PREVALENCE OF SINONASAL DISEASE IN PATIENTS WITH MUCOSAL TYPE OF CHRONIC OTITIS MEDIA

• Published in: Journal of evolution of medical and dental sciences Vol. 6; no. 15; pp. 1183 - 1188
• Main Authors: Windsor, Salima Rema, Suchit, Roy B.R, Jumjumi, P.A, Ahmed, S. Muneeruddin
• Format: Journal Article
• Language: English
• Published: Akshantala Enterprises Private Limited 20.02.2017
• Subjects: Analysis; Care and treatment; Hearing loss; Otitis media; Prevalence studies (Epidemiology); Risk factors
• ISSN: 2278-4748; 2278-4802
• DOI: 10.14260/jemds/2017/258

BACKGROUND Chronic Suppurative Otitis Media is one of the commonest disease encountered in ENT practice. Eustachian tubal dysfunction and sinonasal diseases usually co-exist with the middle ear cleft disease with a variable incidence depending on different demographic strata. MATERIALS AND METHODS 150 patients attending a tertiary hospital attached to medical college were included in the study. Demographic details, clinical presentation, otoscopy findings and audiological evaluation were done. The data was analysed using standard statistical methods. RESULTS Present study included 61% males and 39% females out of 150. CSOM was prevalent in patients from rural areas (90%). It was prevalent among housewives followed by students and manual labourers. 68% of the patients had unilateral hearing loss. 56.7% of the patients complained of nasal discharge. 23.3% of the patients complained of postnasal drip. Allergic symptoms were present only in 7% cases. Discussion The study revealed that maximum number of cases were in the age group 20-29 years (27.3%). Youngest case in our series was 13 years old and the eldest was 79 years old. Ear discharge was the commonest complaint in patients with COM mucosal disease (99.3%). Many other studies were compared to the present study. CONCLUSION CSOM is more prevalent in the age group 20-29 years. There is a slight female preponderance. The burden of the disease is borne by the rural population. In majority of cases chronic suppurative otitis media is unilateral. Sinonasal disorders are common in patients with COM mucosal disease. KEYWORDS CSOM, Sinonasal Diseases, Deviated Nasal Septum, Conductive Deafness, Tubotympanic.