Frequency of intra cranialcomplications in chronic otitis media

Chronic Otitis Media can lead to intracranial complications, which were more common in pre-antibiotic era as compared to the present antibiotic era. Patients of Chronic Otitis Media with intrracranial complications usually present very late due to ignorance and lack of primary health care. The aim of this study was to investigate, the frequency, mortality and morbidity of intracranial complications of chronic otitis media admitted in Far Nose and Throat Unit of Lady Reading Hospital Peshawar. This study was conducted in Government Lady Reading Hospital Peshawar for a period of two years front October 2001 to October 2003. All the patients diagnosed as intracranial complications of chronic otitis media were included in the study. Result: The total number of patients reporting with intracranial complication due to chronic Otitis media [Unsafe ear] was 20. Meningitis and brain abscess were present in 8 cases each [40%]. In 3 cases [15%] extradural abscess was found while 1 [5%] had lateral sinus thrombosis. Chronic Otitis media is a common disease in our part of the world

Outcome of myringoplasty

The out come of graft acceptance and rejection in myringoplasty were evaluated in patient of 16-45 year of age, having dry central perforation. Admitted patients in ENT unit Post-Graduate Medical Institute Lady Reading Hospital, Peshawar. Myringoplasty was done in 60 patient admitted in ENT unit with dry central perforation. Age limit was 16 - 45 years. All patients were admitted in door a night before. All the relevant investigation including clinical examination, pure tone audio gram, x-ray mastoid and para nasal sinuses were done. Examination under microscope was carried out a day before admission. Operations were done under local anaesthesia graft was taken from temporalis fascia. After weeks the tympanic membrane were evaluated under Microscope, to assess the result of Myringoplasty. Myringoplasty was successful in 35 patients [60%] and in 24 patients [40%] graft was rejected due to infection. Myringoplasty is a beneficial procedure to protect the middle ear and inner ear for future hearing deterioration. The improvement of hearing is an added benefit. Overall 2/3rd of patients get their graft accepted. In absence of meddle ear cleft infection, the reason of high graft rejection is due to improper sterilization of instruments and environment