Clinical Study of Cholesteatoma in Otitis Media
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Introduction: The introduction of the otomicroscope in ear surgery has undoubtedly resulted in a better and more scientific approach to ear disease and has also added a fresh dimension to the treatment of chronic suppurative otitis media i.e. reconstruction of hearing mechanism. Although western reports indicate that the rate of cholesteatomatous complications is as low as 1 or 2 percent, it remains a significant cause of morbidity and even mortality in our country. Material and methods: This study included fifty cases of chronic supprative otitis media with cholesteatoma. In all cases detailed history were obtained and Otoscopic, otomicroscopic and tunning fork tests were performed. X-ray mastoids (Schuller’s view) and CT scan was done for patients with complications. Result: Chronic otitis media (COM) commonly occurs in the age group from 11 to 30 years (76%). Otorrhea was the main reason for consultation (100%). Destruction of incus was the commonest Intraoperative finding (76%). Malleus was absent in (30%) while stapes superstructure was eroded in (40%). Intracranial complications were seen in 28% whereas 18% cases presented with extra cranial complications. Conclusion: Chronic otitis media is prevalent in lower socio-economic strata. Patients often present late with advanced disease process associated with complications. Meticulous clinical examination should be done and surgery should be accordingly planned.
Authors and Affiliations
Dr. Preeti Sharma, Dr. P. N. P Pal
Keywords
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- EP ID EP598022
- DOI 10.9790/0853-1605093640.
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