Clinical presentation and complication of chronic suppurative otitis media with cholesteatoma in a rural setting

Authors

  • MS Islam Associate Professor, Department of ENT, Jahurul Islam Medical College Hospital, Kishoregonj
  • MA Gafur Professor, Department of Anaesthesiology & ICU, Ad-din Women Medical College Hospital, Dhaka
  • L Noor Professor, Department of Obstetrics & Gynaecology, Ad-din Women Medical College Hospital, Dhaka
  • MR Islam Lecturer, Jahurul Islam Nursing College, Kishoregonj

DOI:

https://doi.org/10.3329/mediscope.v4i2.34999

Keywords:

Cholesteatoma, chronic suppurative otitis media, clinical presentation, complication

Abstract

To study the clinical presentations of chronic suppurative otitis media (CSOM) with cholesteatoma and its complication, 96 patients with CSOM from ENT department of a medical college hospital during January 2011 to January 2014 were included in this study. The highest number of cases belonged to the age group of 11-20 years (55.2%), and the number of males and females was 67.2% and 32.8%, respectively. Almost all the patients presented with multiple symptoms. The most common symptoms were discharge from ear(s) (100.0%), hearing impairment (83.3%), earache (15.6%), fleshy mass in ear(s), etc. Of the patients, 67.9% cases were without complication, 26.1% with extracranial complication and 6.3% with intracranial complication. All the cases had a perforation either in the posterior superior marginal (66.5%) or in the attic region (33.5%). Most of the patients were having unilateral CSOM with cholesteatoma, in the right side (64.3%), left side (35.7%), and a few (4.2%) bilateral involvement. Although 83.3% of the patients complained of deafness, audiometric tests were done in 93.7% of the patients excluding 6.4% who had intracranial complication. All of them (93.7% tested) had developed deafness; mild deafness (20.0%), moderate deafness (77.8%), and severe deafness (2.2%). In conclusion, the pattern of clinical presentation and complication of CSOM with cholesteatoma in rural setting may be similar with the pattern involving urban population and early diagnosis of CSOM with cholesteatoma by taking proper history and clinical examination, and timely surgical intervention may be helpful to eradicate the disease and prevent complications.

Mediscope Vol. 4, No. 2: Jul 2017, Page 25-28

Downloads

Download data is not yet available.
Abstract
2
PDF
2

Downloads

Published

2017-12-27

How to Cite

Islam, M., Gafur, M., Noor, L., & Islam, M. (2017). Clinical presentation and complication of chronic suppurative otitis media with cholesteatoma in a rural setting. Mediscope, 4(2), 25–28. https://doi.org/10.3329/mediscope.v4i2.34999

Issue

Vol. 4 No. 2 (2017)

Section

Original Articles

License

Authors who publish in the Mediscope agree to the following terms that:

  1. Authors retain copyright and grant Mediscope the right of first publication of the work.

  2. Creative Commons Licence
    Articles in Mediscope are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0. This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  1. Authors are able to enter into separate, additional contractual arrangements for the 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.
  2. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.