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Clinico-epidemiological study of complicated and uncomplicated chronic suppurative otitis media

Published online by Cambridge University Press:  01 August 2007

B K Vikram ,
N Khaja ,
S G Udayashankar ,
B K Venkatesha  and
D Manjunath
B K Vikram*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Karnataka Institute of Medical Sciences, Hubli
N Khaja
Affiliation:
Department of Otolaryngology Head & Neck Surgery, Vijayanagar Institute of Medical Sciences, Bellary, India
S G Udayashankar
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Karnataka Institute of Medical Sciences, Hubli
B K Venkatesha
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Karnataka Institute of Medical Sciences, Hubli
D Manjunath
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Karnataka Institute of Medical Sciences, Hubli
*
Address for correspondence: Dr B K Vikram, 102 Arvind Apartments, Kalyan-nagar, Hubli 580031, Karnataka, India. E-mail: entvikram@rediffmail
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Abstract

Introduction:

This study aimed to compare the clinical and epidemiological profiles of cases of complicated and uncomplicated chronic suppurative otitis media, based on their prognostic factors.

Materials and methods:

This was a prospective, cross-sectional study conducted in a tertiary care medical college hospital over a period of two and a half years. The study group comprised 187 ears, out of which 62 had complications while 125 did not. The two groups were compared with respect to nine prognostic variables: age distribution, sex, patient's domicile, literacy status, duration of ear discharge at presentation, ear pathology, predisposing disease focus in the nose or throat, ear swab microbiology, and hearing loss.

Results:

Patients in the complicated chronic suppurative otitis media group had a higher male predominance and were younger. Rural and illiterate patients had a higher risk of developing complications. Cholesteatoma and granulation tissue were potential risk factors in the complicated chronic suppurative otitis media group. Ears with complications were more prone to develop sensorineural hearing loss. Age, sex, duration of ear discharge, predisposing disease focus in nose or throat, and ear swab microbiology were all less useful prognostic indicators of complications.

Conclusion:

Early detection and timely treatment of chronic suppurative otitis media in rural and illiterate patients may prevent life-threatening complications and reduce their incidence. Ears that harbour relatively large quantities of both cholesteatoma and granulation tissue together require more urgent surgical intervention and more extensive disease clearance in order to prevent complications.

Keywords

Otitis Media, SuppurativeCholesteatomaComplications
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 5 , May 2008 , pp. 442 - 446
Copyright
Copyright © JLO (1984) Limited 2007

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