Original Articles
A Study of Correlation between Clinical Features, Radiological, Audiological and Operative Findings in unsafe Chronic Suppurative Otitis Media | |
Kulwinder Singh Sandhu, Simranjit Kaur, Jagdeepak Singh, Amarjot Kaur, Puneet Kaur | |
Background: Chronic suppurative Otitis Media (COM) is the term used to describe any chronic inflammatory pathology of the middle ear. The present study was conducted to study the sensitivity and specificity of pre-operative HRCT temporal bone, clinical features and audiological profiles of patients of squamous type chronic suppurative otitis media. Materials & methods: All patients attending the E.N.T outpatient as well as casualty, paediatric, and medical units with complaints of ear discharge, ear ache, deafness, vertigo, tinnitus, swelling or discharge in the post-aural region, headache, fever and neurological signs were screened thoroughly and those in whom attico-antral type of CSOM with or without complication were suspected, were taken for the study with a sample size of fifty patients. Otological examination, along with examination under microscope and hearing evaluation by tuning forks was also done.A pure tone audiogram for both air and bone conduction were obtained. All cases were thoroughly examined and investigated before taking them up for the surgery. All cases were subjected to routine pre- anesthetic check-up and requisite clearance was obtained. Findings were recorded in the proforma attached. The data from the present study was systematically collected, compiled and statistically analysed to draw relevant conclusions. Results: In present study according to PTA we found conductive hearing loss with ABG average 37.84+10.02 Db and AC average 49.35+12.24 Db that is moderate conductive hearing loss. Big hearing loss with ABG average 32.49+4.17 Db and AC average 50.83+4.56 Db which is moderately severe. In present study because of chronic suppurative otitis media mastoid was found as sclerosed in 84%, diploeic in 12% and well pneumatised in 4%. Conclusion: The sensitivity, specificity and positive predictive value of HRCT scans depend on the anatomical structure implicated in squamous COM damage. Corresponding author: Dr. Simranjit Kaur, Junior Resident, Department of ENT, Govt. Medical College Amritsar, Punjab, India This article may be cited as: Sandhu KS, Kaur S, Singh J, Kaur A, Kaur P. A Study of Correlation between Clinical Features, Radiological, Audiological and Operative Findings in unsafe Chronic Suppurative Otitis Media. Int J Res Health Allied Sci 2019; 5(2):11-14. |
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