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Scholars Journal of Applied Medical Sciences | Volume-8 | Issue-03
Different Types of Presentation of Chronic Suppurative Otitis Media (CSOM)
S.M. Masudul Alam, Kamrul Hassan Tarafdar, Sheikh Hasanur Rahman, Md Sirajul Islam Mahfuz
Published: March 18, 2020 | 149 165
DOI: 10.36347/sjams.2020.v08i03.023
Pages: 916-920
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Abstract
Objectives: To evaluate different types of presentation of tubotympanic and atticoantral varieties of chronic suppurative otitis media (CSOM). Methods: It was a prospective study conducted in the department of otolaryngology & Head Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU) and Dhaka Medical College Hospital (DMCH), Dhaka, from September 2008 to February 2009. Fifty cases were selected by random sampling. Results: The tubotympanic type was more common presentation than the atticoantral type. Most common extracranial complication was mastoid abscess, followed by postauricular sinus. Most common intracranial complication of CSOM was meningitis. Tubotympanic variety had mild (26-40dB) hearing loss and atticoantral variety had moderate (41-55dB) hearing loss. Cholesteatoma and facial nerve palsy were found 78.94% and 5.26% respectively. Conclusion: Tubotympanic variety of disease is more common than atticoantral type of disease. Complications are associated with atticoantral diseases.