Study of Preoperative Indicators of Ossicular Defect in Mucosal Type of Chronic Suppurative Otitis Media

Harkare, Vivek; Khadakkar, Sonali P.; Deosthale, Nitin; Dhoke, Priti R.; Dhote, Kanchan; Kakad, Komal Arun; Patil, Priyal Vardhaman; Pidurkar, Shivani Suresh

doi:10.14260/jemds/2020/145

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…In a study conducted by Lakhawat et al 23% patients had ossicular necrosis with long process of Incus most commonly involved (10). In a study conducted by Singh et al 30% patients with active mucosal CSOM had ossicular necrosis while no patient with inactive mucosal CSOM had ossicular necrosis (16). We employed water test to ascertain aditus patency.…”

Section: Study Of Mastoid Antral Changes In Tubotympanic Chronic Supp...mentioning

confidence: 99%

Study of Mastoid Antral Changes in Tubotympanic Chronic Supportive Otitis Media

Padda,

Kumar,

Bist

et al. 2023

J. Adv. Zool.

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Background: Study of mastoid antrum ﬁndings in tubotympanic chronic suppurative otitis media Objectives: To study mastoid antrum ﬁndings in tubotympanic CSOM and to determine predictors for performing antrostomy. Methodology: 71 patients with tubotympanic CSQM were selected from OPD and IPD. All patients were subjected to investigations like X—ray mastoid (Schuller’s View), pure tone audiometry and Otoendoscopy. All patients were subjected to mastoid exploration (cortical mastoidectomy or antrostomy) with tympanoplasty. Pre-Operative ﬁndings on basis of history, examination and investigations were noted along with intra-operative ﬁndings of middle ear and mastoid antrum. Findings were tabulated and statistical tests were applied to determine signiﬁcant predictors. Results: Mastoid antrum was found to be diseased in 21 patients with pathological ﬁndings like mucopus, granulations etc. Recurrent URTI, mastoid pneumatization pattern, pre operative middle ear mucosal status on otoendoscopy, degree of hearing loss and ossicular status were signiﬁcantly associated with diseased antrum (P-value<0.05). Conclusion: Disease can be found in mastoid antrum in tubotympanic CSOM. Mastoid exploration in form of antrostomy should be done in all cases where certain predictors are present. The predictors for performing antrostomy in tubotympanic disease are presence of recurrent URTI on history, sclerotic mastoid on x—ray mastoid (Schuller’s View), unhealthy middle ear mucosa on otoendoscopy, moderate and moderately severe hearing loss on pure tone audiometry and intra-operative ossicular necrosis and immobility.

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Section: Study Of Mastoid Antral Changes In Tubotympanic Chronic Supp...mentioning

confidence: 99%

Study of Mastoid Antral Changes in Tubotympanic Chronic Supportive Otitis Media

Padda,

Kumar,

Bist

et al. 2023

J. Adv. Zool.

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Correlation between Clinical and Audiological Factors with Ossicular Chain Continuity in Chronic Otitis Media

Pandey,

Baisakhiya,

Batni

et al. 2024

Indian Journal of Otology

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Introduction: Chronic otitis media (COM) with the perforation of the tympanic membrane, myringoplasty is preferred treatment, but if ossicles are involved, myringoplasty is done with ossiculoplasty which is termed as tympanoplasty. Preoperative assessment of ossicular status is important to decide the type of tympanoplasty. Ossicular chain continuity is generally seen in the patient who has short duration of disease and smaller air–bone gap. Our study was conducted to support the relationship between preoperative clinical, audiological, and other factors in relation to the ossicular chain status. Materials and Methods: This was a prospective, cross-sectional study conducted at a tertiary care center, for 2-year duration (November 2019 to November 2021), on 100 patients who presented with COM (mucosal type). Preoperative diagnosis and assessment based on the clinical examination and investigations were compared with operative findings. Results: Thirty percent of the patients had ear discharge duration <1 year, 28% had 1–5 years, and 18% patients had 6–10-year duration. Hearing loss was present in 80% of the cases. Correlation of pure-tone average (PTA) with ossicular chain status was significant with P = 0.028. The majority of patients were in the moderate category 31% and 19.36% of patients had ossicular chain defect. The second common category was mild hearing loss (24%), of which 4.17% of patients showed ossicular chain defect. Conclusion: Maximum percentages of patients with severe hearing loss had ossicular chain discontinuity followed by profound hearing loss. Most of cases had moderate to moderately severe conductive hearing loss in PTA. As the air–bone gap increases, the possibility of ossicular discontinuity increases.

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Study of Preoperative Indicators of Ossicular Defect in Mucosal Type of Chronic Suppurative Otitis Media

Cited by 2 publications

References 15 publications

Study of Mastoid Antral Changes in Tubotympanic Chronic Supportive Otitis Media

Study of Mastoid Antral Changes in Tubotympanic Chronic Supportive Otitis Media

Correlation between Clinical and Audiological Factors with Ossicular Chain Continuity in Chronic Otitis Media

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