Epidemiological and Clinical Aspects and Therapy of Chronic Otitis Media in the “ENT” and Cervicofacial Surgery Ward in the University Hospital of Ouagadougou

Abstract

Objectives. The aim of this study was to analyze the epidemiological and clinical aspects of chronic otitis media and its therapeutic processes in our context. Patients and Methods. In a prospective study over a period of 1 year (March 2009–February 2010), 79 patients with chronic otitis media have been cared for in the otolaryngology ward of the University Hospital of Ouagadougou. Results. Chronic otitis media (COM) commonly occurs in the age group from 0 to 15 years (40.50%). Otorrhea was the main reason for consultation in 53 cases (67.10%); the most frequently encountered clinicopathological forms were simple COM (71%) followed by otitis media with effusion (24.30%). Intra-auricular instillations of traditional products (46.09%) were the dominant favoring factor. Treatment was essentially through medication in 59 cases with a stabilization of lesions. Endotemporal complications were noticed in 6 cases. Conclusion. The fight against chronic otitis media is carried out through preventive measures of education the of people.

Chronic Purulent Otorrhea in the South of the Sahara: Epidemiological, Clinical and Therapeutic Profiles about 135 Cases

“…Our results are comparable with those of Zarhnoun K [9] in Morocco who found 53.3% on the right, 40% on the left, and 6.6% bilateral. We noted a duration of evolution greater than 2 years in 54.8% of our patients, which is equivalent to the study carried out by Y. M. C. Gyebre in Ouagadougou [8], of which 25% of the patients had had their first consultation more than 10 months. This delay in consultation is reported through the literature [8] [10] in developing countries; it may be due to the absence of a family doctor but above all the low socio-economic level of the parents, who are often poorly adapted to self-medication.…”

“…We noted a duration of evolution greater than 2 years in 54.8% of our patients, which is equivalent to the study carried out by Y. M. C. Gyebre in Ouagadougou [8], of which 25% of the patients had had their first consultation more than 10 months. This delay in consultation is reported through the literature [8] [10] in developing countries; it may be due to the absence of a family doctor but above all the low socio-economic level of the parents, who are often poorly adapted to self-medication. To this could be added the low impact of the symptoms of this disease, which constitutes a factor of trivialization in our regions [8].…”

“…Our rate seems low. Indeed, the real frequency of this disease is difficult to specify in our working conditions where health establishments, qualified personnel and technical platforms are limited [8]. Therefore, there is under-reporting of cases in our setting.…”

“…The literature review did not allow us to find data on chronic purulent otorrhea in general; however, there are specific data based on certain etiologies. Thus Gyebre in Burkina Faso [8] found an average age of 21 years; on the other hand, Zarhnoun K in Morocco [9] found an average age of 10.5 years. Practically, all socio-professional strata are found in our series.…”

“…This delay in consultation is reported through the literature [8] [10] in developing countries; it may be due to the absence of a family doctor but above all the low socio-economic level of the parents, who are often poorly adapted to self-medication. To this could be added the low impact of the symptoms of this disease, which constitutes a factor of trivialization in our regions [8]. The associated otological signs were hearing loss in 68.1%, otalgia in 48.1% and tinnitus in 42.2%.…”