The intraoperative pathological findings in cases of chronic suppurative otitis media with central perforation of tympanic membrane at a tertiary care centre in Eastern Nepal

Thakur, Sanjeev Kumar; Ghimire, Nisha; Acharya, R; Singh, Sanjay Kumar; Anwar, Afaque

doi:10.3126/ajms.v8i1.15944

Cited by 4 publications

(4 citation statements)

References 15 publications

(15 reference statements)

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“…Thakur, et al, obtained similar results (43.6%). 10 The posterosuperior quadrant has more vascularization than other areas so if an inflammatory process occurs, it is susceptible to cell exposure. Repeated inflammation and negative intratympanic pressure effects tympanic membrane retraction until membrane rupture occurs, especially in areas with weaker structures.…”

Section: Cont Table 2 Distribution Of Clinical Findingsmentioning

confidence: 99%

“…The same results were obtained in the study by Thakur, et al, which stated that Granulation is formed due to an inflammatory process in the middle ear and causes bone erosion in both the ocular chain and the tympanic cavity wall. 10 The tympanoplasty technique used in this study was based on the Wullstein classification. Most types of tympanoplasty were type 1 (78.13%).…”

Section: Cont Table 2 Distribution Of Clinical Findingsmentioning

confidence: 99%

“…14 The purpose of tympanoplasty are to close the canal perforation, eradicate germs and improve hearing. 10 Evaluation of the radication results that carried out 3 months after the surgery was mostly dry ears (84.38%). The same result was reported by Puspitowati.…”

Section: Cont Table 2 Distribution Of Clinical Findingsmentioning

confidence: 99%

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Success Rate of Intact Canal Wall Tympanoplasty in Safe Type of Chronic Suppurative Otitis Media’ Patients

Sukma Nisa Janitra,

Artono

2021

Indian Journal of Forensic Medicine & Toxicology

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Background: Surgical therapy for chronic suppurative otitis media (CSOM) is by tympanoplasty with or without mastoidectomy. The purpose of surgery is to eradicate the source of infection. Success indicators of tympanoplasty are achieving dry ears without recurrent otorrhea, myringoplasty, and an increase in the hearing threshold.Objectives: is to know the success rate of intact canal wall tympanoplasty in safe type CSOM patients.Methods: Retrospective descriptive was used in this study. All safe-type of CSOM patients undergoing intact canal wall tympanoplasty surgery from January to December 2018 at Dr. Soetomo General Hospital were used as the participant data.Results : There were 32 participants, divided into a higher proportion of males than females (ratio 1.1: 1). The characteristics of the participants included; the most age group were 21-30 years (37.50%), origin outside Surabaya (59.37%), and high school education level (62.50%). Most perforations were subtotal (40.63%) and hearing loss was conduction (62.50%). Apparently, 56.25% were patent Eustachian tubes, 90.63% were sclerotic mastoid Schuller photographs, and 62.50% were granulation tympanic cavity findings. Additionally, 78.13% were performed tympanoplasty type 1. The results of postoperative eradication showed dry ears (84.38%) and successful of myringoplasty (71.88%). The mean increase in the hearing threshold for AC, BC, and ABG after surgery was 15.98 dB, 4.57 dB, and 11.40 dB. Conclusion:The results of eradication after intact canal wall tympanoplasty were mostly dry ears, successful myringoplasty, and an increase in the mean hearing threshold of AC, BC, and ABG.

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Section: Cont Table 2 Distribution Of Clinical Findingsmentioning

confidence: 99%

Section: Cont Table 2 Distribution Of Clinical Findingsmentioning

confidence: 99%

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Success Rate of Intact Canal Wall Tympanoplasty in Safe Type of Chronic Suppurative Otitis Media’ Patients

Sukma Nisa Janitra,

Artono

2021

Indian Journal of Forensic Medicine & Toxicology

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“…5 Though ossicular chain involvement is less common in COM mucosal, associated hearing loss may be due to perforation in the tympanic membrane or ossicular chain erosion/fixation (loss of ossicular coupling). 6,7 Simple closure of tympanic membrane in the presence of ossicular discontinuity or fixity will further decrease the quality of life due to long term acoustic failure in around 50 to 60% patients. 8 Pure Tone Audiometry (PTA), a routine preoperative procedure performed prior to myringoplasty, can help predict the severity of hearing loss and reflect the integrity of ossicular chain status.…”

Section: Introductionmentioning

confidence: 99%

Ossicular Chain Status in Adults with Chronic Otitis Media Mucosal at a Tertiary Referral Hospital in Nepal

Bista

Bhattarai

et al. 2022

Medphoenix

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Introduction Chronic Otitis Media (COM) is a common condition characterized by perforation of the tympanic membrane and inflammation of middle ear cleft mucosal lining for at least 2-6 weeks. This study was carried out to find out the status of the middle ear ossicles in patients with COM mucosal and to correlate with clinical parameters. Materials and Methods This retrospective clinical study comprises 106 myringoplasty patients at the department of ENT, Shree Birendra Hospital. Their preoperative PTA, four frequencies (500 Hz, 1000 Hz, 2000 Hz, and 4000 Hz) Air Conduction Thresholds (ACT), and Air Bone Gap (ABG) were recorded. Ossicular chain integrity and mobility evaluated intraoperatively were noted. Ossicular chain status was analyzed with ACT and ABG. Results The ossicles were intact and mobile in 91.5%, either fixed/ restricted or disrupted in 8.5%. Mean ACT and ABG comparisons in intact and ossicular chain defect groups were statistically significant. Frequency-specific ACT at all four frequencies and ABG except at 4000 Hz in the two groups were also statistically significant to predict the ossicular involvement. The group with ossicular defect had moderate to severe Conductive Hearing Loss (CHL). Conclusion Mean as well as frequency-specific ACT and ABG can be considered as a potential preoperative predictor for ossicular chain status in COM mucosal.

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Pre and intraoperative findings of chronic otitis media

Irwan

Widyasari

Suyanti

et al. 2019

J. Phys.: Conf. Ser.

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Chronic otitis media (COM) is still highly prevalent in developing countries and often become main cause of deafness and morbid complication. Appropriate management may decrease the morbidity and mortality rate. The aim of the study are to evaluate preoperative and intraoperative finding among COM patients. A descriptive study was conducted at Mohammad Hoesin Hospital Palembang from April 2015 to April 2018. A secondary data was taken from medical records. A total of 252 patients were included in this study with the highest incidence was at 21-30 years old group (29,36 %) with male predominance. The most frequent preoperative assessment were total perforation of tympanic membrane in 104 patients (41.26 %), moderately severe mixed hearing loss in 61 patients (24,2%), and mastoiditis with cholesteatoma in computed tomography (CT) finding in 158 patients (62,69 %). In intraoperative finding, there were 202 patients (80,15%) with cholesteatoma whereas 103 patients (40,87 %) with granulation tissue. Ossicular chain destruction were found in 141 patients (55,95 %). Canal Wall Down Mastoidectomy (CWD) were performed in 190 patients (75,39 %). The prevalence of COM with cholesteatoma at Mohammad Hoesin hospital is still high. Operative management using CWD technique is preferred in cases of COM with cholesteatoma.

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The intraoperative pathological findings in cases of chronic suppurative otitis media with central perforation of tympanic membrane at a tertiary care centre in Eastern Nepal

Cited by 4 publications

References 15 publications

Success Rate of Intact Canal Wall Tympanoplasty in Safe Type of Chronic Suppurative Otitis Media’ Patients

Success Rate of Intact Canal Wall Tympanoplasty in Safe Type of Chronic Suppurative Otitis Media’ Patients

Ossicular Chain Status in Adults with Chronic Otitis Media Mucosal at a Tertiary Referral Hospital in Nepal

Pre and intraoperative findings of chronic otitis media

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