Status of Ossicles in Cholesteatoma

Hossain, Mohammad Delwar; Ahamed, Nasir Uddin; Sumon, Mohammad Misbah Al Kabir; Shoyeb, Bhuiyan Arm

doi:10.3329/bjo.v21i2.27648

Cited by 5 publications

(11 citation statements)

References 6 publications

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“…8 Present research found that ossicular chain was intact in 33% cases whereas 67% cases had eroded ossicular chain. Similar results were obtained by Hossain et al study and Rao et al 9,12 While contrary observations were reported by Bangera et al where 65% cases were intact and only 29% cases were eroded. 8 Our study evaluated that malleus was found intact in 78 (78%), 18 (18%) had erosion of the malleus handle and erosion involved the head of malleus in 4% cases.…”

Section: Resultssupporting

confidence: 86%

“…Similarly, Hossain et al noted intact stapes in 55% cases and eroded in 45% cases. 9 Varshney et al also reported intact stapes in 78.67% cases and involvement of stapes supra-structure was noted in 21.33% cases of CSOM. 1 Bangera et al also reported intact stapes in 77% cases and supra-structure was eroded in 23% cases.…”

Section: Resultsmentioning

confidence: 89%

“…8 While in Hossain et al study majority of patients was male 36 (60%) than in female 24 (40%). 9 Recent study observed that most common ear affected was right ear (58%). In 26% COM patients left side was affected whereas in 16% patients both sides were affected.…”

Section: Resultsmentioning

confidence: 99%

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Study of ossicular chain defects in patients with chronic otitis media

Soni

Anjali

Yashveer

2021

Int J Otorhinolaryngol Head Neck Surg

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Background: Chronic otitis media (COM) is a long-standing disease of middle ear cleft and mastoid cavity having a permanent perforation in the tympanic membrane with or without discharge. It’s a worldwide health problem and it is still predominant in the modern antibiotic era. Aim was to determine the prevalence and types of ossicular chain defect in mucosal and squamosal type of COM. Also, to evaluate the hearing loss in relation to ossicular chain defect.Methods: The study was prospective observational study conducted in Bhopal over the duration of one year (January 2019 to June 2020). Patient aged 11-70 years reporting with COM were included in the study. Details regarding sociodemographic profile and extensive examination were recorded. Data was entered into MS excel 2007, analysis was done.Results: It was more prevalent in the age groups of 21-30years (39%) with female (53%) preponderance. Right sided ear was commonly involved (58%). Majority of the patients had tubo-tympanic disease (62%) whereas 38% had attico-antral disease. Ossicular chain was found intact in 33% cases. Average hearing loss was maximum (67.6 dBHL) when all ossicles are eroded. Hearing loss was minimum (33.6 dBHL) with isolated handle of malleus involvement.Conclusions: COM is one of the commonest causes of preventable hearing impairment in our society, hence early diagnosis and timely intervention is needed. Awareness among patients and doctors regarding the need for better ear hygiene is necessary.

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Section: Resultssupporting

confidence: 86%

Section: Resultsmentioning

confidence: 89%

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Study of ossicular chain defects in patients with chronic otitis media

Soni

Anjali

Yashveer

2021

Int J Otorhinolaryngol Head Neck Surg

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“…90% cases showed ossicular erosion while only 10% cases showed intact ossicles. 3 In present study maximum number of patients presented with complaints of discharging ear (84%) followed by hearing impairment (64%) and then followed by ear ache (48%), headache (32%) swelling around the ear (20%), fever (24%) and tinnitus in (12%) cases. Sade et al also found in their series that otorrhoea was the most common symptom in 62% cases followed by hypoacuris (11%) cases.…”

Section: Discussionmentioning

confidence: 52%

“…4 Partial or total destruction of ossicles is seen in approximately 80% of patients with cholesteatoma, whereas in chronic otitis media without cholesteatom, ossicular chain erosion can be seen in approximately 20% cases. 3 Imaging plays an important role, especially in complicated and recurrent conditions imaging findings may fundamentally influence the treatment. Also, in noninflammatory conditions of external and middle ear computed tomography (CT) or magnetic resonance imaging (MRI) would provide a diagnosis and/or necessary information for surgery in a significant number of cases.…”

mentioning

confidence: 99%

Assessment of chronic suppurative otitis media patients with cholesteatoma on the basis of gadolinium enhanced T1-T2 weighted images of MRI

Verma¹,

Arora²,

Jain³

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: The propensity for ossicular destruction is much greater in case of unsafe CSOM due to presence of cholesteatoma and/or granulations. Partial or total destruction of ossicles is seen in approximately 80% of patients with cholesteatoma, whereas in chronic otitis media without cholesteatom, ossicular chain erosion can be seen in approximately 20% cases.The present study aims to evaluate the clinical profile of patients of unsafe chronic suppurative otitis media with cholesteatoma and assesses patients on the basis of gadolinium enhanced T1-T2 weighted images of MRI.Methods: The study was conducted among patients who were fulfilling the criteria for unsafe CSOM i.e., retraction pocket in pars tensa, marginal perforation, perforation in pars flaccida, presence of granulation tissue, presence of polyp, blood stained discharge etc. were selected for the study. MRI was performed in all cases by using gadolinium enhanced T1-T2 sequences for diagnosis of cholesteatoma. Mastoidectomy was done to confirm the findings of MRI. Results: In maximum number of cases perforation was found in attic region. Most common complication of disease is the ossicular chain erosion. In present study sensitivity was 84%, specificity was 100% and positive predictive value and negative predictive value were 100% and 66% respectively.Conclusions: It can be concluded that MRI can differentiate cholesteatoma from other inflammatory etiology. By using MRI with 1.5 or 3T unit a small cholesteatoma (even 2-3 mm) can be easily detected at its early stage and further complications can be prevented.

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