Publication: Comparison of clinical presentation between Chronic Otitis Media Mucosal with Squamous.
Date
2010
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Chronic otitis media is a chronic inflammatory disease of the middle ear cleft which
is manifested as deafness and ear discharge. It is a common condition affecting 0.5
– 30% of any community worldwide, and most common in developing countries. The
prevalence mainly depends on age, low socio-economic status, overcrowding and
limited medical facilities.
Objective
To compare the clinical presentation between chronic otitis media mucosal with
squamous types.
Methods
A prospective, longitudinal and analytical study performed among 200 patients
who have features of chronic otitis media and were attended to in the ear, nose and
throat outpatient department of Dhulikhel Hospital - Kathmandu University Hospital,
Dhulikhel, Nepal from January 2010 to January 2011. Patients who had already
undergone surgery and came back to the hospital, with inadequate information were
excluded from the study.
Results
The results showed that, out of 200 cases, 120 (60%) were chronic otitis media- mucosal
and 80 (40%) were chronic otitis media – squamous. Patients < 30 years were affected
in both groups. The male to female ratio in chronic otitis media mucosal was 1.14:1,
whereas in chronic otitis media squamous, it was 1.96:1. Similarly in etiological factors,
oil and water exposure (76%) was the most common cause in chronic otitis media
mucosal, whereas in chronic otitis media squamous, oil and water exposure (62.5%)
and recurrent upper respiratory tract infection (62.5%) were the most common causes.
Of all the clinical features, ear discharge was the leading feature in both chronic otitis
media mucosal (98%) and squamous (100%) cases. The complications were mainly
seen in the chronic otitis media squamous and the most common complication was
mastoid abscess (5%).
Conclusions
The frequency of chronic otitis media is higher in the younger age group and those
lacking in health education. As a result, it is important to disseminate the health
education regarding the ear disease which will help in decreasing the frequency of the
disease in developing countries like ours.
Key Words
chronic otitis media, mastoid abscess, upper respiratory tract infection
Description
Shrestha BL1, Shrestha I2, Amatya RC3
1-3 Department of ENT-HNS, Dhulikhel Hospital - Kathmandu University Hospital, Dhulikhel, Nepal.