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Category: Volume 07 Issue 02 February 2019
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Title: A study on Demographic characteristics and Clinical Spectrum of Complications of CSOM 
Authors: Dr A.S Aruna Kumari, Dr Novshaba

 DOI: https://dx.doi.org/10.18535/jmscr/v7i2.108

Abstract

Introduction

Chronic otitis media is the inflammatory disorder of middle ear cleft which is characterised by the permanent defect in pars tensa or pars flaccida.1 Highest incidence of chronic otitis media is seen in developing countries.2 Chronic Otitis Media can progress to serious complications if left unattended.  Complications are grouped into Intratemporal and Intracranial complications.3 The factors responsible for the progression of disease to complications include virulence of organism, resistance offered by patient, inappropriate use of antibiotic, and antibiotic resistance.2 Even though there has been decrease in the incidence of complications due to advent of vaccinations and antibiotics these complications are life threatening and need early recognition and prompt management.4 The most common routeof spread of complications is bone erosion by the disease process in squamosal COM and via vascular channels in mucosal COM.5

Aim & Objectives

  • To describe the demographic characteristics and clinical spectrum of Complications of COM
  • To identify the role of different management strategies in preventing and managing the complications

Inclusion criteria

  • All age group of COM mucosal and squamosal patients presenting with intra and intra temporal complications

Exclusion criteria

  • Revision cases

Materials & Methods

Study Design: Retrospective

Study Duration: 2 Years

Sample Size: 100

Study Area: Govt. ENT hospital, Koti, Telangana

Patients of COM were subjected to detailed history taking and ENT examination. Radiological investigations were ordered depending upon the pathology. Neurosurgeons and Neurophyscians opinion was sought as and when required. Consent for the treatment was taken. Medical and surgical management was done based on pathology. Referral to neurosurgeon was done for neurosurgical intervention.

References

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  2. Acuin J. Chronic suppurative otitis media-burden of illness and management options. Geneva: World Health Organization, 2004
  3. Osma U, Cureoglu S, Hosoglu S (2000) The complications of chronic otitis media: report of 93 cases. J LaryngolOtol 114:97–100
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  10. Kangsanarak J, Fooanant S, Ruckphaopunt K, Navacharoen N, Teotrakul S (1993) Extracranial and intracranial complications of suppurative otitis media: report of 102 cases. J LaryngolOtol 107:999–1004
  11. Memon MA, Matiullah S, Ahmed Z, Marafani MS. Frequency of un-safe chronic suppurative Otitis in patients with discharging ear. JLUMHS. 2008;102- 5.
  12. Sennaroglu L, Sozeri B (2000) Otogenic brain abscess: review of 41 cases. Otolaryngol Head Neck Surg 123:751–755
  13. JinWoong Choi, Yong-Ho Park : Facial Nerve Paralysis in Patients With Chronic Ear Infections: Surgical Outcomes and Radiologic Analysis. Clinical and Experimental Otorhinolaryngology 2015; 8(3): 218-223.

Corresponding Author

Dr Novshaba

Senior Resident, Govt. ENT Hospital, Koti, Osmania Medical College, Hyderabad