ABSTRACT
Objectives: To find out sociodemographic characteristics ofChronic Suppurative Otitis Media (CSOM) in Bangladesh.Methods: It was a prospective study conducted in thedepartment of otolaryngology & Head Neck Surgery,Bangabandhu Sheikh Mujib Medical University (BSMMU) andDhaka Medical College Hospital (DMCH), Dhaka, fromSeptember 2010 to February 2011. Fifty cases were selectedby random sampling. A descriptive analysis was performed forclinical features and results were presented as mean ±standard deviation for quantitative variables and numbers(percentages) for qualitative variables.Results: In tubotympanic group, 51.61% patients belong to 21-30 years age group, whereas for atticoantral, 63.15% patientsbelong to 11-20 years age group. People living in rural area(66%) were more sufferers. Bilateral involvement is morecommon in tubotympanic type of disease & unilateralinvolvement was more common in atticoantral type of CSOM.Conclusion: CSOM is the most common chronic ear diseasein Bangladesh. It is more common in rural peoples ofyounger age group in poor socioeconomic classes with malepredominance. Medical and surgical options are limited, withside effects and risks, and sometimes are not successful ineliminating disease. There is an urgent need to focus in thearea of CSOM and hence prevent hearing loss.
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.