Clinicopathological study on CSOM: a comparison between tubotympanic and atticoantral variety

Authors

  • Phub Tshering Department of Otolaryngology-Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md. Abul Hasnat Joarder Chairman, Otolaryngology - Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • M Alamgir Chowdhury Professor and Head, ENT-Head & Neck Surgery, Anwer Khan Modern Medical College Hospital, Dhanmondi RA, Dhaka
  • Kanu Lal Saha Assistant Professor, Otolaryngology - Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka

DOI:

https://doi.org/10.3329/bjo.v18i2.11991

Keywords:

Chronic suppurative otitis media, tubotympanic, atticoantral

Abstract

Introduction: This study aimed to compare the clinico-pathological features of the tubotympanic and atticoantral variety of chronic suppurative otitis media (CSOM).

Methods: This was a cross sectional observational study conducted in the department of Otolaryngology Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU) and Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh. The study was done over a period of six months and a total of 60 cases were selected. In group A 30 cases of CSOM tubotympanic variety were included while in group B 30 cases of atticoantral variety of CSOM were selected. The two groups were compared with regard to their clinical presentations, the type and degree of hearing loss and their associated complications by taking a detailed history followed by clinical examination and doing the relevant investigations.

Results: In group A, the patients presented with a profuse non smelly discharge. All had a central perforation and majority had mild conductive hearing loss. There were no associated complications. In group B, the aural discharge were foul smelling and scanty. The perforations were 66% in the attic while 33.3% had marginal perforations. The hearing loss was mainly conductive in nature but in group B its more severe in degree and also there were more associated severe to profound sensori-neural hearing loss. There were also associated extracranial and intracranial complications in group B patients.

Conclusion: The atticoantral variety of CSOM is associated with a foul smelling scanty discharge with severe hearing loss and complications than the tubotympanic variety of CSOM. Therefore early detection becomes essential especially in the primary care setting for appropriate referral to higher centers for better management

DOI:http://dx.doi.org/10.3329/bjo.v18i2.11991

Bangladesh J Otorhinolaryngol 2012; 18(2): 138-144

Downloads

Abstract
274
PDF
167

Downloads

Published

2012-11-24

How to Cite

Tshering, P., Hasnat Joarder, M. A., Chowdhury, M. A., & Saha, K. L. (2012). Clinicopathological study on CSOM: a comparison between tubotympanic and atticoantral variety. Bangladesh Journal of Otorhinolaryngology, 18(2), 138–144. https://doi.org/10.3329/bjo.v18i2.11991

Issue

Vol. 18 No. 2 (2012)

Section

Original Articles

License

Manuscripts submitted for publication in the Bangladesh Journal of Otorhinolaryngology must not have been previously submitted or published. Accepted papers become the permanent property of the Bangladesh Journal of Otorhinolaryngology. By submitting a manuscript, the authors(s) agree that copyrights for their articles are automatically transferred to Bangladesh Journal of Otorhinolaryngology, if and when the articles are accepted for publication.

The use, in this journal, of registered trade names, trade marks, etc. without special acknowledgement does not imply that such names, as defined by the relevant protection laws, be regarded as unprotected, and, thus, free for general use.

Authors who publish with this journal agree to the following terms:

 

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).