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Background: Chronic suppurative otitis media is a common complaint in E.N.T clinics and many of the patients underwent medical or surgical intervention or both.Otoendoscopic evaluation of middle ear cleft hidden areas which are: (epitympanum, hypotympanum, supratubal recess, facial recess and sinus tympani) is of prime importance to discover any pathology which will change the plan for management. Aim of the study:To evaluate the middle ear (hidden areas) in patients with chronic suppurative otitis media by mean of otoendoscope to discover any pathology in those areas which may change the management plan to eradicate the diseases and restoration of hearing function. Patients and method:Hidden areas of the middle ear are evaluated with the help of 30 degree, 1.9 mm diameter and 18 cm shaft length otoendoscope through preexisting tympanic membrane perforation with aid of 10% Xylocaine spray as a local anesthesia. Any patient with chronic suppurative otitis media regardless the age, type and sex were included in this study.Results: Forty nine ears were included in current study and the age range was (12-76), male to female ratio was 1:1.5, and their common chief complaint was hearing impairment, surgery was done for 25 years (51%) Endoscopical findings were accurate in 88% of them and compatible with surgical findings.The commonest pathology was ossicular chain erosion 32 ears (65.3%) mostly involving the incus which was seen in 17 years (68%). Granulation tissue was seen in 15 years (30.6%), cholesteatoma was documented in 13 years (26.5%) and tympanosclerosis was reported in 10 years (20.4%).Conclusion: 1.The rigid otoendoscope is important tool in evaluating hidden areas. 2. High accuracy and relative simplicity encourages the use of otoendoscope preoperatively, however the lack of third dimension increase the liability for trauma. Journal of Otolaryngology-ENT ResearchForum Article Open Access Otoendoscopic evaluation of the middle ear hidden areas in chronic suppurative otitis media 177 Copyright: ©2018 Yaseen et al. Citation: YaseenET, Abdullah AH, Jwery AK, et al. Otoendoscopic evaluation of the middle ear hidden areas in chronic suppurative otitis media. Citation: YaseenET, Abdullah AH, Jwery AK, et al. Otoendoscopic evaluation of the middle ear hidden areas in chronic suppurative otitis media.

This descriptive prospective study, (non -controlled clinical trial) was conducted during period of February 2016 to February 2017 in AL-Jadryia private hospital total of 80 patients age range (8-64 years old) Gender distribution was 55% male, 45 % female. The patients where compelling from Tonsil hyperplasia, Chronic tonsillitis, Recurrent acute tonsillitis not responding to medical treatment. Surgical Ultrasound (Intra-capsular tonsillotomy) technique was done to them under L.A