A Study on Ossicular Pathology in Chronic Suppurative Otitis Media
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 3
Abstract
Introduction: In developing countries, chronic suppurative otitis media (CSOM) accounted for 60-80% of middle ear disease. CSOM is a disease affecting, especially people with poor health, hygiene, and nutrition worldwide. Up to one-third of the population in developing countries has their quality of life affected by CSOM and its precursors. In children in developing countries CSOM is the most common cause of hearing impairment. Aim: The aim is to study the long-term hearing stability in patients who undergoing ossicular reconstruction using auto- or homo-graft ossicles taken from CSOM. Methods: Fifty cases of unsafe CSOM who underwent a modified radical mastoidectomy or radical mastoidectomy for their disease process were taken up for the study. Results: Out of 50 patients, 34 were male and 16 were female prominent age group being 20-45, all the patient had ear discharge and hard of hearing. Removed ossicles are examined and found pathology from inflammatory cell infiltration to sequestrum formation, and long process of incus is most common to affect. Conclusion: The long process of the incus is the most commonly eroded part of an ossicle in unsafe CSOM. Bone absorption is the most frequent pathological change and is usually observed where the granulation, inflammatory, or connective tissue with fibroblast is adjacent to the ossicle.
Authors and Affiliations
P S K Thangaraj, P Ramasundar, Heber Anandan
Keywords
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