Volume : VIII, Issue : VI, June - 2019

Ossicular Chain Status in cases of Cholesteatomatous chronic otitis media in Kashmir, J&K India.

Asef A Wani, Arshed Ali

Abstract :

Background: Ossicular erosion and disruption of ossicular chain is a frequent complication ofcholesteatomatous chronic otitis media leading to heå loss. Aims and Objectives: To find out the status of ossicles and ossicular chain in patients of choleasteatomatous chronic otitis media undergoing surgery. Materials and Methods: This is a Prospective study conducted among 80 patients of chronic suppurative otitis media with cholesteatoma undergoing surgery at SKIMS Medical College Bemina Srinagar, Department of ENT, Head and Neck Surgery, over a period of one (03) years, 18 Feb 2016 to 17 Feb 2019. In each patient the condition and the integrity of ossicular chain was evaluated in order to determine the presence and site of lesion of each ossicles. The data was analysed and expressed in numbers and percentage. Results: Among 80 cases, 43(53.75%) were male and 37(46.25%) were female. The age range was 17 to 60 years. The commonest age range was of 17–20 years, 29 (36.25%). The chief complaints of the patients were ear discharge seen in 80 (100%) cases and heå loss in 67 (83.75%) cases. Malleus was found intact in 63 (78.75%) cases and absent in 06 (7.50%). Handle erosion was found in 05 (6.25%) cases. Head and handle erosion was found in 06 (7.50%) cases. Incus was found intact in only 10 (12.5%) cases and absent in 17 (21.25%) cases. Long and lenticular process was eroded in 53 (66.25%) cases. Intact suprastructure of Stapes was found in 43(53.75) cases. Suprastructure erosion was found in 37(46.25%) cases. Intact ossicular chain was found only in 10 (12.25%) cases. M+S+ was found in 27 (33.75%) cases followed by M+S– in 19 (23.75%). M–S+ was found in 07 (8.75%) cases. All the ossicles eroded were found in 17 (21.25%) cases. Conclusion: In this study of cholesteatomatous ears, the Malleus was found to be the mostresistant ossicle to erosion, whereas, Incus was found to be the most susceptible.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

OSSICULAR CHAIN STATUS IN CASES OF CHOLESTEATOMATOUS CHRONIC OTITIS MEDIA IN KASHMIR, J&K INDIA., Asef A Wani, Arshed Ali INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-6 | June-2019

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