A CLINICAL STUDY OF ACTIVE SQUAMOUS TYPE OF CHRONIC OTITIS MEDIA

Abstract

Aim of the study the aetiology and clinical aspects of active chronic otitis media squamous type. 100 patients attending ENT OPD with Chronic otitis media was done at Department of ENT, INSTITUTE OF POSTGRADUATE from March 2018 to june 2019 The disease was predominant in people belonging to lower socioeconomic class having habits of pond bathing , overcrowding, poor personal hygiene, low nutritional status. The most common presenting symptom being ear discharge followed by hearing loss. Although bilateral cholesteatoma is reported in 30% of cases and unilateral cases shows almost equal distribution with left 36% and right 34% of the cases in the present study. Poster superior and attic cholesteatoma was found in 54%and 42% respectively. The average hearing loss ranged from 20-40dB. Greater degrees of conductive hearing loss were seen in patients with secondary acquired cholesteatoma. Patients with attic retraction cholesteatoma had an average loss of 20-25 dB in most of the cases. Patients with intracranial complications were accordingly treated with appropriate antibiotics and brain abscess was drained when ever required.