CLINICAL EVALUATION OF OSSICULAR STATUS IN CHRONIC SUPPURATIVE OTITIS MEDIA BOTH SAFE AND UNSAFE VARIETY AND ITS MANAGEMENT

Bijan Basak, Shyama Bandyopadhyay, Anindita Sengupta, Prasanta Kumar Kander, Arunabha Sengupta, Debarshi Jana

Abstract


This project work under the heading of -clinical evaluation of ossicular status in chronic suppurative Otitis media both safe and unsafe variety and
its management' was carried out in the department of otorhino laryngology, Institute Of Postgraduate Medical Education And Research
(IPGME&R), Calcutta during the period of August 2009 to July 2010.This study work comprises a total of 50 cases of chronic suppurative otitis
media with central, attic and postero-superior perforations of tympanic membrane se;ected from the E.N.T. out patient Department of Calcutta
National Medical College and Hospital.
The cases selected for this project work are assessed meticulously and carefully, both clinically and by routine and special investigations. The cases
were categorized according to site of perforation of tympanic membrane. Group A patients (25) were with central perforation, Group -B'
(14patients) with attic perforation and with or without granulation tissue and cholestectoma and Group 'C' (11 patients) with postero-superior
marginal perforation. An observation was made to corelate the mucous membrane pathology of the middle ear cleft with the status of the ossicular
chain. The observations and results were compared with the available literature on this subject. We faced some minor immediate post-operative
complications like bleeding, pain, soft tissue swelling, fever, nausea and vomiting etc. and they are tackled accordingly. This sort of complications
did not influence the operative outcome. But in follow up, we faced some sorts of delayed post-operative complications like graft rejection, wound
infection, adhesion and recurrence of discharge etc. As we do a comparative study of delayed postoperative complication in respect to different
types of operation; it has been found that percentage of incidence of complications was higher in tympanoplasty with mastoid exploration than
myringoplasty along. In Group A graft rejection was 16% where and in Group B and Group C, 28% and 27.2% respectively again adhesion were
4%, 7%7 and 9% respectively


Keywords


Ossicular Status, Otitis Media, Chronic Suppurative

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References


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