Chronic suppurative otitis media: Socio-economic implications in a tertiary hospital in Northern Nigeria

Adoga, Adeyi A; Nimkur, Tonga L; Silas, Olugbenga A.

doi:10.4314/pamj.v4i1.53613

Cited by 63 publications

(66 citation statements)

References 8 publications

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“…[4,5,[14][15][16] The predominance of unilateral disease in children with CSOM has previously been noted. [3,12,[16][17][18][19] Most children who had been treated prior to referral did not respond to the treatment given or relapsed, which was the reason for referral.…”

Section: Discussionmentioning

confidence: 68%

Paediatric chronic suppurative otitis media in the Free State Province: Clinical and audiological features

et al. 2013

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Background. Chronic suppurative otitis media (CSOM) is a chronic infection of the middle ear cleft. In sub-Saharan Africa >50% of cases occur in children <10 years of age. Objectives. To describe the otological, audiological and bacteriological findings in children with CSOM. Methods. We conducted a prospective study at the Ear, Nose and Throat (ENT) Clinic at Universitas Academic Hospital between August 2009 and December 2010. We included all children with CSOM over this period. Patients underwent ENT and paediatric examination, and were tested for HIV. Pus swabs were taken after an ear toilet for routine microbiology, fungal and Mycobacterium tuberculosis culture. We performed audiological testing after the otorrhoea had resolved. Results. Eighty-six children (113 ears) were included, with a median age of 4.6 years (range 1 -12 years). The mean duration of otorrhoea was 161.7 weeks (range 4 -572 weeks). Nine patients (10.5%) presented with coalescent mastoiditis and/or intracranial complications of CSOM. Of the 153 organisms identified, Gram-negative bacteria were present in 93 (82.3%) ears, with 94.8% of these being sensitive to quinolones. Only 1 case of tuberculous otitis media was identified. HIV infection was present in 54.6% of patients tested. There was a hearing loss in 44 (66.7%) of the tested affected ears. Conclusions. There was a long delay between the onset of symptoms and accessing ENT services. Most cases of CSOM were due to quinolone-sensitive Gram-negative aerobes. There was a high prevalence of cholesteatoma, hearing loss and other complications in children in this study.

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Section: Discussionmentioning

confidence: 68%

Paediatric chronic suppurative otitis media in the Free State Province: Clinical and audiological features

et al. 2013

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“…[18] The complications of CSOM in this study also differ from those of Adoga where complications of CSOM were mastoid abscess (6.8%), subperiosteal abscess (1.4%), meningitis (1.4%) and facial nerve paralysis (1.4%). [24] However we cannot establish the explanation for this difference. Our overall mortality of 4.5% is higher than Mostafa's and Yagizy's mortality of 1.42% and 2.4% respectively.…”

Section: Discussionmentioning

confidence: 85%

Complications of chronic suppurative otitis media: challenge for a developing country

Wahid

Khan²,

Khan³

2014

Kulak Burun Bogaz Ihtis Derg

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Objectives: This study aims to investigate the frequency and management of complications of chronic suppurative otitis media (CSOM). Patients and Methods:Out of 376 patients with CSOM, 44 patients (25 males, 19 females; mean age 48.5±3.5 years; range 21 to 76 years) meeting study criteria were enrolled in this descriptive cross sectional study which was conducted at the Department of Ear Nose and Throat, Head and Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital Peshawar. All newly diagnosed patients having CSOM with complications were enrolled. The complications were treated first. Intracranial abscesses were evacuated by neurosurgeons. Radical and modified radical mastoidectomy were performed. Results:Majority of the patients presented in the second and third decade of life (21-30 years: 27.27%, 31-40 years: 18.18%). Most of the patients (59.1%) had lower socioeconomic status. Canal wall down mastoidectomy was the most common (79.5%) procedure performed. Cholesteatoma was the most common operative finding (100%). Among extracranial complications, subperiosteal abscess was the most common finding (38.63%), while extradural abscess outnumbered (22.72%) in intracranial complications. Conclusion Bulgular:Hastaların çoğu yaşamlarının ikinci ve üçüncü on yılında başvurdu (21-30 yaş: %27.27, 31-40 yaş: %18.18). Hastaların çoğunun sosyoekonomik durumu düşüktü (%59.1). Açık mastoidektomi en yaygın uygulanan işlemdi (%79.5). Kolesteatom en yaygın ameliyat bulgusuydu (%100). Ekstrakraniyal komplikasyonlar içinde subperiostal apse en yaygın bulgu iken (%38.63) intrakraniyal komplikasyonlarda ekstradural apse daha çoktu (%22.72).Sonuç: Kronik süpüratif otitis media komplikasyonları yaygın olarak düşük sosyoekonomik durumu olan daha genç insanları etkiler. Beyin cerrahlarıyla işbirliği yapılması bu enfeksiyonun başarıyla yönetilmesinde yardımcı olabilir.Anahtar Sözcükler: Ekstrakraniyal komplikasyonlar; intrakraniyal komplikasyonlar; süpüratif otitis media.

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“…This is in contrast to other studies that found a male predominance. [19][20][21][22][23] While a national study on hearing in the United Kingdom found no gender difference. 24 Many investigators have revealed the role of upper respiratory tract abnormalities as causative factors for ET obstruction in the etiopathogenesis of COM.…”

Section: Discussionmentioning

confidence: 99%

A comparative study on the nasal endoscopic findings in patients with chronic otitis media

Thomas

Menon

Pooja

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Nasal and/or sinus disease may well contribute to the development of middle ear disease. In this study, the nasal endoscopic findings in patients with chronic otitis media (COM) compared with a group of people who do not have any otologic relevant disease to evaluate the association of anatomical variations with COM.Methods: A descriptive comparative study was done. A detailed history, clinical examination and diagnostic nasal endoscopy (DNE) had been done. DNE analysis include eustachian tube blockage, adenoid hypertrophy and inferior turbinate hypertrophy. The results were statistically analysed. Results: Total 108 cases (45 males and 63 females of age 31.17±14.50 years) and in the control group (48 males and 60 females of average age was 36.06±14.32 years) were included in the study. Most of the COM patients (66.7%) had multiple abnormalities of sinonasal regions compared to controls. Findings of DNE like eustachian tube blockage (p value=0.003), adenoid hypertrophy (p value=0.028) and inferior turbinate hypertrophy (p value=0.035) were significantly associated with chronic otitis media.Conclusions: Nasopharyngeal pathology causing eustachian tube dysfunction, has higher prevalence among chronic otitis media patients. So early recognition by diagnostic nasal endoscopy is warranted especially when surgery is considered for the comprehensive management of this overwhelming and enigmatic disease.

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Chronic suppurative otitis media: Socio-economic implications in a tertiary hospital in Northern Nigeria

Cited by 63 publications

References 8 publications

Paediatric chronic suppurative otitis media in the Free State Province: Clinical and audiological features

Paediatric chronic suppurative otitis media in the Free State Province: Clinical and audiological features

Complications of chronic suppurative otitis media: challenge for a developing country

A comparative study on the nasal endoscopic findings in patients with chronic otitis media

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