Demographic profile of CSOM in a rural tertiary care hospital

Basak, Bijan; Gayen, Ganesh Chandra; Das, Madhusweta; Dhar, Gautam; Ray, Ritam; Das, Atanu Kumar

doi:10.9790/3013-040601043046

Cited by 13 publications

(15 citation statements)

References 7 publications

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“…A significant relation was found in patients with low socioeconomic status and duration of CSOM. We referred these findings in Sudanese coming to our ENT and CT departments to the overcrowding, frequent upper respiratory tract infection, unavailable health care knowledge, as the patients are of primary or uneducated groups; this was similarly found and juto stified by Bijan [18] previously.…”

Section: Discussionmentioning

confidence: 57%

“…Otorrhoea was found in 113(99.1%) of the cases, acting the most common symptom, followed by otalgia 69 (60.5%), and headache that was found in 53 (46.5%), table (3) .These findings are consistent with the study done in India where the complication as hearing loss was also been presented in their population, we would like to highlight that the CSOM which usually presents with otorrhoea, otalgia and other symptoms causing psychological disturbance and financial burden to the society as mentioned by Bijan. [18] The mean of maximum CT numbers varies in both sides of ears, this because there are many changes were happened in ears affected with CSOM ranged between 1066.00±153. 14 and 190±66.87 Hounsfield for right and left side respectively as presented in table (4) and significantly affected with the patients' age, table (8).…”

Section: Discussionmentioning

confidence: 98%

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Findings in CSOM: Our Experience in Sudanese Population-A CT based Study

Hamd¹,

Ayad²,

Gar-Elnabi³

2017

IOSR JDMS

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Chronic suppurative otitis media (CSOM) is one of the leading causes of hearing impairment in developing countries. Objectives: are to highlight the high resolution computerized tomography (HRCT) temporal bone findings in chronic middle ear infections with reference to it ' s extent and complications, as well, the presented common signs, symptoms and the duration impact on the anatomical structures and pathological changes in each part and for both sides. Materials and Methods: Preliminary clinical assessment was obtained for 114 patients diagnosed with CSOM, and then they were referred for a HRCT of temporal bone which was done using multi-detector CT scanner. Results: Of the 114 patients; 63(55.3%) were males and 51(44.7%) were females: Otorrhoea is the most common symptom, and was found in 113 patients constituting (99.1%) followed by Otolegia 69(60.5%) and headache affected 53(46.5%) of the cases. CSOM is more common in low socio-economic status .In ears affected with CSOM, the maximum CT number (Hounsfield) was found to be changed and was significantly affected with increasing patients' age. Sclerotic changes and soft tissue density increased as the duration of CSOM increased in right and left middle ears significantly (F=5.802, Sig at 0.000), and (F=23.182, Sig at .015) respectively. Partial and complete erosion were detected in both right and left ossicle in the advanced phase of disease, where the ossicle still intact in the early stage , and the correlation is found to be significant with increasing of CSOM duration (F=16.959, Sig 0.000) and (F= 3.673, Sig =0.036)for right and left ossicles respectively. Changes including total and partial opacification, sclerotic changes, soft tissue density, mucosal thickening were the findings detected in both right and left mastoid in HRCT for temporal bone scanning. Conclusions: HRCT of temporal bone is useful in identifying various findings related to the location and extent of disease.

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 98%

Findings in CSOM: Our Experience in Sudanese Population-A CT based Study

Hamd¹,

Ayad²,

Gar-Elnabi³

2017

IOSR JDMS

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“…In the study by Basak et al, females were affected 1.8 times more commonly than males with CSOM. 6 Kiran et al, in their study stated that female patients (n=48) were affected more in their study when compared to male (n=32) patients. 7 Objective assessment of hearing improvement was done by calculating the closure of air-bone gap postoperatively in both groups.…”

Section: Discussionmentioning

confidence: 85%

A comparative study of post-operative outcomes in type 1 tympanoplasty using tragal chondroperichondrial shield graft and temporalis fascia graft

Muniasamy

Srinivasan

Velayutham

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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Background: Type 1 tympanoplasty is the reconstruction of perforated tympanic membrane with an intact and mobile ossicular chain. Among various autologous graft materials, temporalis fascia and tragal chondroperichondrium are commonly used, having their own merits and demerits. In our study, we have compared the results and postoperative outcomes of tympanoplasty using temporalis fascia and tragal chondroperichondrium.Methods: This prospective comparative study included 60 cases of chronic suppurative otitis media - tubotympanic disease (CSOM-TTD) in a tertiary care centre. They were randomised into two groups of 30 patients each and were subjected to tympanoplasty using either tragal cartilage-perichondrium (group 1) or temporalis fascia graft (group 2) from November 2017 to May 2019. Objective hearing improvement at 1st, 3rd and 6th month postoperative follow-up and graft uptake rate at 3rd month were compared. Results: Incidence of cases was more in the age group between 31-45 years age group (53.3%). Graft uptake rate was 96.6% for temporalis fascia group and 83.33% for tragal group (p value - 0.194). Preoperative air-bone (AB) gap in group 1 was found to be 25±4.09 dB which improved to 11.73±2.21 dB at 6 months and in group 2, it was 25.7±3.94 dB which improved to 14.06±3.68 dB at 6 months. Mean improvement in hearing for tragal group (13.27 dB) was better than temporalis fascia group (11.64 dB) (p value <0.001).Conclusions: Both temporalis fascia and tragal chondroperichondrium are suitable graft materials for tympanoplasty, although graft uptake was clinically better with the use of temporalis fascia.

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“…It is comparable to other studies. In a study of 1717 patients by Basak et al, the incidence of tubotympanic disease was 86% [4].…”

Section: Discussionmentioning

confidence: 97%

Ossicular status in patients operated for chronic suppurative otitis media

Sharma

Shetty

2016

Int J Med Res Rev

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Introduction: Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear and mastoid cavity, which presents with recurrent ear discharge through a tympanic perforation. The WHO has classified India as a country with highest prevalence ( > 4%) requiring urgent attention to deal with a massive public health problem. CSOM is often associated with a bone eroding process which occurs due to the presence of cholesteotoma, granulation tissue or both. Methods: This study was conducted in a department of E.N.T, Yenepoya Medical College Hospital, Deralakatte, Mangalore for a period of 2 years. This study was conducted to evaluate the ossicular involvement in chronic suppurative otitis media (CSOM). A retrospective-prospective study was conducted over a 2-year period on 86 patients who underwent surgery for the disease. Demography, ossicular status and hearing loss were studied and analyzed using SPSS programme. Results: The study revealed Tubotympanic disease was the more common type of disease. Ossicular necrosis was present in 35% of population. The most common ossicles involved were the whole of incus, followed by lenticular process and long process of incus. There was a higher incidence of ossicular disruption in atticoantral disease than in tubotympanic disease.

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Demographic profile of CSOM in a rural tertiary care hospital

Cited by 13 publications

References 7 publications

Findings in CSOM: Our Experience in Sudanese Population-A CT based Study

Findings in CSOM: Our Experience in Sudanese Population-A CT based Study

A comparative study of post-operative outcomes in type 1 tympanoplasty using tragal chondroperichondrial shield graft and temporalis fascia graft

Ossicular status in patients operated for chronic suppurative otitis media

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