Abstract
Introduction
Chronic otitis media is the inflammatory disorder of middle ear cleft which is characterised by the permanent defect in pars tensa or pars flaccida.1 Highest incidence of chronic otitis media is seen in developing countries.2 Chronic Otitis Media can progress to serious complications if left unattended. Complications are grouped into Intratemporal and Intracranial complications.3 The factors responsible for the progression of disease to complications include virulence of organism, resistance offered by patient, inappropriate use of antibiotic, and antibiotic resistance.2 Even though there has been decrease in the incidence of complications due to advent of vaccinations and antibiotics these complications are life threatening and need early recognition and prompt management.4 The most common routeof spread of complications is bone erosion by the disease process in squamosal COM and via vascular channels in mucosal COM.5
Aim & Objectives
- To describe the demographic characteristics and clinical spectrum of Complications of COM
- To identify the role of different management strategies in preventing and managing the complications
Inclusion criteria
- All age group of COM mucosal and squamosal patients presenting with intra and intra temporal complications
Exclusion criteria
Materials & Methods
Study Design: Retrospective
Study Duration: 2 Years
Sample Size: 100
Study Area: Govt. ENT hospital, Koti, Telangana
Patients of COM were subjected to detailed history taking and ENT examination. Radiological investigations were ordered depending upon the pathology. Neurosurgeons and Neurophyscians opinion was sought as and when required. Consent for the treatment was taken. Medical and surgical management was done based on pathology. Referral to neurosurgeon was done for neurosurgical intervention.
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Corresponding Author
Dr Novshaba
Senior Resident, Govt. ENT Hospital, Koti, Osmania Medical College, Hyderabad