Ossicular status in patients operated for chronic suppurative otitis media

Sharma, Dr Monika; Shetty, Dr Devi Prasad

doi:10.17511/ijmrr.2016.i09.16

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…Sharma et al also had a similar result where ossicular-necrosis was maximum when X-ray mastoid showed a cavity in the mastoid. None of the patients with a cellular mastoid had ossicular disruption (5). In sclerotic X-ray there is involvement of mastoid air cells which is attributed to the bone eroding process which has higher changes of ossicular necrosis.…”

Section: Duration Of Disease With Hearing Thresholdmentioning

confidence: 90%

Pre-Operative Predictors of Ossicular Status in Chronic Supportive Otitis Media

Pant,

Agarwal,

Bist

et al. 2023

J. Adv. Zool.

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Introduction: Chronic suppurative otitis media is associated with ossicular necrosis. Both safe and unsafe CSOM have incidence of ossicular necrosis. This study will provide the much-needed insight, into the factors which can act as significant predictors for the intra operative ossicular status, and help in better preparing the patient before the surgery and need for ossiculoplasty. Furthermore, narrowing down to the most significant ly related predictors, it may also be»possib1eto reduce the financial burden on the patient, something which is of prime importance in a resource limited country like ours. Objectives: pre-operative predictors of intra operative ossicular status in chronic suppurative otitis media and effect of duration of disease on hearing threshold and ossicular-status. Material and methods: A descriptive observational study was done in a Tertiary care referral center. A total number of 124 patients with the clinical diagnosis of CSOM were selected from outpatient department and admitted. All patients were subjected to otoendoscopy, X-raymastt), 1d (Schiller’s view) and pure tone audiometry. All patients underwent tympanomastoidectomy. Preoperative findings on the basis of history, examination and investigations were noted along with findings of intraoperative ossicular status. Findings were tabulated and statistical test were applied to determine significant preoperative predictors of iv intraoperative ossicular status. Results: Intraoperative ossicular necrosis was seen in a total number of 43 patients. On; univariate analysis, blood-stained discharge (P<0.0001), purulent consistency of ear discharge (0<0.0()01), associated symptoms of vertigo (p=0.0047), otalgia (p=0.0019), size(p=0.0042) and f site(p=0.004l), severity of hearing loss (p=0.004), sclerotic mastoid air cell (p=0.0001) had significant association with ossicular necrosis. The duration of disease and hearing threshold did not have statistically significant association (p=0.227). Conclusion: Ossicular necrosis is best indicated by the presence blood-stained and purulent discharge, vertigo, otalgia, total perforation, severe degree of hearing loss and sclerosed mastoid. Incus was the most common necrosed ossicle followed by malleus followed by stapes, Duration of disease did not have a significant connotation with hearing threshold.

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Section: Duration Of Disease With Hearing Thresholdmentioning

confidence: 90%

Pre-Operative Predictors of Ossicular Status in Chronic Supportive Otitis Media

Pant,

Agarwal,

Bist

et al. 2023

J. Adv. Zool.

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“…The most common type of perforation encountered in our study was medium central perforation in 44% of cases followed by large central perforation in 37% of cases. Sharma et al 14 observed the most common type of perforation was central with an incidence of 69.77%. Kamal et al 15 found an incidence of central perforation in COM of 93% in their study population of 203.…”

Section: ) Age Distribution Of Patientsmentioning

confidence: 96%

A Study of Evaluation of Hearing Loss in Tympanic Membrane Perforation and Hearing Outcome after Tympanoplasty

Gangwani¹

2019

jmscr

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Aims and Objective: Assessment of effect of size, site, location of perforation on the degree of hearing loss. To evaluate improvement in hearing after tympanoplasty. Methodology: This is the retrospective and prospective study of 100 patients that underwent tympanoplasty at tertiary care hospital between January 2106 to June 2018. The follow up period was 1 year. Results: Most common type of perforation was medium type of perforation with incidence of 44%. Hearing loss was found to be maximum with large central perforation (49.7 ± 7.07 dB). Mean improvement gain after tympanoplasty was also maximum with large central perforation (15.67 dB). Conclusion:The larger the size of perforation, the larger is the hearing loss. The location of perforation has significant effect on the degree of hearing loss with posterior quadrant perforations causing more hearing loss. Tympanoplasty is a beneficial procedure for hearing improvement and eradication of disease and there is significant improvement after tympanoplasty.

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“…The most common type of perforation encountered in our study was central perforation in 72% of cases followed by subtotal perforation in 28% of cases. Sharma et al 12 observed the most common type of perforation was central with an incidence of 69.77%. Kamal et al 13 found an incidence of central perforation in CSOM of 93% in their study population of 203.…”

Section: Types Of Ossicular Involvementmentioning

confidence: 96%

Ossicular Chain Status in Chronic Suppurative Otitis Media Safe Type Undergoing Tympanoplasty

Singh¹,

Agrawal²,

Sahu³

et al. 2018

jebmh

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BACKGROUND The purpose of this prospective study was to evaluate ossicular chain status in safe type of chronic suppurative otitis media. MATERIALS AND METHODS 100 patients who diagnosed and admitted with chronic suppurative otitis media safe type in Dept. of Otorhinolaryngology, CIMS, Bilaspur (CG), from Jan 2016 to Oct 2018 were scheduled for tympanoplasty and per operative findings were noted. RESULTS In our study, we found long process and lenticular process are eroded (8%) and most common ossicles to be eroded were lenticular process of incus and malleus. Stapes was found to be intact. Malleus was most resilient to erosion. CONCLUSION All patients of chronic suppurative otitis media with tubotympanic disease should be checked for ossicular chain continuity and movement of all ossicles should be evaluated to rule out any ossicular erosion and also to rule out tympano-sclerosis involving the ossicular joints.

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Ossicular status in patients operated for chronic suppurative otitis media

Cited by 3 publications

References 10 publications

Pre-Operative Predictors of Ossicular Status in Chronic Supportive Otitis Media

Pre-Operative Predictors of Ossicular Status in Chronic Supportive Otitis Media

A Study of Evaluation of Hearing Loss in Tympanic Membrane Perforation and Hearing Outcome after Tympanoplasty

Ossicular Chain Status in Chronic Suppurative Otitis Media Safe Type Undergoing Tympanoplasty

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