Endoscopic Tympanocentesis and bacteriological study in acute suppurative oitis media in Imphal
Journal Title: International Journal Of Research In Medicine - Year 2016, Vol 5, Issue 4
Abstract
BACKGROUND AND OBJECTIVES: Acute middle ear infection is a serious inflammatory condition and can affect all age groups. It is more common in the preschool age groups in children and more so below the age of 2 years. The treatment consists primarily of prompt administration of antibiotics aimed at subsiding the infection and surgical release of the tension of the middle ear pressure exerted by the inflammatory fluid to bring about the immediate normalization of the middle ear and Eustachian tube mucociliary functions. The study was taken up to find out common aerobic bacterial pathogens in Imphal, the sensitive antibiotics and effectiveness of Endoscopic Tympanocentesis in the treatment. METHODS: A prospective study of acute otitis media cases in all age groups in a span of 24 months, comprising of 385 cases was done. Tympanometry followed by Mocroscopic Myringotomy or Endoscopic Tympanocentesis and collection of pus for culture and sensitivity tests were done. RESULTS: Staphylococcus aureus emerged as a significant pathogen and Endoscopic Tympanocentesis proved to be better treatment option than Microscopic Myringotomy. CONCLUSION: Endoscopic Tympanocentesis under short infusion anaesthesia in children and under local anaesthesia in adults was a very effective, short duration-day-care procedure. The difference of the result of the study from the published literature regarding bacterial culture could be due to1 rampant self-medication ,2 availability of over-the-counter antibiotics and3 taking of antibiotics before coming to the hospital for treatment.
Authors and Affiliations
Dhakeswar Singh Potsangbam, Akoijam Babie Anand
Keywords
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