Chronic otitis media

Browning, George G.; Merchant, Saumil N.; Kelly, Gerard; Swan, I. R. C.; Canter, Richard; McKerrow, W. S.

doi:10.1201/b15118-279

Cited by 60 publications

(70 citation statements)

References 19 publications

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“…Temporalis fascia, vein and tragal perichondrium are commonly used graft material. Myringoplasty can be performed using either overlay technique or underlay technique [1,3]. The underlay method can be achieved by either trans-canal approach or post-aural approach.…”

Section: Discussionmentioning

confidence: 99%

“…Myringoplasty is accomplished by underlay or overlay technique depending on whether the graft is placed medial or lateral to tympanic membrane remnant [1,2]. Success in myringoplasty is usually assessed in terms of healing of the perforation as well as hearing gain [1,3]. The modern era of middle ear surgery began with the introduction of tympanoplasty by Zollner and Wullstein [4,5].…”

Section: Introductionmentioning

confidence: 99%

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A Comparative Study of Temporalis Fascia Graft and Vein Graft in Myringoplasty

Parida

Nochikattil

Gopalakrishnan

et al. 2012

Indian J Otolaryngol Head Neck Surg

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To compare the surgical outcome of temporalis fascia graft (TFG) and vein graft (VG) in myringoplasty. This prospective study was carried out over 60 patients with inactive tubotympanic type of chronic suppurative otitis media, with small to moderate size central perforation in Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry from November 2009 to March 2011. Patients were equally randomized into two groups; TFG group and VG group according to the graft material used for myringoplasty. After routine investigations, X-ray mastoid and paranasal sinuses and pure tone audiometry, all cases were operated under local anesthesia using underlay technique. Patients were followed at 2 week, 1 and 3 month postoperatively. Graft uptake, audiological improvement, degree of hearing improvement, and complications were studied during follow up. In TFG group, graft uptake rate was 80 % and hearing improvement was present in 66.7 % whereas in VG group graft uptake rate was 83.3 % and hearing improvement was present in 70 %. No patient had deterioration in hearing, sensory neural hearing loss or any other complications postoperatively. Difference between the preoperative and postoperative air bone (AB) gap was considered as degree of hearing improvement. Postoperative AB gap was \10 dB in 60 % and 66.7 % of patients of TFG group and VG group respectively. The difference in graft uptake rate and hearing improvement between two groups was not statistically significant. Both TFG and VG are equally effective in terms of graft uptake and hearing improvement in myringoplasty.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Comparative Study of Temporalis Fascia Graft and Vein Graft in Myringoplasty

Parida

Nochikattil

Gopalakrishnan

et al. 2012

Indian J Otolaryngol Head Neck Surg

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“…Middle ear cleft include the eustachian tube, hypotympanum, mesotympanum, epitympanum, aditus and mastoid air cell system [1]. There are two types of CSOM-tubotympanic and atticoantral.…”

Section: Introductionmentioning

confidence: 99%

Role of CT Mastoids in the Diagnosis and Surgical Management of Chronic Inflammatory Ear Diseases

Majeed¹,

Reddy²

2016

Indian J Otolaryngol Head Neck Surg

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Chronic Suppurative Otitis Media (CSOM) is a chronic inflammation of middle ear cleft. It presents with discharging ear and decreased hearing. The diagnosis is mostly on clinical examination with otoscope or oto endoscope. Computerised Tomography (CT) of mastoids is done to evaluate the extent of the disease and its complication. High resolution CT is now the investigation of choice for temporal bone disease. This study emphasizes on the importance of CT scan in diagnosis of inflammatory ear diseases and most importantly identifying pitfalls or complications which a surgeon can come across during surgery. The aims and objectives of this study is (1) to establish the efficacy of CT in the diagnosis of the complications and surgical management of chronic inflammatory pathologies of middle ear. (2) To find subgroups of CSOM where CT is particularly useful. In this series, a total of 25 cases presenting to our OPD at Govt. ENT Hospital between 2013 and 2014 have been diagnosed and findings of surgery correlated with HRCT scan of temporal bones done preoperatively. In this study, 64 % of the patients were male and incidence of CSOM with patients undergoing surgery belonged to the age group 21-30 years (32 %). The most common presenting symptom was ear discharge (92 %) and decreased hearing (96 %). The most common type of pathology in this study was attic perforation (36 %) and granulations (40 %) followed by cholesteatoma (36 %) and mucosal edema (16 %). Not all cases presented with complications, facial palsy (12 %) and mastoid abscess (8 %) were among few complications seen. 14 patients (56 %) of 25 cases underwent simple cortical mastoidectomy followed by 9 cases (36 %) for modified radical mastoidectomy and atticotomy for 2 cases (8 %). CT scan findings correlated well with surgical findings for cholesteatoma, middle ear mass and bone erosions. Where as for ossicular integrity and facial canal dehiscence, there was a discrepancy.

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“…However, the distinction remains between active COM, where there is inflammation and the production of pus, and inactive COM, where there is no inflammation and the production of pus. 2 Incidence of this disease is the higher in developing countries, because of malnutrition, overcrowding, poor hygiene, inadequate health care, and recurrent upper respiratory tract infection. 3 In the developing countries, there is differential prevalence among the different socioeconomic strata of the community.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of chronic suppurative otitis media in school going children in Bareilly (Uttar Pradesh)

Singhal

Agrawal

Agrawal³

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Chronic suppurative otitis media (CSOM) is one of the most common ear diseases in the South East Asia having a prevalence of approximately 5.2% in the general population. The objective of the study was to find the prevalence of CSOM in school going children in urban field practice area of tertiary care hospital in Bareilly (UP). Methods: Cross-sectional study involving 495 schools going children in Bareilly district of Uttar Pradesh. Results: The prevalence of CSOM was found to be 6.46%, with tubotympanic type constituting majority 81.25% trailed by atticoantral type 18.75%. Most patients presented with moderate hearing impairment (43.75%) and mild hearing impairment (31.25%). With respect to socioeconomic groups, upper lower, groups had 40.63%, and lower group had 34.37% prevalence. Conclusions: Improvement of health care facilities and awareness among health-care providers would definitely be helpful in reducing the prevalence of ear diseases in the developing countries like India.

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Chronic otitis media

Cited by 60 publications

References 19 publications

A Comparative Study of Temporalis Fascia Graft and Vein Graft in Myringoplasty

A Comparative Study of Temporalis Fascia Graft and Vein Graft in Myringoplasty

Role of CT Mastoids in the Diagnosis and Surgical Management of Chronic Inflammatory Ear Diseases

Prevalence and determinants of chronic suppurative otitis media in school going children in Bareilly (Uttar Pradesh)

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