Original Articles
Assessment of type and clinical features in patients of otitis media | |
Dr. Gaurav Kumar, Dr. Alpesh Kumar Gohil, Dr. Avishkar Shyam Khandare | |
Background:Chronic suppurative otitis media (CSOM) is one of the most common diseases of the middle ear particularly in childhood. The present study was conducted to assess type and clinical features in patients of otitis media. Materials & Methods:60 patients with symptoms such as otalgia, otorrohea and no sign of improvement after 24 hours of both genders were selected. Audiometric threshold of hearing loss was evaluated using pure tone audiometry and the average for the frequencies 0.5, 1, 2, 4 and 8 kHz was recorded.Various types of CSOM were recorded. Results: Out of 60 patients, males were 32 and females were 28. The type of CSOM was ASOM in 15, squamous CSOM in 21, mucosal CSOMin 14 and OME in 10 patients. Otoscopic findings were unilateral in 35 and bilateral in 25. Degree of hearing loss (decibels-dB) was <40 dB in 17 and >40 dB in 43 patients. Types of hearing losswasconductive in 24, sensorineural in 26 and mixed in 10 cases. Season was winter in 34, rainy in 14 and summerin 12 cases. Comorbidities were diabetes in 19, hypertension in 11 and hypothyroidism in 2 cases. Clinical featureswere facial pain in 45, nasal discharge in 43, tinnitusin 21 and post nasal drip in 30 patients. The difference was significant (P< 0.05). Conclusion: The most common type was squamous CSOM. The maximum cases had unilateral with Sensorineural type of hearing loss. |
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