Chronic Suppurative Otitis Media
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2017, Vol 22, Issue 3
Abstract
Problem statement: Chronic suppurative otitis media is one of the most common conditions. Conventionally hearing loss in CSOM is conductive in nature, but it has been observed an additional sensorineural component to their conductive hearing loss. It has been observed that many causes of safe as well as unsafe type of CSOM without complications show a sensorineural element. However, with the advent of antibiotics and sophisticated techniques, the complications of CSOM have tremendously come down. Children with mixed hearing loss invariably suffer from the point of view of education and development of language and therefore it becomes essential to study such cases so that we can prevent sensorineural deafness is CSOM. Methods: This study was conducted in the department of ENT, Darbhanga Medical College and Hospital, from Feb 2016 to Jan 2017. Institutional Ethics Committee Clearance was obtained before start of study and written and informed consent for the procedure was obtained from all the patients. A total of 50 patients were divided in 2 groups of 25 each who had unilateral CSOM. Results: It was observed that 17% of patients had mixed hearing loss in CSOM, incidence of which increases with advancing age. Higher frequencies were involved in majority of cases. There was no correlation with duration of otorrhoea or duration of topical ear drops with degree of sensorineural hearing loss. Incidence of sensorineural component of hearing loss was more in patients was more in patients with cholesteatoma. Conclusion: In our study incidence of sensorineural hearing loss increased with advancing age, showing that age is a risk factor for sensorineural component of hearing loss in CSOM. CSOM is associated with mixed hearing loss mainly >35db, higher frequencies were involved. There was no significant correlation between degree of sensorineural hearing loss and duration of otorrhoea or duration of topical antibiotics.
Authors and Affiliations
Manoj Kumar
Keywords
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