No abstract

Objectives: To find out the difference between tubotympanic and atticoantral type of chronic suppurative otitis media in their presentation, complications and hearing impairment they produce. Methods: This cross sectional study done in the department of Otolaryngology of Mymensingh Medical College Hospital and Bangabandhu Sheikh Mujib Medical University, during the period of January 2005 to February 2006. For this study 100 Patients who were diagnosed as a case of chronic suppurative otitis media by detailed history, clinical examination and related investigations were collected. Results: In this study majority of the patients were within 10-20 years of age & male female ratio 2.1:1. This condition was common in rural population with low socio economic status having poor nutrition and those who take bath in river or pond water in rural area. Common presentation of tubotympanic type of CSOM was aural discharge and deafness but presentation of atticdntral type of CSOM was aural discharge and deafness with other symptoms like earache, fever, headache tinnitus and vertigo, etc. Hearing loss was found more in atticoantral type of disease. Complication of CSOM was found only in atticoantral type of disease. Conclusion: Complications are more frequent and hearing impairment is morein severity in case of atticoantral type of chronic suppurative otitis media Key word: CSOM; Tubotympanic; Atticoantral.DOI: 10.3329/bjo.v16i2.6846Bangladesh J Otorhinolaryngol 2010; 16(2): 113-119

Summary:Objectives: To see the way of presentation of extracranial complication, relationship between socio-economic conditions and extracranial complication of chronic suppuration otitis media. Methods

Objectives: To determine the relationship between social factors and frequency of CSOM & its extracranial complications and their clinical presentation. Methods Results: In this study male (59%), lower class people (57%), age 11-20 years, resident in rural area (66%) and less educated patients were more affected. Having bath in the pond and/or river suffers more. Clinical presentation of CSOM and complication were aural discharge (100%), hearing impairment (94%), post auricular swelling (45%), pain in the ear (21%), postauricular discharge (27%), tinnitus (11%), vertigo (9%), headache (07%) and mass in the EAC (12%). Here found aural discharge mostly malodorous and scanty, attic perforation and cholesteatoma. Post auricular abscess most common (47%) extracranial complication and labyrinthitis is the lowest (3%). Atticoantral variety was more common (89%). Conclusion

Spinal space occupying lesions (SOL) cause compression over the spinal cord or roots and develop myelopathy or radiculopathy and leads to Paraplegia or quadriplegia with sphincteric involvement i.e. urinary or fecal incontinence or retention. We have operated 17 cases of spinal SOL (12 were neoplastic and 5 were inflammatory i.e. tuberculous), all the patients had weakness of different grade, 0 to 4. 5 patients had urinary incontinence or retention. After operation 16 patients were improved of weakness and sphincteric function. DOI: 10.3329/taj.v22i1.5013 TAJ 2009; 22(1): 05-09