A study of chronic suppurative otitis media among patients in Damascus Hospital

Abstract

Introduction Otitis media is one of the most common causes of fever in children. The Eustachian tube plays an important role in this disease, and a defect in this tube is found in about 70% of patients who undergo middle ear surgery. The etiology is usually multifactorial. The most common pathogen found in this disease is Staphylococcus aureus (MRSA). Children most at risk are those with low incomes. Chronic suppurative otitis media presents most of the time with pain and discharge of pus from the ear, although the ear can also be dry. Symptoms that can be found but are not essential for making the diagnosis are hearing impairment, tinnitus, and auditory fullness. Materials and methods An observational study of the type of cross-sectional study. This study targeted the patients of Damascus Hospital. Where the sample was randomly selected, about (81) patients were selected who meet specific acceptance criteria, the most important of which is the presence of adequate information in the file, while all patients were excluded according to specific exclusion criteria. Data related to this study were collected using paper questionnaires. The information necessary to fill out these forms was collected by returning to the files of the Auriculares Department in the archives of Damascus Hospital. Results In this study, we initially evaluated the distribution of a sample of patients with chronic suppurative otitis media according to sex, and we found that the percentage of females was significantly higher compared to males. We also found a higher incidence of chronic suppurative otitis media in the left ear compared to the right, with a close distribution to a large extent. Persistent otorrhea was the most common symptom. As for the degree of hearing loss among the sample, most of them were suffering from mild hearing loss. We found that central tympanic membrane perforation was more common than marginal perforation Conclusion and Recommendations Our study found a high incidence of mixed and conductive hearing loss compared to sensorineural in patients with chronic suppurative otitis media. Hearing loss in patients with chronic suppurative otitis media is often mild to moderate in severity. Surgical management is the ideal and most effective option for chronic suppurative otitis media. Therefore, we recommend working on providing effective treatment options that are commensurate with the degree and pattern of chronic suppurative otitis media, so that they are directed to each individual. And work to reduce the development of risk factors for chronic suppurative otitis media in order to prevent its occurrence.