Chronic Otitis Media

Browning, George G.; Weir, Justin; Kelly, Gerard; Swan, I. R. C.

doi:10.1201/9780203731017-83

Cited by 25 publications

(26 citation statements)

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“…The findings from this study are pertinent in reassuring patients in the current climate that outcomes from cholesteatoma, in terms of risk of recidivism and major complications, may not be affected by delay to surgery up to 12 months in selected patient groups. The findings from this study correlate to the understanding that in the short term, many patients live with active squamous epithelial disease with minimal disability or inconvenience [16].…”

Section: Discussionsupporting

confidence: 80%

“…If active, the natural history is for anatomical expansion which may ultimately involve the ossicular chain or the labyrinth and which may potentially cause intracranial and intratemporal complications. The specific factors which trigger anatomical extension are unclear [15,16]. Anatomical expansion and the destructive nature of cholesteatoma appear to be mediated by the presence of a heavy immune cell infiltrate releasing increased amounts of cytokines and growth factors [15].…”

Section: Discussionmentioning

confidence: 99%

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Delays in surgery for cholesteatoma due to COVID-19: is there an impact on rates of recidivism and major complications?

Hussain

Mair

Mahmood

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose To evaluate the relationship between the waiting time for surgery, and cholesteatoma recidivism rates and major complications. The secondary aims were to identify any other prognostic factors for cholesteatoma recidivism. Methods A retrospective single-centre study of 312 patients who underwent cholesteatoma surgery under the care of a singlesurgeon, between 2004 and 2018, was performed. Waiting times for surgery were categorised into ≤ 90 days, 91-180 days, 181-270 days and > 271 days. The outcome measures were cholesteatoma recidivism and major complications (facial nerve palsy or intracranial complications). Results The mean age was 36.1 years ± 21.5 with 242 adults (77.6%) and 70 children (22.4%). The mean waiting time for surgery was 126.2 days (4.1 months) ± 96.0 days and the overall rate of recidivism was 11.2% (35/312 patients). No instances of facial nerve palsy or intracranial complications were identified. Rates of recidivism by waiting time for surgery were: 15.3% for 118 patients who waited ≤ 90 days, 9.7% for 134 patients who waited 91-180 days, 6.7% for 30 patients who waited 181-270 days and 4.3% for 23 patients who waited > 271 days. There was no significant difference amongst the different waiting time groups for rates of recidivism (p = 0.266). Conclusion Increased waiting times for cholesteatoma surgery do not appear to be associated with increased rates of recidivism or major complications. Clinical judgement will always be required for complicated disease or patients with additional risk factors. The other prognostic factors for recidivism identified in this study were age (< 15 years) and congenital cholesteatoma.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Delays in surgery for cholesteatoma due to COVID-19: is there an impact on rates of recidivism and major complications?

Hussain

Mair

Mahmood

et al. 2020

Eur Arch Otorhinolaryngol

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“…In post-operative follow-up of patients with CSOM with cholesteatoma, 20-25% patients were discharging ear. 18 In our study, postmastoidectomy discharging ear was 0% after 3 rd month which showedsignificant better results.…”

Section: Resultssupporting

confidence: 54%

Surgical Outcomes of Chronic Suppurative Otitis Media

Hossain

Islam²,

Hossain³

et al. 2020

Bangladesh J of Otorhinolaryngology

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Objectives: The purpose of this study is to observe the surgical outcomes of chronic suppurative otitis media. 1. To assess the result of surgical procedure to obtain dry and safe ears. 2. To assess the hearing levels after surgery. 3. To observe the complications that occur during the operation and in the immediate postoperative period Methods: A total 60 patients with CSOM (active squamous variety) who underwent tympanomastoid surgery studied in a period of 1 year from July 2013 to June 2014 at CMH Dhaka. Results: The maximum patients were from15-24 years (35%) age group, male to female ratio was 1.2:1. Highest number of patients (39%) was from middle class family. All the 60 patients presented with discharge from ear and hearing impairment. Maximum (40%) were with attic and postero-superior marginal perforation along with granulation tissue. In 1stpost op month,53 (88.33%) manifested dry ear and in 3rd month after operation 52 (90%) patients manifested dry ear. 7 (11.66%) patients showed discharge from the ear after 1st month which decreased to the 0% after 3rd month. Graft was taken successfully in 56 (93.33%) patients after the first month of operation which reduced to 51 (85%) after third month of operation. Hearing status of the patients before operation proclaimed that 48% patients suffered from moderate hearing loss, 22% and 17% patients suffered from mild and moderately severe loss respectively. 13% patients suffered from severe hearing loss After surgery 86% patients’ condition was improved, 4% patients’ condition deteriorated and 10% patients’ condition remain unchanged . The mean preoperative air-bone gap was 32.10 dB and mean postoperative air-bone gap was 19.10 dB . Bangladesh J Otorhinolaryngol; October 2017; 23(2): 187-194

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“…The pathological definition specified in Browning’s classification is used to define and classify chronic otitis media ( Browning and Kerr, 2008 ). Active mucosal COM is defined as the presence of permanent defect of the pars tensa with inflamed and edematous middle ear mucosa and active ear discharge.…”

Section: Methodsmentioning

confidence: 99%

Chronic otitis media and subsequent hearing loss in children from the Himalayan region residing in Buddhist Monastic schools of Nepal

Maharjan¹,

Phuyal²,

Shrestha³

et al. 2020

Journal of Otology

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Objectives The main objective of the study was to ascertain the prevalence of chronic otitis media and determine the corresponding hearing loss in children from Nepal’s Himalayan region now residing in Buddhist Monastic schools of Nepal. Methods The study was conducted among children at Buddhist monastic school in different parts of Nepal. A total of 3174 children aged between 5 and 15 years, who were originally from the Himalayan region of Nepal and were currently residing in monastic schools, were screened for ear problems and hearing loss. They were examined by otoscope to diagnose chronic otitis media. Hearing was evaluated by pure tone audiometer, and 0.5–4 kHz air conduction hearing threshold was measured and documented. Results Of the total of 3174 children who were screened for ear diseases and hearing loss, monks constituted 76.21% (n = 2419) and Nuns 23.78% (n = 755). Chronic otitis media was the most common otoscopic finding during the screening, and it affected a total of 344 (10.83%) children. Out of these 344, hearing loss of varying degrees was observed in 5.42% (n = 172) children. Conclusion There is high prevalence of chronic otitis media in children belonging to the Himalayan region of Nepal, and it is the main cause of avoidable hearing loss. Timely diagnosis and treatment of chronic otitis media could prevent unnecessary hearing loss in these children.

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Chronic Otitis Media

Cited by 25 publications

References 1 publication

Delays in surgery for cholesteatoma due to COVID-19: is there an impact on rates of recidivism and major complications?

Delays in surgery for cholesteatoma due to COVID-19: is there an impact on rates of recidivism and major complications?

Surgical Outcomes of Chronic Suppurative Otitis Media

Chronic otitis media and subsequent hearing loss in children from the Himalayan region residing in Buddhist Monastic schools of Nepal

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