Sociodemographic Factors of Atticoantral Chronic Suppurative Otitis Media

IF 0.1 Q4 OTORHINOLARYNGOLOGY

Bangladesh Journal of Otorhinolaryngology Pub Date : 2020-12-10 DOI:10.3329/bjo.v26i2.50641

M. S. Islam, B. Ahmed, N. Khan, A. Asaduzzaman

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Abstract

Background: Chronic suppurative otitis media (CSOM) is an inflammatory process in the middle ear cleft. When there is attic or marginal perforation it is called the atticoantral variety of COSM which is manifested as foul smelling aural discharge and hearing impairment. In Bangladesh, chronic suppurative otitis media (CSOM) is a common disease in clinical practice. Objective: The aim of this study was to find out the clinical presentation of atticoantral chronic suppurative otitis media (CSOM) in defence personnel and their families. Methods: A retrospective study was carried out in the Department of ENT and Head-Neck Surgery, Combined Military Hospital (CMH), Dhaka from 01 April 2017 to 31 December 2019.Forty seven patients of Atticoantral variety of CSOM were included by matching inclusion and exclusion criteria. Results: Majority of the patients presented in the second and third decade of life(11-20 years: 29.79%, 21-30 years: 44.68%). All the patients belonged to the soldiers and their families. The maximum numbers of patients were from rural area(51.06%), completed only primary education (48.94%). Most of them lived in a kutcha building. Almost all the patients presented with multiple symptoms. Discharge from ear(s) (100%), and hearing impairment (82.97%) were the leading features. Only (2.14%) had extracranial complication and there was no intracranial complication. Most of the patients were having unilateral atticoantral CSOM, in the right side (61.70%), left side (36.17%) and only one (2.12%) had bilateral involvement. Audiometric tests were done in 100% of the patients and found; mild deafness (19.14%), moderate deafness (78.72%) and moderately severe deafness (2.14%). Conclusion: The frequency of chronic suppurative otitis media is higher in the younger age group and lacking of education. By increasing health awareness of the general people and early diagnosis of atticoantral CSOM and timely surgical intervention may be helpful to eradicate the disease and prevent complications. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 136-141

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阿腔慢性化脓性中耳炎的社会病理因素

背景：慢性化脓性中耳炎（CSOM）是中耳裂的一个炎症过程。当出现阁楼或边缘穿孔时，称为阁楼中央型COSM，表现为恶臭的听觉放电和听力损伤。在孟加拉国，慢性化脓性中耳炎（CSOM）是临床上常见的疾病。目的：本研究的目的是了解国防人员及其家属感染心腔慢性化脓性中耳炎（CSOM）的临床表现。方法：回顾性研究于2017年4月1日至2019年12月31日在达卡联合军事医院耳鼻喉科和头颈外科进行。采用匹配的纳入和排除标准纳入了47名不同类型CSOM的患者。结果：大多数患者出现在生命的第二和第三个十年（11-20岁：29.79%，21-30岁：44.68%），所有患者都属于军人及其家属。最多的患者来自农村地区（51.06%），只完成了小学教育（48.94%）。他们中的大多数人住在库查大楼里。几乎所有患者都表现出多种症状。耳出血（100%）和听力损伤（82.97%）是主要特征。只有2.14%的患者有颅外并发症，无颅内并发症。大多数患者患有单侧中央窦性CSOM，右侧（61.70%），左侧（36.17%），只有一例（2.12%）双侧受累。对100%的患者进行了听力测试，结果发现；轻度耳聋（19.14%）、中度耳聋（78.72%）和中重度耳聋（2.14%）。通过提高普通人群的健康意识，早期诊断心脏CSOM，及时进行手术干预，可能有助于根除疾病和预防并发症。孟加拉国耳鼻喉科杂志；2020年10月；26（2）:136-141

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Bangladesh Journal of Otorhinolaryngology OTORHINOLARYNGOLOGY-

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