Clinico social profile of patients of attico-antral disease in middle ear cleft attending tertiary care center of North India

Navjot Kaur; Dinesh Kumar Sharma; Jagdeepak Singh

doi:10.18203/2349-3933.ijam20162527

Authors

Navjot Kaur Department of ENT, Government Medical Collage, Amritsar, Punjab, India
Dinesh Kumar Sharma Department of ENT, Government Medical Collage, Amritsar, Punjab, India
Jagdeepak Singh Department of ENT, Government Medical Collage, Amritsar, Punjab, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20162527

Keywords:

Socio-demography, Attico-atral disease, Middle ear

Abstract

Background: Infections of the middle ear and complications associated with it are still a major public health problem in the developing countries. It becomes important to review the changing trends in natural history of the disease in order to understand and instils the most appropriate management for the same.

Methods: This was a cross sectional study. Patients with evidence of attico-antral disease in middle ear cleft were selected from the OPD. All the patients were subjected to thorough clinical, audiological, and radiological investigations.

Results: In the present study 40 patients were involved (65% male and 35% females), with The youngest patient was eight year old and oldest patient was 60 years of age. The main symptoms included discharge from ear (100%) and hearing impairment (75%) patients. It was seen that pre-operative PTA values had a weak positive correlation. (r=0.366, p-value <0.05) with age, whereas no or very little positive correlation was seen with the duration of the disease. (r=0.092, p-value>0.05) after using Pearson’s correlation test. From ROC analysis, PTA values at 51 dB were able to predict the status of Incus with sensitivity 48% and specificity 84.6%, followed by malleus and stapes.

Conclusions: From the study, it can be concluded that though the prevalence of attico antral diseases has decreased in the post antibiotic era, but it continues to remain a public health problem on India as well as other developing countries. Still, there is a lack of awareness amongst the masses about the natural history/course of the disease and complications related to it and low priority given to the disease.

Metrics

Metrics Loading ...

References

Dhingra PL, Shruti Dhingra. Diseases of Ear, Nose and Throat and head nd Neck Surgery, 6 th ed. Elseiver Health sciences 2014.

Verhoeff M, van der Veen EL, Rovers MM, Sanders EA, Schilder AG. Chronic suppurative otitis media: A review. Int J Pediatr Otorhinolaryngol. 2006;70:1-12.

World Health Organization. Chronic suppurative otitis media Burden of Illness and Management Options. Geneva: World Health Organization; 2004. [accessed on 2016 July 16] Available from: http://www.who.int/ pbd/ publications/ Chronicsuppurativeotitis_media.pdf

Rout MR, Mohanty D, Vijaylaxmi Y, Kamalesh B, Chakradhar M. Prevalence of cholesteatoma in chronic suppurative otitis media with central perforation. Indian J Otol. 2012;18:7-10.

Wadhwa V, Anand TS, Kumar S, Kathria G, Rana I. Periosteo-temporofascial flap for mastoid cavity obliteratiion-first Indian study. Indian J Otolaryngol Head Neck Surg. 2003;55(3):170-4.

Jothiramalingam SB, Kumar D, Kumar P, Sasindran V, Kumar N. Atticoantral disease– revisited. Indian J Otolaryngol Head Neck Surg. 2007;59(3):203-6.

Varshney S, Nangia A, Bist SS, Singh RK, Gupta N, Bhagat S. Ossicular Chain Status in Chronic Suppurative Otitis Media in Adults. Indian J Otolaryngol Head Neck Surg. 2010;62(4):421-6.

World Health Organisation. Grades of hearing impairment, 2013. Available from: URL: http://www.who.int/ pbd/ deafness/ hearing_ impairment_grades/en/

Aquino, Prudente de JEA, Filho C, Alvares N, Aquino, Prudente de. NJ. Epidemiology of middle ear and mastoid cholesteatomas: study of 1146 cases. Braz. j. Otorhinolaryngol. 2011; 77(3):341-7.

Rout MR, Mohanty D, Vijaylaxmi Y, Kamalesh B, Chakradhar M. Prevalence of cholesteatoma in chronic suppurative otitis media with central perforation. Indian J Otol. 2012;18:7-10.

Lasisi AO, Olaniyan FA, Muibi SA, Azeez IA, Abdulwasiu KG, Lasisi TJ, et al. Clinical and demographic risk factors associated with chronic suppurative otitis media. Int J Pediatr Otorhinolaryngol. 2007;71(10):1549-54.

Narve VP, Gupta P, Basu R, Sachan M, Jhawar K, Freni JK et al. Clinicopathological study of 100 cases of chronic suppurative otitis media in tertiary health care centre. Journal of Evolution of Medical and Dental Sciences. 2013;2(33):6169-75.

Sethi S, Singh I, Agarwal AK, Sareen D. Pneumatization of mastoid air cells: Role of acquired factors. Int J Morphol. 2006; 24(1):35-8.

Kaur K, Sonkhya N, Bapna AS. Chronic suppurative otitis media and sensorineural hearing loss: is there a correlation. Indian J Otolaryngol Head Neck Surg. 2003;55(1):21-4.

Paparella MM, Brady DR. SNH loss in CSOM and mastoiditis. Trans Am Acad Ophthalmol Otol. 1970;74:108-15.

WHO/CIBA Foundation workshop, London. Prevention of hearing impairment from chronic otitis media. 1998. [36 pages]. Available from: URL:http://www.who.int/ pbd/ deafness/ en/ chronic_otitis_ media. pdf

Srinivas C, Kulkarni N H, Bhardwaj NS, Kottaram PJ, Kumar S H, Mahesh V. Factors influencing ossicular status in mucosal chronic otitis media − An observational study. Indian J Otol. 2014;20:16-9.