BACKGROUND Chronic Suppurative Otitis Media (CSOM) is the most prevalent disease of middle ear which is characterised by inflammation of middle ear cleft, middle ear cavity, mastoid antrum and eustachian tube in which atticoantral type of disease is life-threatening primarily due intracranial complications of the disease. Hence, it is of utmost importance to diagnose the disease as early as possible. Radiological investigation is primarily helpful in diagnosis as well as determining the extension of the disease. X-ray mastoid is the investigation of choice at first scenario to know the disease and conditions of mastoid. Aims and Objectives-To compare the preoperative radiological findings with intraoperative findings in patients with CSOM. MATERIALS AND METHODS It is a descriptive study. Fifty clinically diagnosed admitted cases of CSOM were studied in Department of Otorhinolaryngology, Gandhi Medical College and Hamidia Hospital, Bhopal from March 2015 to August 2016. Clinical investigations including blood glucose, serum electrolytes, renal function test, liver function test, bleeding and clotting time, urine examination, serological examination, pure tone audiometry and radiological investigations like x-ray were performed. RESULTS Mean age of the study population was 22.72 ± 11.30 years. Most of the patients (52%) belonged to age group of 15-25 years. Male preponderance was noted (54%). Most of the patients were having severe/ complete type of sclerosis (78%) followed by moderate type (22%). Most of the patients did not show any type of erosion (80%). Most of the patients had Cholesteatoma (52%). Radiological and surgical findings were comparable as complete sclerosis was observed by both the techniques (39 vs. 40 patients; p > 0.05). CONCLUSION X-ray mastoid can be used as primary radiological investigation until there is no clear-cut indication for CT scan.
Aims: Cardiopulmonary diseases may be seen in patients with chronic adenotonsillar hypertrophy that lead to severe
obstructive sleep apnea (OSA), among which pulmonary hypertension is the most well-known. Here we compared the
oxygen saturation in children who underwent tonsilo-adenoid resection (TAR) or tonsilar resection. Fifty patients Materials and Methods:
diagnosed with chronic tonsillitis and adenoid hypertrophy was studied in the Department of Otorhinolaryngology and head and neck surgery. All
the patients have undergone TAR or tonsilar resection and oxygen saturation was recorded by pulse oximeter pre and post surgery. Male Results:
preponderance was observed (72%). Postoperative oxygen saturation (97.27±0.096) was signicantly higher to preoperative oxygen saturation
(96.42±0.123) (p<0.001). Among 50 patients, 15 underwent tonsilar resection and 35 TAR, 29 (58%) patient had risen in oxygen saturation
postoperatively, 19 (38%) patient had same saturation as prior to saturation, 2 (4%) patient had fallen in saturation after the surgery. Conclusion:
TAR is an important surgery to improve oxygen saturation in children having chronic tonsilitis. This also improves other associated complains of
snoring, mouth breathing, ear infections
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