Results: 142334 people were screened in the year 2014 in which 10248 suffered from hearing loss. Prevalence of hearing loss was 7.2%. 9310 patients were managed conservatively. Surgery was performed in 506 cases and hearing aid was provided to 432 cases. Conclusion: This study emphasizes that through the introduction of concept of ear care workers, a large number of unprivileged patients with treatable causes of hearing loss can be provided with appropriate, cost effective and early treatment.

Summary Brain abscess in children is a rare and particularly severe complication of acute otitis media/Chronic suppurative otitis media (CSOM). Presenting a child with brain abscess, which was developed as a pre-surgical complication of CSOM with cholesteatoma. Visualization of the abscess on a 3-D Sectra Visualization table was performed. An 8-year-old child who often suffered from untreated runny ear was admitted in a critical state. The history and clinical and laboratory data suggested severe chronic inflammation of the right middle ear. The examination did not reveal signs of meningeal irritation, increased intracranial pressure, excitation, sensory disorders, or focal symptoms. Surgical treatment was performed as a radical mastoidectomy with the removal of a cholesteatoma. After a three-day uneventful postoperative period, the patient worsened. A CT scan visualized a brain abscess in the right temporal lobe. A craniotomy was performed by opening the brain abscess, with an aspiration of pus, and lavage of the cavity. After surgical and conservative treatment, the child was discharged clinically healthy on the fourteenth day. Processing the image check-ups on a Sectra 3-D visualization table helped determine the size and localization of the abscess and the choice of surgical access.

Results: 142334 people were screened in the year 2014 in which 10248 suffered from hearing loss. Prevalence of hearing loss was 7.2%. 9310 patients were managed conservatively. Surgery was performed in 506 cases and hearing aid was provided to 432 cases. Conclusion: This study emphasizes that through the introduction of concept of ear care workers, a large number of unprivileged patients with treatable causes of hearing loss can be provided with appropriate, cost effective and early treatment.