Outcomes of Complications of Chronic Otitis Media in Tertiary Care Facilty in Western Uttar Pradeh

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.