Title: Incidence of CSOM Unsafe Type in Rural Population of Central India
Authors: Naveen Agrawal, H.S. Sharma, Varsha Raghuvanshi, Pulkit Khandelwal, Mohit Shamadia, Anand Sharma
DOI: https://dx.doi.org/10.18535/jmscr/v5i2.80
Abstract
Background: Chronic suppurative otitis media (CSOM) presents with a typical history of recurrent otorrhea with tympanic membrane perforation. High resolution computed tomography (HRCT) of temporal bone is indicated to evaluate the extension and complications of CSOM. This prospective study is aimed to find the incidence of CSOM unsafe type in rural population of central India.
Material and Method: This prospective study was conducted between 2014 to 2015 in the department of Otorhinolaryngology, Index medical college hospital and research center Indore (M.P.) which is a tertiary care institute. A sum total of 80 patients with unsafe CSOM were included in the study. All patients underwent preoperative HRCT scanning followed by surgical exploration of the mastoid.
Result: Age distribution of the patients ranges from 6 to 70 years. Incidence of CSOM (unsafe) was 29(36.3%) patients in age group 11-20yrs followed by 24(30%) patients in age group from 21-30yrs. Female preponderance was seen in the study group. Most common presenting feature was chronic ear discharge with hearing loss. Other features were also associated with the CSOM. The preoperative HRCT scan findings like cholesteatoma, granulation tissues, ossicular chain erosion and SCC dehiscence have good correlation with the intraoperative findings.
Conclusion: Children and young adults were more susceptible for CSOM unsafe type to be related to socioeconomic factors. The result of this study reflect preoperative HRCT imaging in cases of cholesteatoma, ossicular chain erosion and SCC dehiscence have good correlation with intra-operative finding. HRCT is useful tool in early detection of cholesteatoma where more conservative surgical procedures can be done to eradicate the disease.
Keywords: Cholesteatoma, Csom Unsafe, Hrct Temporal Bone.
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