
Skull Base Meningiomas

AbstractIntroduction:Meningiomas are slow-growing, benign tumours originating from the arachnoid villi of the meninges. They account for 13 to 26 per cent of all intracranial neoplasms. Less than 1 per cent of all meningiomas are primary extracranial tumours of the ear and temporal bone. Intracranial meningiomas extending to the middle-ear cleft are uncommon, with fewer than 100 cases reported to date. Presenting symptoms of the latter condition may include hearing loss, tinnitus, dizziness, vertigo and facial palsy. Otitis media with effusion secondary to eustachian tube dysfunction has also been reported.Aim:To describe three patients in whom chronic otitis media was the presenting sign of skull base meningioma.Method:Case presentations.Results:Presentation of clinical and imaging findings as well as management considerations.Conclusion:Meningioma involving the middle ear is an extremely rare condition, and is diagnosed by computed tomography in conjunction with magnetic resonance imaging. When biopsy is performed, the histological features, characteristic immunophenotype and ultrastructural analysis are valuable aids to definitive diagnosis. In patients with no neurological symptoms, ‘wait and scan’ is often the best management option.

scholarly journals Correlation of Enlarged Adenoids with conductive hearing impairment in children under twelve

2016 ◽  
Vol 21 (2) ◽  
pp. 62-68
Author(s):  
SM Sarwar ◽  
Masroor Rahman ◽  
Mohammad Idrish Ali ◽  
Md Morshed Alam ◽  
Md Anwar Hossain ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Neck Surgery ◽  
Middle Ear Pressure ◽  
Medical University ◽  
Conductive Hearing ◽  
Head Neck Surgery

Objective: To find out the relation of conductive hearing loss in children with enlarged adenoids.Methods: Study was conducted in out patients department and Indoor wards of the Department of Otolaryngology on Head Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka during the periods of October 2005 to March 2006. 60 patients with enlarged amides were included in this study. The assessment of the patients were established on the basic of history clinical, 2 and audiological examination was done. Data were collected and analyzed using statistical package for Social Science.Results: In this study 60 patients (from 3 years to 12 years age) diagnosed as having ‘enlarged adenoids’ in the Otolaryngology and Head-Neck Surgery out patient and in patient Departments of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from May 2005 to March 2006 are included in this series. Most of the patients presented with multiple symptoms, the commonest was the hearing impairment (58.33%). Other common symptoms were mouth breathing (50.00%), Nasal obstruction (50.00%), snoring (46.67%). Majority of them were male (62.85%) and 53.33% were in the 5-10 years age group. Middle class family occupy the lion share (58.33%). 60.00% patients live in a overcrowded condition. 50.00% patients were found with gross enlargement of adenoids. Hearing impairment was found in 58.33% ears of-patients of adenoids. Reduced middle ear pressure and compliance were found in 64.00% ears. Among the patients of enlarged adenoids otitis media with effusion was found in 58.33% (35) of patients. Among the patients of OME majority was male (62.85%). There was 77.14% (27) bilateral and 22.85% (8) unilateral cases. On otoscopy of OME patients, all patients had retraction of tympanic membrane, cone of lights were distorted in 50.00%, fluidlevels in 68.57% and bubbles were in 28.57% of ears. 71.43% OME patients had hearing loss in the range of 26-40 dB. Middle ear pressure and compliance were found reduced in 88.57% (62) ears of OME patients. There were 58.33% incidence of OME among enlarged adenoids cases. All the patients of OME with enlarged adenoids had a hearing loss between 26-55dB. Out of the 22 OME cases with gross adenoids, 16 had a middle ear pressure between -201 to-300 mm of H20 and 19 had a middle ear pressure between -101 to -200 mm of H20. On myringotomy fluid came out from all 62 (100%) ears. From majority (38) ears serous type of fluid came out.Conclusion: This is an endeavor to find out a correlation of enlarged adenoids with conductive hearing impairment in children. Otitis media with effusion is suspected in all children suffering from enlarged adenoids. All together 60 patients with enlarged adenoids were included in the study. Result of this study may not be the actual picture of overall situation due to many limitations is this study. Still it can be concluded that enlarged adenoids has a definite role in causing OME and conductive hearing impairment. So early diagnosis and treatment of enlarged adenoids can be encouraged to decrease the actual incidence, morbidity and complications of otitis media with effusion and thus conductive hearing impairment in childhood.Bangladesh J Otorhinolaryngol; October 2015; 21(2): 62-68

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