Chaitry Shah¹, Darshan D Parikh²*, Bela J Prajapati³, Achal Pandya⁴, Sreevidya SR⁴ and Avinash Shah⁴

¹Assistant Professor, Department of E.N.T, Civil Hospital, Ahmedabad, Gujarat, India
²Senior Resident, Department of E.N.T, Civil Hospital, Ahmedabad, Gujarat, India
³Additional Professor and Head of Department, Department of E.N.T, Civil Hospital, Ahmedabad, Gujarat, India
⁴Third Year Resident, Department of E.N.T, Civil Hospital, Ahmedabad, Gujarat, India

*Corresponding Author: Darshan D Parikh, Senior Resident, Department of E.N.T, Civil Hospital, Ahmedabad, Gujarat, India.

Received: June 22, 2021; Published: July 20, 2021

Abstract

Introduction:  Chronic suppurative otitis media [CSOM] is a common public health problem in India. Though there is decline in incidence of its complications and mortality, they are still frequent due to poor socioeconomic conditions, lack of awareness and unavailability of trained specialists in rural region.

Objective: Objectives of our study are to diagnose and identify the complications of CSOM, role of radiological investigations in CSOM, management of complications of CSOM and post-operative outcome and results of CSOM.

Materials and Methods: It is a prospective study comprises of 50 patients with complications secondary to CSOM admitted in department of ENT civil hospital, Ahmedabad. The study was done over a period from May 2017 to January 2020. Analysis was regarding the demographic profile, clinical features and a comprehensive investigation panel related to each complication and management protocol. All the patients with suspected complicated CSOM, according to signs and symptoms underwent computed tomography [CT] and MRI.

Results: In this study of 50 patients, 30 patients presented with extracranial complications and 20 patients with intracranial complications of CSOM. Out of extra cranial complication, post auricular abscess and out of intra cranial complications, brain abscess was found to be most common complication. Most frequent intraoperative finding of complicated CSOM patients was cholesteatoma. The intracranial complications presented with fever, headache and signs of meningeal irritation.

Conclusion: In this study we emphasize the importance of early diagnosis followed by prompt surgical management as the key in treatment of complicated CSOM.

Keywords: Complications; CSOM; Extracranial; Intracranial

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Citation

Citation: Darshan D Parikh., et al. “A Clinical Study on Complications of Chronic Suppurative Otitis Media".Acta Scientific Otolaryngology 3.8 (2021): 98-103.

Copyright

Copyright: © 2021 Darshan D Parikh., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.