Audit of Otological Diseases in Otolaryngology-Head and Neck Surgery Outpatient Department of a Tertiary Level Hospital.

Abstract

To find out the otological disease pattern of the patients attended at the Otolaryngology-Head & Neck Surgery outpatient department (OPD) of a tertiary level hospital, Dhaka, Bangladesh and to aware the people about the consequences of Ear diseases, necessity of prevention and early management. This study was done in the Otolaryngology-Head & Neck Surgery OPD of Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh from July 2014 to December 2014. Data were collected retrospectively from hospital record which were recorded by Resident Surgeon during his consultation of referral patients. Total 3686 patients were included in the study and data were analyzed. Out of 3686 OPD patients male were 1947(52.82%) and female 1739(47.17%), ratio 1.12:1. In age groups 11 to 40-year age group patients were more, among them 11-20 (17.25%), 21-30 (21.51%) and 31-40 (21.62%). 47.97% of the patients were presented with Ear diseases. Among the ear conditions CSOM (Chronic suppurative otitis media) were 19.96%, ASOM (Acute Suppurative Otitis Media) 2.54%, OME (Otitis media with effusion) 5.31%, Otomycosis 9.25%, Furunculosis 1.81%, Otosclerosis 0.57%, Foreign body ear 1.68%, Rupture TM (Tympanic membrane) 1.27% and Wax 4.74%. Prevalence of Ear diseases are more in Bangladesh like other developing countries. Most of the ear diseases can be managed in the local hospitals. For the proper management physicians working in those hospitals need training and adequate instruments. District hospitals and medical college hospitals should be well equipped with proper instruments and trained ENT surgeons.