Cholesteatoma clinical outcome and complications: a study on patients with chronic ear disease

ABSTRACT

To identify the clinical behaviour and consequences of cholesteatoma and to formulate a strategy for achieving early diagnosis, appropriate management and avoidance of all the grave complications. Hospital based descriptive type of study. This study was conducted in Shahina Jamil Hospital from April 2011 to Dec 2012. 40 patients of any age and gender were included in the study. The age, gender, socio-economic status and complications like hearing loss, facial nerve paralysis, intracranial spread, labyrinthitis, mastoid fistula and ossicular chain status were recorded and analyzed. We found that 62.5% were male and 37.5% were female.75% of the patients belong to rural areas and 25% belong to urban areas. All the patients [100%] presented with ear discharge and hearing loss. Ossicles were found intact in all patients. Labyrinthitis was the most common complication [37.5%]. It was found that cholesteatoma was frequent among poor, male and young patients leading to necrosis of the ossicles in all patients. Labyrinthitis, mastoid fistula and intracranial spread were common complication