A Study on the Influence of Sinusitis in a Case of Persistent Chronic Suppurative Otitis Media of Tubotympanic Type

Abstract

BACKGROUND Chronic Suppurative Otitis Media (CSOM) is the chronic inflammation of the middle ear cleft mucosa, which is characterised by irreversible changes in it with a history of ear discharge for more than 3 months through a permanent tympanic membrane defect. Chronic suppurative otitis media is of two types tubotympanic (mucosal) and atticoantral (squamous). Tubotympanic type (mucosal) is mainly due to infection from the oropharynx and the nasopharynx, which travels into the middle ear via the eustachian tube, whereas atticoantral type (squamous type) is due to cholesteatomatous lesions. The prevalence of CSOM was 4.1 percent (3.1%-unilateral and 1.0% bilateral disease). Both otitis media and sinusitis are the most common pediatric diagnoses and they share many common characteristics. The aim of the study is to prove focal sepsis of chronic otitis media, tubotympanic type sinusitis and there is an improvement in middle ear mucosal disease status after functional endoscopic sinus surgery.