ABSTRACT
Background: The purpose of this study was to evaluate the clinical and epidemiological profile of patients diagnosed with tubotympanic type of CSOM. Methods: A prospective study was conducted on 110 patients at Teerthankar Mahaveer Medical College and Research Centre Teerthankar Mahaveer University, Moradabad, Uttar Pradesh over a period of 12 months. Patients clinically diagnosed as tubotympanic type of CSOM were included in this study. Each of these patients was subjected to complete history and thorough ENT examination after taking proper written informed consent. Clinical and laboratory data from the study was recorded as per the pro forma. Results: Analysis of collected data revealed that maximum cases were found to be in the second or third decade. There was a male preponderance with a male to female ratio of 1.3:1.0. Rural patients were more as compared to those from urban background. Of the total 112 ears examined 29 (25.9%) ears had normal hearing while, 71 (63.4%) ears had pure conductive hearing loss, and remaining 12(10.7%) with mixed loss. Medium sized central perforation with anteroinferior and posteroinferior quadrant involvement was most common and was seen in 37.5% ears. Conclusion: The result of the present study and its similarities with a number of published articles state that CSOM is a main source of tremendous health predicament.
ABSTRACT
Background: To assess the closure rates and time required for closure traumatic perforation of tympanic membrane using otoendoscopes and compare with existing data. Methods: Seven patients of slap trauma leading to perforation of Pars Tensa of Tympanic Membrane divided into type A with no loss of TM surface area and type B with definite loss of TM surface area. Edge approximation and gel foam reinforcement for type A and gel foam packing and paper patch reinforcement for type B perforation was done. Results: Both groups had better rates of closer and less time required for closure than the reported data. Group A had excellent healing. Conclusion: Using otoendoscopes and intervening in traumatic perforation cases has beneficial effects.