A STUDY ON OSSICULOPLASTY

2021 ◽  
pp. 19-21
Author(s):  
Manas Ranjan Rout
Keyword(s):  
Otitis Media ◽  
Operative Procedure ◽  
Tertiary Care ◽  
Acute Otitis Media ◽  
Chronic Otitis Media ◽  
Ossicular Chain ◽  
Study Data ◽  
Female Ratio ◽  
Middle Ear Pressure ◽  
Hearing Result

The diagnosis of chronic otitis media (COM) implies a permanent abnormality of the pars tensa or acida, most likely a result of earlier acute otitis media, negative middle ear pressure or otitis media with 1 2 effusion . Ossiculoplasty is a micro surgical operative procedure, performed to repair or reconstruct the ossicular chain . Present study was done to nd out the epidemiology and hearing result after ossiculoplasty. Materials and methods Study design –Retrospective study Study setting – Tertiary care hospitals in south India. Study period - Over a period of 3 years (from July 2017 to June 2020) Sample size – 55 Methodology - All the patient with COM and ossicular chain damage were considered for study. Data was collected from the medical record department and analyzed. Results - Study was to be done to nd out the natural behavior of the disease, COM with ossicular damage and how it can be managed effectively. In our study of 55 cases of ossiculoplasty, followings are nding1. 52.72% are male and 47.27% are female. And the male to female ratio is 1.11:1. 2. Mean age of the patient is 27.63. 3. Most common ossicle involved was incus. 4. Mean improvement in ABG is 15.49 and in 87.2% of patients ABG closure was with in 20dB.

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 Myringoplasty in wet and dry ears: an observational study in a tertiary care center

2021 ◽  
Author(s):  
S. Umamaheswara Rao ◽  
K. Samatha Reddy ◽  
Siva Subba Rao Pakanati ◽  
S. Chandramouli
Keyword(s):  
Observational Study ◽  
Otitis Media ◽  
Care Center ◽  
Tertiary Care ◽  
Hearing Threshold ◽  
Chronic Otitis Media ◽  
Hearing Improvement ◽  
Female Ratio ◽  
Medical College ◽  
Maximum Improvement

<p class="abstract"><strong>Background: </strong>Chronic otitis media is the most common cause of hearing impairment in the developing countries with serious effects. The aim of the study was to compare the outcome of myringoplasty in dry and wet ears in tubo-tympanic type of chronic otitis media (COM) with respect to graft uptake and hearing improvement.</p><p class="abstract"><strong>Methods:</strong> This is an observational study done in the department of ENT, Mamata medical college, Khammam, during the study period of September 2019 to February 2021 on 40 patients of tubo-tympanic type COM. On simple random basis selected patients underwent myringoplasty by underlay technique. All patients were evaluated during post-operative follow-up.</p><p class="abstract"><strong>Results:</strong> In our study, majority of patients were in the age group of 26 to 45 years with slight female preponderance, with male to female ratio (0.73:1). In our study, the successful graft uptake was seen 90% in dry ears and 85% in wet ears, which seems to be not significant in difference. With respect to hearing improvement, post-operatively there was significant improvement in both the groups, when compared to pre-operative hearing. The maximum improvement in average hearing threshold after surgery, in dry ears with large perforation (12.66dB) and in wet ears with small central perforation (12.44dB) was almost equal.</p><p><strong>Conclusions: </strong>In this study, the success rate of graft uptake and hearing improvement is found almost equal in dry and wet ears by using underlay technique of myringoplasty. </p>

scholarly journals Pattern of ENT- Head and Neck Diseases in Outpatient Department in a District Level Hospital in Bangladesh

2020 ◽  
Vol 23 (1) ◽  
pp. 74-82
Author(s):  
Md Sirazul Islam Mahfuz ◽  
Ahmed Kabir ◽  
Ahmed Sharif
Keyword(s):  
Head And Neck ◽  
Otitis Media ◽  
Health Care Services ◽  
Medical Curriculum ◽  
Acute Otitis Media ◽  
Chronic Otitis Media ◽  
Deviated Nasal Septum ◽  
Acute Tonsillitis ◽  
Cross Sectional ◽  
Female Ratio

Aims: To determine the pattern of Otorhinolaryngology- Head and Neck diseases in Gopalganj and neighbouring districts. Methods: This was a prospective cross sectional study which was carried out patients of ENT- Head & Neck diseases attendant in 250 Bedded General Hospital, Gopalganj. A total 8700 patients were attendant in OPD during period of July 2015 to June 2016. Result: In this study 45.55% were male & 54.45% female. Male female ratio 1:1.2. Age ranges from 0 to 90 years, mean age of patients 44.522 years(SD 26.16), majority of patients were age group 0 to 15 (39.10%). Top most ten diseases were chronic tonsillitis (9.50%), adenoid hypertrophy (9%), acute otitis media(7.70%),chronic otitis media(7.59%), rhinitis(7.16%), acute tonsillitis(6.50%), wax(6.40%), hearing loss & tinnitus(5.70%), rhinosinusitis (3.24%), deviated nasal septum (2.80%). Conclusion: The findings help defining the content and extent of medical curriculum in otorhinolaryngology, there by enriching the local medical graduates in their pursuit of relevant knowledge and skill in managing the relatively common and prevailing ENT diseases in Bangladesh. Therefore, there is a need for increased awareness of the people in developing countries especially in Bangladesh through social campaigns and health education aimed at providing quality ear, nose, and throat health care services. Bangladesh J Otorhinolaryngol; April 2017; 23(1): 74-82

scholarly journals INTRAOPERATIVE FINDINGS OF OSSICULAR CHAIN STATUS IN CHRONIC OTITIS MEDIA: OUR EXPERIENCE IN A TERTIARY CARE CENTRE

2021 ◽  
pp. 32-36
Author(s):  
Arijit Chatterjee ◽  
Dr Subhadeep Chowdhury Chowdhury ◽  
Dr Tithi Debnath Debnath ◽  
Sweta Verma
Keyword(s):  
Otitis Media ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Ossicular Chain ◽  
Care Hospital ◽  
Tertiary Care Centre ◽  
Retraction Pocket ◽  
Ossicular Chain Reconstruction ◽  
A Prospective Study

Background: Chronic otitis media (COM) is a permanent abnormality of the pars tensa (PT) or pars accida (PF) which may manifest in the form of atelectasis, perforation, tympanosclerosis, retraction pocket development, cholesteatoma, cholesterol granuloma, ossicular chain disruption etc. It has been further subdivided into active and inactive forms or Safe tubotympanic variety and Unsafe atticoantral variety. COM of all types is associated with erosion of the ossicular chain . The incidence and degree of ossicular destruction is much greater in cases of unsafe COM due to the presence of cholesteatoma and/or granulations .The aim of the present study was to correlate the type of COM, the site of perforation/retraction and the type of disease pathology with the pattern and degree of ossicular chain necrosis. Aims and objectives: AIM OF THE STUDY: To study the ossicular chain involvement in both safe and unsafe types of COM in patients attending to E.N.T. Department of a tertiary care hospital OBJECTIVES: 1. To study the incidence of ossicular chain pathology in both types of COM. 2. To study the frequency and type of involvement of each ossicle. 3. To compare the ossicular chain involvement in tubotympanic and atticoantral variety of Chronic otitis media.. Methodology: A prospective study was performed in 90 cases of COM who were subjected to tympanomastoidectomy in tertiary care hospital for a period of 1year from January2019 to December 2019. Pre-operative clinical and audiometric ndings were compared with per-operative ossicular chain status. Results: Ossicularinvolvement is seen in both types of COM more in unsafe type of COM. Incus is the most commonly affected ossicle while malleus is the least affected ossicle. Conclusion: Ossicular chain status should be checked in all patients with COM. So otolaryngologists should be able to address the ossicular chain reconstruction to give the best hearing outcome to the patient.

scholarly journals BACTERIOLOGICAL PROFILE AND ANTIBIOTIC SUSCEPTIBILITY FROM CASES OF OTITIS MEDIA IN TERTIARY CARE HOSPITAL

2021 ◽  
pp. 25-27
Author(s):  
Rozina Sheikh ◽  
Sonal Chavan ◽  
Ravindra Khadse ◽  
Sharmila Raut
Keyword(s):  
Otitis Media ◽  
Antibiotic Susceptibility ◽  
Tertiary Care ◽  
Acute Otitis Media ◽  
Chronic Otitis Media ◽  
Signs And Symptoms ◽  
Care Hospital ◽  
Major Health Problem ◽  
Bacteriological Profile ◽  
Group 5

Introduction: Ear infection is one of major health problem in developing countries. It is classified as otitis media and otitis externa. Otitis media is inflammation of middle ear cleft.If not treated, complication such as recurrent acute otitis media,chronic otitis media,impairment in hearing,meningitis,brain abscess and sepsis may occur. Aim and objective:To determine bacteriological profile and its antibiotic susceptibility in patient with otitis media. Material and method : A total of 96 ear discharge samples of patients having signs and symptoms of otitis media were collected and were processed using standard microbiological procedures. Result: A total of 96 patients , 66(68.75%) were females and 30(31.25%) were males. Peak prevalence of otitis media seen in age group 5-15yr (45.83%).Out of 96 ear swabs , 80 samples were culture positive.The predominant organism was Staphylococcus aureus(42.50%) followed by Pseudomonas aeruginosa(32.50%).Gram positive isolates were highest sensitivity to Vancomycin(100%) and Linezolid(100%) and highest resistance to penicillin(54.06%).Gram negative isolates showed highest sensitivity to Colistin(95.34%), Imipenam(93.02%), Pipercillin-tazobactum(83.72%) and least sensitivity to ampicillin(2.32%). Conclusion:Continuous and periodic evaluations of etiological agents and its antibiotic susceptibility is important for otitis media for rationale use of antibiotic and to prevent progression of the disease.

Otitis media in Indigenous Australian children: review of epidemiology and risk factors

2013 ◽  
Vol 128 (S1) ◽  
pp. S16-S27 ◽  
Author(s):  
Jake Jervis-Bardy ◽  
L Sanchez ◽  
A S Carney
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Otitis Media ◽  
Bacterial Load ◽  
Grey Literature ◽  
Acute Otitis Media ◽  
Chronic Otitis Media ◽  
Health Concern ◽  
Indigenous Australian ◽  
Indigenous Children

AbstractBackground:Otitis media represents a major health concern in Australian Indigenous children (‘Indigenous children’), which has persisted, despite public health measures, for over 30 years.Methods:Global searches were performed to retrieve peer-reviewed and ‘grey’ literature investigating the epidemiology of and risk factors for otitis media in Indigenous children, published between 1985 and 2012.Results:In Indigenous children, the prevalence of otitis media subtypes is 7.1–12.8 per cent for acute otitis media, 10.5–30.3 per cent for active chronic otitis media and 31–50 per cent for tympanic membrane perforation. The initial onset of otitis media in Indigenous children occurs earlier and persists for longer after the first year of life, compared with non-Indigenous children. Indigenous children are colonised by otopathogens more frequently, at younger ages and with a higher bacterial load. Poor community and domestic infrastructure, overcrowding and exposure to tobacco smoke increase the risk of otitis media in Indigenous children; however, the availability of swimming pools plays no role in the prevention or management of otitis media.Conclusion:Despite awareness of the epidemiological burden of otitis media and its risk factors in Indigenous children, studies undertaken since 1985 demonstrate that otitis media remains a significant public health concern in this population.

Otitis Media in Infancy: Tympanometric Findings

PEDIATRICS ◽  
1979 ◽  
Vol 63 (3) ◽  
pp. 435-442
Author(s):  
Jessie R. Groothuis ◽  
Sarah H. W. Sell ◽  
Peter F. Wright ◽  
Judith M. Thompson ◽  
William A. Altemeier
Keyword(s):  
Otitis Media ◽  
Acute Otitis Media ◽  
Chronic Otitis Media ◽  
Normal Pressure ◽  
Pressure Curve ◽  
Type B ◽  
History Of ◽  
Life Type ◽  
Insight Into

Ninety-one normal infants were followed longitudinally for varying periods from November 1975 to April 1977 to assess the correlation between tympanometry and pneumatic otoscopy and to study the pathogenesis of acute and chronic otitis media early in life. Type A (normal) tympanograms correlated with normal otoscopic findings in 92% of instances. Type B tympanograms, indicating reduced drum compliance with a relatively flat pressure curve, were associated with abnormal otoscopic findings in 93% of cases. The A8 (reduced compliance, normal pressure) and C (normal compliance, negative pressure) tympanograms were less consistent predictors of otoscopic findings. The correlation of tympanometric and otoscopic findings were similar in infants above and below 7 months of age. Tympanometry provided some insight into the natural history of otitis in 71 infants followed 12 to 17 months. Infants who failed to develop otitis had type B curves in only one of 240 determinations (0.4%). This pattern did not appear in those who developed acute otitis media (AOM) until the month preceding the first attack; nine of 29 tests (31%) made under these circumstances were type B. When a type B curve appeared in an asymptomatic study infant who had not previously had otitis, AOM developed within a month in nine of ten instances. At the time of diagnosis of first AOM, 87% of tympanograms were type B with the remainder type A8 or C. Sixty-three percent of tympanograms obtained from 25 infants during the six months following first AOM were type B, indicating that abnormal middle ear function was often prolonged. Fifteen of these 25 developed recurrent otitis during follow-up.

scholarly journals Comparison of efficacy of myringoplasty in dry and wet ears in chronic otitis media of tubotympanic type

2017 ◽  
Vol 3 (3) ◽  
pp. 705 ◽  
Author(s):  
Yogeshwar Chandrashekar ◽  
Ravishankar Chandrashekar
Keyword(s):  
Otitis Media ◽  
Statistical Significance ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Inflammatory Cells ◽  
P Value ◽  
Hearing Improvement ◽  
Female Ratio ◽  
Fascia Graft ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> The objective of the study was to compare the outcome of myringoplasty in dry and wet ears in tubotympanic type of chronic otitis media (COM) with respect to graft uptake and hearing improvement.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study done in department of ENT Bangalore Medical College and Research Institute during the study period of November 2014 to May 2016, wherein a total of 60 patients of tubotympanic type COM with 30 cases each of dry and wet ears, aged 15-60 years were included. The hearing impairment was assessed and recorded by pure tone audiometry (PTA). After obtaining informed written consent the patients underwent myringoplasty (temporalis fascia graft, underlay technique). Microbiological examination of discharge in wet ears was done and histopathology of the excised remnant TM analyzed in both groups. Both groups of patients were followed up for 3 months and assessed for graft uptake and hearing improvement. PTA was repeated at 3 months postoperatively.  </p><p class="abstract"><strong>Results:</strong> Our study included 60 patients of tubotympanic type of COM with 30 cases each with dry and wet ears who underwent myringoplasty. Majority of our patients were in second decade in both the groups. There was slight female preponderance in our study with male to female ratio of 0.93:1. Discharge from ears in wet ears was mucoid in consistency and were culture negative. Histopathology of excised remnant TM in wet ears revealed evidence of inflammatory cells and vascularization within stroma of fibroblasts while these were absent in dry ear cases. The overall successful graft uptake following myringoplasty was 88.3% with 86.7% for wet ears and 90% for dry ears with no statistical significance (p value of 0.688&gt;0.05) between the two groups. With respect to hearing improvement post-operatively there was significant hearing improvement in both the groups when compared to preoperative hearing with a mean hearing gain (dB) of 3.43±2.81 in wet ear cases to 3.85±3.05 in dry ear cases, but when compared between the two groups, there was no significant statistical difference (p value of 0.582&gt;0.05).</p><p><strong>Conclusions:</strong> The outcome is equally good for myringoplasty in dry and wet ears in tubotympanic type of chronic otitis media with respect to graft uptake and hearing improvement. </p>

scholarly journals Evaluation of hearing status after type I tympanoplasty

2020 ◽  
Vol 24 (1) ◽  
pp. 50-55
Author(s):  
Mashuque Mahamud ◽  
Mani Lal Aich ◽  
Abdullah Al Mamun ◽  
Rafiul Alam
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Type I ◽  
Cross Sectional ◽  
Female Ratio ◽  
The Mean ◽  
Type I Tympanoplasty ◽  
Air Conduction

Objective: To evaluate hearing outcome after type I tympanoplasty in inactive mucous type of chronic otitis media. Methods: It was a cross-sectional study conducted in the department of Otolaryngology & Head Neck Surgery, Sir Salimullah Medical College and Mitford Hospital, Dhaka, from July 2014 to June 2016. 50 cases were selected by matching inclusion and exclusion criteria. Paired t-test and Z test was used to analyze the variables. P values <0.05 was considered as statistically significant. Results: The mean age was found 28.5 years with range from 15 to 41 years and male female ratio was 1.3:1. All patients had intermittent otorrhoea and varying degree of hearing loss. The mean air conduction threshold was 40.2 dB preoperatively and 27.1 dB post-operatively. Air-bone gap was found 26.9 dB in preoperative and 16.1 dB in post-operative group. The differences were statistically significant between preoperative and post-operative group. Thus mean improvement of air conduction threshold was 13.1 dB and air-bone gap was 10.8 dB. Two third (66.%) patients improved <15 db air conduction thresholds and 17(34%) improved ≥15 db air conduction thresholds. Using the proportion of patients with a postoperative hearing within 40 dB as the criterion, this study showed 46(92%) patients achieving this and 40(80%) patients achieving AB gap within 20 db postoperatively. Conclusion: Improvement of air conduction threshold and AB gap after type I tympanoplasty was statistically significant. Thus from this study it can be concluded that type I tympanoplasty is an effective technique for hearing improvement in inactive mucous type of chronic otitis media. Bangladesh J Otorhinolaryngol; April 2018; 24(1): 50-55

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