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International Journal of Tropical Medicine

ISSN: Online 1818-779X
ISSN: Print 1816-3319
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A Cross Sectional Study on Complications and Treatment of CSOM in Pediatric and Adult Patients

Sanket Shah, Anjali Dubey, Amit Jain and Neeraj Kumar Dubey
Page: 59-62 | Received 26 May 2023, Accepted 17 Jun 2023, Published online: 27 Jun 2023

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https://doi.org/10.36478/10.59218/makijtm.2023.59.62

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Abstract

Despite the increasing utilization of antibiotics, complications arising from chronic suppurative otitis media (CSOM) persist as prevalent issues, resulting in substantial morbidity and mortality rates. This challenge is particularly pronounced for otolaryngologists, particularly in developing nations like, India. In this prospective study, conducted at our tertiary care hospital, we aimed to assess the clinical and pathological profile of extracranial complications stemming from CSOM, alongside their management strategies. Our analysis encompassed all patients presenting with extracranial complications, considering factors such as age, sex distribution, the nature of complications and the surgical approaches employed. Our study reviewed a total of 67 cases of extracranial complications. Among these, 43 cases pertained to males, while 24 were females. The age range of patients spanned from 4‐71 years, with a mean age of 38 years. Within this cohort, majority patients exhibited mastoiditis as the sole complication of CSOM, 19 patients (28.36%) presented with subperiosteal abscess, 9 cases (13.43%) displayed postauricular fistula, 6 cases (8.96%) indicated facial nerve weakness and 4 cases (5.97%) manifested labyrinthitis. Surgical intervention stood as the primary treatment modality with canal wall down mastoidectomy being performed in 34 cases (50.75%), intact canal wall mastoidectomy in 21 cases (31.34%) and cortical mastoidectomy in 12 cases (17.91%). Despite decreased occurrence, extracranial complications linked to CSOM remain significant. Swift diagnosis and treatment are vital in reducing their impact and improving patient well‐being. Our study emphasizes these necessities, aiming to raise awareness and further diminish morbidity and mortality related to these complications.

How to cite this article:

Sanket Shah, Anjali Dubey, Amit Jain and Neeraj Kumar Dubey. A Cross Sectional Study on Complications and Treatment of CSOM in Pediatric and Adult Patients.
DOI: https://doi.org/10.36478/10.59218/makijtm.2023.59.62
URL: https://www.makhillpublications.co/view-article/1816-3319/10.59218/makijtm.2023.59.62