AN ANALYSIS BETWEEN CHRONIC SUPPURATIVE OTITIS MEDIA AND CHRONIC BACTERIAL RHINOSINUSITIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 67
Abstract
AIM The objective of our study is to analyse the role of chronic bacterial rhinosinusitis as an important causative factor in CSOM with respect to aetiopathology, bacteriology, and radiology in adults and to establish the need of proper diagnostic evaluation of nose and paranasal sinuses before contemplating ear surgery. MATERIALS AND METHODS The study was conducted between December 2012 and February 2016 and focussed on 60 patients having CSOM (atticoantral and tubotympanic types - active stage) with chronic rhinosinusitis. Specific investigations included otomicroscopy, diagnostic nasal endoscopy, culture and sensitivity of aural and nasal swabs, HRCT temporal bone, and CT PNS were done for all cases. RESULTS In our study, the most common aerobic isolates were Staphylococcus aureus, Pseudomonas aeruginosa, and Streptococcus spp. Bilateral chronic suppurative otitis media with bilateral chronic bacterial rhinosinusitis was seen in majority of patients (33.3%), among which tubotympanic type and maxillary sinusitis being the most common presentation. CONCLUSION Chronic bacterial rhinosinusitis is the most important causative factor in persistence of chronic suppurative otitis media - tubotympanic and atticoantral. The objective assessment of all CSOM patients should be taken into consideration for comprehensive management of the disease.
Authors and Affiliations
Maradesha , Samatha , Veenapani
Keywords
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- EP ID EP112707
- DOI 10.14260/jemds/2016/1086
- Views 97
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