Aetiological factor for chronic suppurative otitis media: a retrospective study

Abstract

<p class="abstract"><strong>Background:</strong> Otitis media (OM) refers to a group of complex infectious and inflammatory diseases affecting the middle ear. The present study was conducted to understand the various aetiological factors in chronic suppurative otitis media (CSOM) and also to take into possible hereditary factors<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> This retrospective study was conducted in 150 patients who had visited or were admitted at department of otorhinolaryngology and Head and Neck Surgery, Shree Sayaji General (SSG) Hospital, Vadodara, Gujarat. Detailed history regarding the illness was taken then clinical examination was carried out on the patient in a systemic manner, otoscopic examination, tuning fork test and pure tone audiometry was done. All the findings are noted in proforma. Means of both groups were compared by independent student t-test<span lang="EN-IN">. </span></p><p class="abstract"><strong>Results:</strong> Most of the patients were in lower socioeconomic class (59.33) and lower middle class (40.67). Fifty out of the 150 chronic suppuurative Otitis Media patients, had a history of discharge for more than 10 years of duration. DNS and septal spur was found as positive finding in 49 patients of CSOM. X-ray of mastoid Schuller’s view was done in 87 patients, out of which 62 patients X-ray showed sclerosis of mastoid air cells, 16 cases showed partly pneumatization of mastoid air cells<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Chronic otitis media is an important cause of morbidity in very large group of Indian population. Between 20-40 years of age septal pathology was main aetiological factor for CSOM<span lang="EN-IN">.</span></p>

An observational study of endoscopic versus microscopic type I tympanoplasty in tubotympanic chronic otitis media in a tertiary health care centre

“…15 We observed that the disease is more prevalent in males than females which is similar to other studies done in Singapore, Pakistan, Iran and other parts of India. 16 Siraj et al in his study reported that the prevalence of CSOM was found to be slightly higher in male children than female. 17 Islam in 2007, in his study revealed that the male to female ratio regarding the prevalence of the disease is much higher.…”

“…18 Our study showed that COM is more common in rural population especially affecting the lower socio-economic strata, which is quite similar to a study made by Okafor et al who stated that the majority of the patients with chronic ear disease came from poor communities living in subsistence agricultural or slum areas. 16 In a study conducted by Arunabha et al 60% of their patients were from low socio-economic class. Poor living conditions, poor access to medical care, inadequate medical treatment, recurrent upper respiratory tract infections, nasal diseases have been recognized as risk factors for COM.…”