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To Study the Prevelance of Extracranial & Intracranial Complications in Chronic Suppurative Otitis Media
Priyanka Verma1, Aditya Gargava2, Smiriti Saxena1
1Department of ENT, G.R Govt Medical College, Gwalior, M.P. India.
Abstract:
Prior to antibiotic era, complications rate of CSOM was 2.3 to 4% cases. With advent of newer antibiotics, radiological surgical techniques the complication greatly reduced to 0.15-0.04% and mortality decreases from 25 to 8% 5, still early diagnoses and management is still the cornerstone of prevention of CSOM complications. To study the prevalence of extracranial and intracranial complications in CSOM. It is a prospective cross sectional study done in one year from January 2018 to January 2019, at Department of ENT, G R Medical College, Gwalior, M P, India. In our study 50 patients presented with complications of CSOM during January 2018 to January 2019, ECC was found more common than ICC ECC-52%, ICC-46%, mastoid abscess was found most commonly in ECC 50%, brain abscess was the most common found intracranial complication of CSOM. Continuous negligence of CSOM leads to various extracranial complications lethal intracranial complications like brain abscess, meningitis, etc. hence it is recommended that health education program should be provided as prevalence is still higher in younger age group and low socioeconomic class especially in rural and tribal regions. In spite of newer antibiotics, radiological modalities and surgical advancement.
Insights
Chronic suppurative otitis media (CSOM) complications remain a concern, with extracranial complications more frequent than intracranial ones. Health education is crucial, especially for younger, low-income populations in rural areas.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Public Health
Background:
- Chronic suppurative otitis media (CSOM) historically had high complication rates (2.3-4%).
- Modern antibiotics and surgical techniques have reduced CSOM complication rates to 0.15-0.04% and mortality from 25% to 8%.
- Despite advancements, early diagnosis and management are critical for preventing CSOM complications.
Purpose of the Study:
- To determine the prevalence of extracranial complications (ECC) and intracranial complications (ICC) in CSOM.
- To identify the most common types of ECC and ICC associated with CSOM.
Main Methods:
- A prospective, cross-sectional study was conducted over one year (January 2018 - January 2019).
- The study involved 50 patients presenting with CSOM complications at the Department of ENT, G R Medical College, Gwalior, India.
Main Results:
- Extracranial complications (52%) were more prevalent than intracranial complications (46%).
- Mastoid abscess was the most common ECC (50%).
- Brain abscess was the most common ICC.
Conclusions:
- Neglecting CSOM can lead to severe extracranial and life-threatening intracranial complications such as brain abscess and meningitis.
- Health education programs are recommended due to the continued prevalence of CSOM complications, particularly in younger age groups and low socioeconomic, rural, and tribal populations.
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