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A study of surgical management of chronic suppurative otitis media with cholesteatoma and its outcome.
MedLine Citation:
PMID:  23120707     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Aim of this study is evaluation of course of improvement of surgically treated cases of chronic suppurative otitis media (CSOM) with cholesteatoma; it includes hearing status, condition of mastoid cavity, study of different, natural and surgical condition and recurrence of disease within the study period.
DESIGN: It is a prospective study.
SETTINGS: This study was conducted in a premiere government hospital in Kolkata between May 2007 to April 2008.
PATIENTS: Total 40 patients between age group of 6-70 years were included in the present study which includes 19 males and 21 females.
INTERVENTION: Surgical interventions were done in all the cases. Different types of mastoidectomy with or without tympanoplasty was done according to extent of disease process.
OUTCOME: Audiometrically documentable hearing improvement occurred in 35% cases (p = 14), in rest of the ears hearing status remained unaltered. At the end of 6 months follow up 92.5% (p = 14) in rest (p = 37) operated ears become completely dry. Five percent cases (p = 2) presented with facial paralysis; among them one patient improved completely and another patient improved from grade V to grade III facial paralysis. No patient developed any post operative intracranial complications and recurrence of cholesteatema not found in 6 months follow up. Meatal stenosis developed in 5% cases (p = 2) at the end of 6 months.
CONCLUSION: Surgery is mainstay of treatment in CSOM with cholesteatoma. Eradication of disease, prevention of complication, maintenance and restoration of hearing, and giving the patient a non-discharging ear are main aim of treatment.
Authors:
Arunabha Sengupta; Tarique Anwar; Debasish Ghosh; Bijan Basak
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Publication Detail:
Type:  Journal Article     Date:  2010-09-24
Journal Detail:
Title:  Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India     Volume:  62     ISSN:  2231-3796     ISO Abbreviation:  Indian J Otolaryngol Head Neck Surg     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2012-11-02     Completed Date:  2012-11-05     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  9422551     Medline TA:  Indian J Otolaryngol Head Neck Surg     Country:  India    
Other Details:
Languages:  eng     Pagination:  171-6     Citation Subset:  -    
Affiliation:
Department of ENT, IPGME&R (SSKM), Kolkata, India.
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