Trends of Complications of Chronic Otitis Media in Tertiary Care Facilty in Western Uttar Pradesh
DOI:
https://doi.org/10.37506/ijphrd.v11i12.13205Keywords:
Extracranial complications; intracranial complications; suppurative otitis media.Abstract
Objectives: This study aims to investigate the frequency and management of complications of chronic
suppurative otitis media(CSOM).
Patients and Methods: Out of 376 patients with CSOM, 44 patients (25 males, 19 females; mean age
48.5±3.5 years; range 21to 76 years) meeting study criteria were enrolled in this descriptive cross sectional
study which was conducted at the Department of Ear Nose and Throat, Head and Neck Surgery. All newly
diagnosed patients having CSOM with complications were enrolled. The complications were treated first.
Intracranial abscesses were evacuated by neurosurgeons. Radical and modified radical mastoidectomy were
performed.
Results: Majority of the patients presented in the second and third decade of life (21-30 years: 27.27%,
31-40 years: 18.18%).Most of the patients (59.1%) had lower socioeconomic status. Canal wall down
mastoidectomy was the most common (79.5%) procedure performed. Cholesteatoma was the most common
operative finding (100%). Among extracranial complications, subperiosteal abscess was the most common
finding (38.63%), while extradural abscess outnumbered (22.72%) in intracranial complications.
Conclusion: Complications of CSOM commonly affect younger people with low socioeconomic status.
Collaborating with neurosurgeons may assist in the successful management of this infection.