A STUDY OF ETIOPATHOGENESIS OF MIDDLE EAR GRANULATIONS IN CHRONIC OTITIS MEDIAAND THEIR MANAGEMENT

Author:

Sharan Gupta Shambhu1,Kumar Satish2,Jana Debarshi3

Affiliation:

1. MBBS, M.S. (ENT), Senior Resident, Department of ENT, Vardhman Institute of Medical Sciences (VIMS), Pawapuri, Nalanda, Bihar

2. MBBS, M.S. (ENT), Professor and Head of Department, Department of ENT, Vardhman Institute of Medical Sciences (VIMS), Pawapuri, Nalanda, Bihar.

3. Young Scientist (DST), Institute of Post-Graduate Medical Education and Research, A.J.C. Bose Road, Kolkata-700020, West Bengal, India.

Abstract

Objective: The purpose of this study was to evaluate the etiopathogenesis of middle ear granulations in cases of Chronic Otitis Media (COM) and their management. Materials and Methods:Aprospective study was conducted on 100 patients over a period of 12 months. Patients clinically diagnosed as COM and operated, with the ndings of granulations in middle ear were included in this study. Each of these patients was subjected to complete history and thorough ENT examination after taking proper written informed consent. Clinical and laboratory data from the study was recorded as per the proforma. Results:Analysis of data revealed that maximum cases were found in the second or third decade of life with a male preponderance. Rural patients were 75% as compared to those from urban background 25%. Mucosal type of COM was found in 69% patients and squamous type in 31% patients. Maximum patients presented with history of discharge since 5-10 years, mostly mucopurulent type of discharge. Granulations were found to be present at more that one site in middle ear in most of the patients. Incus was the most commonly involved ossicle. Conservative management included chemical cautery and aural toilet followed with antibiotics with topical steroid.

Publisher

World Wide Journals

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4. Browning GG, Aetiopathology of inflammatory conditions of the external and middle ear. In: Booth JB, Kerr AG, editors. Scott-Brown's Otolaryngology. 6th ed. Vol 3. London: Reed Educational and Professional publishing ltd; 1997:p.l-37.

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