Clinico social profile of patients of attico-antral disease in middle ear cleft attending tertiary care center of North India

Kaur, Navjot; Sharma, Dinesh Kumar; Singh, Jagdeepak

doi:10.18203/2349-3933.ijam20162527

Cited by 2 publications

(3 citation statements)

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“…Sangeetha S et al conducted a study in which most of the patients had CSOM on bilateral side, followed by left side and right side. 11 In a study conducted by Gaurav et al, 76% patients were having unilateral disease and 24% bilateral disease which coincides with our study which showed 80% unilaterality and 20% bilateral disease. 12 In our study the most common clinical chronic suppurative otitis media was hearing presentation of atticoantral loss (100%) and otorrhea (100%), followed by otalgia (36.66%) and least common presentation was post aural discharge (3.33%).…”

Section: Discussionsupporting

confidence: 92%

“…The mean age of study subjects in our study is higher than study conducted by Sangeetha et al whereas its comparable to the study conducted by Kaur et al 10,11 In this study most of the patients (53.33%) had attico-antral CSOM on left side, followed by right side (26.66%) and then bilateral (20%). Sangeetha S et al conducted a study in which most of the patients had CSOM on bilateral side, followed by left side and right side.…”

Section: Discussionsupporting

confidence: 80%

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A systematic review of complications of attico-antral type of chronic suppurative otitis media in our region

Khadkekar

Benny

Gujrathi

et al. 2021

Int J Otorhinolaryngol Head Neck Surg

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Background: Chronic suppurative otitis media (CSOM) is a very common disease that should be carefully treated, as severe complications can develop. Despite the significantly decrease incidence of CSOM-related complications since the introduction of antibiotics, this clinical problem has not been eliminated.Methods: This was an observational study conducted including 60 cases of attico-antral type of CSOM and its complications. Detailed study of determinants of attico-antral type of CSOM and its complications were studied. The various options in the management of disease and its complications with their outcomes were studied. Results: Majority of study participants belonged to lower socio-economic group. intra-temporal complications were most common complications and most of the patients required canal wall down surgery. Majority patients had complete recovery of the disease without recurrence during 3 months of follow-up.Conclusions: Our study concluded majority of the patients belonged to the low socioeconomic status. It was also clear from the study that timely intervention in the form of early diagnosis and administration of proper treatment resulted in complete recovery of majority of patients.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 80%

A systematic review of complications of attico-antral type of chronic suppurative otitis media in our region

Khadkekar

Benny

Gujrathi

et al. 2021

Int J Otorhinolaryngol Head Neck Surg

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“…This pattern of predominance is also seen in different studies conducted globally. 16,17 Majority of the participants of our study having CSOM belong to rural areas (64.6%). Moreover, they belong to poor class (62.8%) and they are under matric (42%).…”

Section: Discussionmentioning

confidence: 96%

Chronic Suppurative Otitis Media Contributory Factors and their Prevention

Akhtar

Haneef

Naeem

2020

APMC

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Background: Chronic suppurative otitis media has declined in the developed countries because of better health resources and better socioeconomic status of the people, but it still remains a major health problem in developing countries like Pakistan. Chronic suppurative otitis media (CSOM) is relatively common among illiterate people having poor socioeconomic status residing in the rural areas. Objective: To identify the contributory factors responsible for chronic suppurative otitis media and to devise strategies to prevent them. Study Design: Cross sectional observational study. Settings: This study was conducted in the department of ENT and Head & Neck surgery allied hospital (FMU) Faisalabad Pakistan. Duration: Two years from September 2016 to August 2018. Methodology: A total of 150 patients with CSOM, both tubotympanic and atticoantral types, were included. The patients of either gender with CSOM, both tubotympanic and atticoantral types, ranging from 03 to 64 years and giving consent for any surgical intervention if required were included in the study. Patients below 03years and above 64 years, having acute suppurative otitis media with complication, and patients not willing for any surgical intervention were excluded from the study. Results: Out of 150 patients of the study 60% patients were males and 40% were females with male : female ratio of 1.5 : 1. The age range was found to be 3-64 years with mean age of 28.9 years. Socioeconomic status showed that 62.8% patients with CSOM belonged to poor class (tubotympanic-46.8% & atticoantral -16%), 23.9% patients had middle class (tubotympanic-16.6% & atticoantral-7.3%) and 13.3% patients belonged to upper class (tubotympanic - 11.3% & atticoantral – 2%). 84 patients (56%) were under matric (tubotympanic-42% & atticoantral – 14%). 57.2% patients were rural residents and 42.8% patients were urban residents in case of tubotypmpanic type of CSOM while 55.2% patients were rural and 44.8% patients were urban in case of atticoantral type of CSOM. SPSS software version 10 was used to analyse the data. Chi square test was applied for analysis. Tubotympanic type of CSOM cases were treated conservatively along with surgical treatment where indicated. All cases of atticoantral type of CSOM were treated by surgery. Conclusion: CSOM is still an important public health problem in developing countries like Pakistan due to poverty, illiteracy, malnutrition, lack of health education and people living in substandard & rural areas. It is the need of the hour that health education programs should be organized to raise the awareness about the disease among the people.

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Clinico social profile of patients of attico-antral disease in middle ear cleft attending tertiary care center of North India

Cited by 2 publications

References 8 publications

A systematic review of complications of attico-antral type of chronic suppurative otitis media in our region

A systematic review of complications of attico-antral type of chronic suppurative otitis media in our region

Chronic Suppurative Otitis Media Contributory Factors and their Prevention

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