Does The Type of Ossicular Chain Lesion Affect Outcomes in Chronic Suppurative Otitis Media Without Cholesteatoma? (original) (raw)
Related papers
Background: To assess the intraoperative status of ossicles in patients with chronic suppurative otitis media. Methods : This was an observational study carried out in the department of ENT for a period of three years i.e. from 2016 to 2019. About 150 patients of CSOM both mucosal and squamosal was included in the study. They were then posted for appropriate surgery & their intraoperative ossicular findings were recorded. Results : Out of 150 cases studied, incus was found involved in 50 patients (18-mucosal, 32-squamosal) , stapes was found involved in 36 patients (8-mucosal, 28-squamosal) , malleus was found involved in 32 patients(8-mucosal, 24-squamosal). Incus was involved most frequently in 33.3%, followed by stapes ; involved in total 24%. Malleus was most resistant ossicle involved in 21.33% patients. Conclusion: Incus was found to be the most frequently impaired ossicle to erode in chronic otitis media. Malleus was found to be the most resistant ossicle. So, as an ENT surgeon, we should have enough competencies to do all type of ossicular chain reconstruction during surgery to give the best possible hearing result to the patients and providing a better productive life.
GLOBAL JOURNAL FOR RESEARCH ANALYSIS, 2021
Background: Chronic otitis media (COM) is a permanent abnormality of the pars tensa (PT) or pars accida (PF) which may manifest in the form of atelectasis, perforation, tympanosclerosis, retraction pocket development, cholesteatoma, cholesterol granuloma, ossicular chain disruption etc. It has been further subdivided into active and inactive forms or Safe tubotympanic variety and Unsafe atticoantral variety. COM of all types is associated with erosion of the ossicular chain . The incidence and degree of ossicular destruction is much greater in cases of unsafe COM due to the presence of cholesteatoma and/or granulations .The aim of the present study was to correlate the type of COM, the site of perforation/retraction and the type of disease pathology with the pattern and degree of ossicular chain necrosis. Aims and objectives: AIM OF THE STUDY: To study the ossicular chain involvement in both safe and unsafe types of COM in patients attending to E.N.T. Department of a tertiary care ...
Ossicular Chain Status in Chronic Suppurative Otitis Media
2016
the Observational Study Is Done To Find Out Different Ossicular Involvement In Chronic Suppurative Otitis Media With Cholesteatoma And Granulations In Relation To The Hearing Loss And Possibility Of Ossicular Reconstruction. Abbreviation:High-Resolution Computed Tomography (HRCT), Chronic Suppurative Otitis Media (CSOM),Air Bone Gap (ABG).
Iranian Journal of Otorhinolaryngology, 2018
Introduction: Chronic otitis media (COM) has been broadly classified into mucosal and squamous subtypes. COM types are associated with erosion of the ossicular chain. The aim of the present study was to correlate the type of COM, the site of perforation/retraction, and the type of disease pathology with the pattern and degree of ossicular chain necrosis. Materials and Methods: A prospective cross-sectional study was performed in 76 cases of COM, who were subjected to tympanomastoidectomy. Pre-operative findings were compared with per-operative ossicular chain status and pathology. Results: Incus was found to be the most vulnerable ossicle for erosion, followed by malleus and suprastructure of stapes. The pattern of multiple ossicle involvement was more common. Ossicular chain erosion was more common in squamous COM than mucosal COM (X2=66.25; P=0.0001) and in the presence of cholesteatoma and granulations. Ossicular necrosis was most common in squamous disease with cholesteatoma, fo...
Journal of Saidu Medical College, Swat, 2020
Background: Otitis media is infection of middle ear, with tympanic membrane perforation the term huge or massive is used when ithas extension. Similarly, if there is bone erosion, then it is considered to be of severe type. The draw back in this scenario is thatcomparison for outcome cannot be carried out and hence objective learning is not possible due to absence of uniform classification.The European Academy of Otology and Neurotology and the Japanese Otological Society has recently introduced a classificationsystem grounded on cholesteatoma extension and its complications and similarly another is ChOLE-classification. In this studyboth staging system have been used primarily for extension of disease and ossicular chain status.Objective: To evaluate the intraoperative extent of disease and to analyze the nature of ossicular erosion in patients of squamosaltype of CSOM based on ChOLE and EAONO/JOS Classification.Material and Methods: This Retrospective chart review study was conduc...
Intra-Operative Ossicular Chain Findings in Chronic Otitis Media Mucosal Inactive Type
Journal of Chitwan Medical College
Background: Chronic Otitis Media is the chronic inflammation of the middle ear cleft and is broadly divided into mucosal and squamous types. Chronic otitis media often results in partial or total loss of the tympanic membrane and ossicles leading to conductive hearing loss that can be as severe as 60 decibels. The objective of this study was to find out the status of the ossicles in patients diagnosed with chronic otitis media mucosal inactive type undergoing type I tympanoplasty. Methods: This observational study was conducted in the Department of ENT-HNS, NMCTH from September 2017 to August 2018. A total of 53 patients with chronic otitis media mucosal inactive were included in the study. All the details required were noted in an especially prepared proforma after history taking and adequate physical examination. The status of the ossicular chain was assessed during the surgery. Results: A total of 53 patients were included in the study. There were more female patients (58.5%) tha...
Preoperative predictors of Ossicular Discontinuity in non-Cholesteatoma Chronic Otitis Media
Journal of Dhaka Medical College, 2021
Background: Though ossicular discontinuity is more common in cases of cholesteatoma, it may happen in non-cholesteatoma COM. The long process of incus is more frequently involved ossicle. Peroperative assessment of ossicular integrity is the gold standard way. But the discontinuity of the ossicular chain can be assumed before surgery by analyzing perforation edge adherent to medial wall and wide air-bone gap The purpose of the study was to find out the preoperative findings which can predict the ossicular discontinuity in non-cholesteatoma cases. Methods: This cross-sectional study was conducted in the department of Otolaryngology-Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University from January 2013 to June 2014. 81 patients of COM without cholesteatoma were selected as per inclusion and exclusion criteria. Relevant data were collected in a predesigned data collection sheet and analyzed with standard statistical method. Statistically significant inferred for P value <...
Ossicular Chain Erosion in Chronic Suppurative Otitis Media
The Journal of otolaryngology
Objectives: Hearing restoration surgery in chronic otitis media consists of myringoplasty for drum repair and ossiculoplasty for ossicular defect if present which carries a lower success rate and higher probability of revision surgery. Our objective is to evaluate the frequency of ossicular erosion in chronic suppurative otitis media which could be utilized to predict the probability of need for ossiculoplasty preoperatively then patients could be properly consented about these potential issues.
Ossicular Chain Status in Chronic Suppurative Otitis Media in Adults
2010
This study was conducted to find out the status of the ossicles in cases of chronic suppurative otitis media (CSOM). One hundred and fifty cases of CSOM, who underwent surgery, were included and their intra-operative ossicular chain findings noted. Ossicular erosion was found to be much more common in unsafe CSOM than in safe CSOM. Malleus was found to be the most resistant ossicle to erosion whereas incus was found to be the most susceptible.
Ossicular chain defects in safe type of chronic suppurative otitis media
Indian Journal of Otology, 2014
Chronic suppurative otitis media (CSOM) is a chronic middle ear infection with or without discharge with a permanent perforation in the tympanic membrane. Incidence is higher in developing country because of overcrowding, inadequate healthcare, poor hygiene, recurrent upper respiratory tract infections, poor nutrition, and pollution. [1] CSOM is usually classified into two main groups; tubotympanic and atticoantral disease. Tubotympanic type of CSOM is called safe type, because the rate of complication is very low and is usually not associated with cholesteatoma formation.