RESUMO
Chronic supportive otitis media [CSOM] is one of the commonest illnesses in ENT practice. This study was conducted to find out the various aerobic microorganisms associated with CSOM and their current antimicrobial susceptibility patterns to commonly used antimicrobials. Samples were collected from 117 clinically diagnosed cases of CSOM and processed according to standard protocols. Out of 117 CSOM cases, 105 [86%] showed positive bacterial culture. The Staphylococcus aureuswas the commonest aerobic isolate in CSOM. The sensitivity of Staphylococci spp. to commonly used antimicrobials varied from 27.2% for cefixime to 95.5% for gentamicin and coagulase positive. Pseudomonasisolates showed complete [100%] resistance to amoxicillin/clavulanate [co-amoxiclave], cloxacillin and cefixime, and high sensitivity to ciprofloxacin [95%] and cephalexin [90%]. An appropriate knowledge of antibacterial susceptibility of microorganisms would contribute to a rational antibiotic use and the success of treatment for chronic supportive otitis media
RESUMO
The patient is a 17 years old girl, with severe pain and swelling in right maxillary sinus region and facial deformity from 2 weeks prior to referring. CT scan demonstrated a large tumoral mass in right maxillary sinus extended to petereigomaxillary fossa, orbital floor, lachrymal system and nasoethmoid region. Hard palate had been destroyed and bulged in to the oral cavity. Tumor was resected completely by radical cald-well-luck approach. Hystopathology of tumor was giant cell reparative granuloma [GCRG], which is a very rare tumor in paranasal sinuses. Since the association of these tumors with hyperparathyroidism has been reported in literature, the patient was evaluated for hyperparathyroidism and elevated serum parathyroid hormone [PTH: 390 pg/ml] and other hematological tests confirmed secondary hyperparathyroidism