Incidence of Complications of Unsafe Chronic Suppurative Otitis Media Presenting in a Tertiary Care Hospital at Assam, India- A Retrospective Study
Published: May 1, 2022 | DOI: https://doi.org/10.7860/JCDR/2022/53172.16304
Rupam Borgohain, Manaswi Sharma, Asha Saikia
1. Associate Professor, Department of Ear, Nose and Throat and Head and Neck Surgery, Assam Medical College and Hospital, Dibrugarh, Assam, India.
2. Resident Surgeon, Department of Ear, Nose and Throat and Head and Neck Surgery, Assam Medical College and Hospital, Dibrugarh, Assam, India.
3. Postgraduate Trainee, Department of Ear, Nose and Throat and Head and Neck Surgery, Assam Medical College and Hospital, Dibrugarh, Assam, India.
Correspondence
Dr. Asha Saikia,
Postgraduate Trainee, Department of ENT and Head and Neck Surgery, Assam Medical College and Hospital, Dibrugarh, Assam, India.
E-mail: ashasaikia23.as@gmail.com
Introduction: Chronic otitis media is inflammation of the middle ear cleft presenting with recurrent ear discharge through a tympanic membrane perforation. The disease spectrum ranges from mild to severe forms of complications. Complications of chronic otitis media can be extracranial or intracranial.
Aim: To evaluate the demographic profile of patients with chronic otitis media and to estimate the incidence of complications in upper Assam province during a period of five year.
Materials and Methods: This retrospective study was carried out on a total of 260 patients of chronic otitis media admitted in Ear, Nose and Throat Department, Assam Medical College and Hospital, Dibrugarh, Assam, India, during a period of five years from August 2016 to July 2021. The data collected were tabulated in Microsoft Excel Worksheet. The categorical variables were summarised as proportions and percentages.
Results: From the records, majority (31.2%) of the cases were found in the age group of 11-20 years with a male to female ratio of 1.13. The disease was more common during the winter season (56.5%). A 13.5% cases showed complications of chronic otitis media. Mastoiditis was the most common extracranial complication (31.4%) , followed by periosteal abscesses (22.9%), facial nerve paralysis (11.4%) and labyrinthitis (5.7%).
Conclusion: The early identification of symptoms by rural healthcare personnels and immediate management of unsafe chronic otitis media, to avoid complications.
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