A Study of the clinical and audiological profile of ossicular status in Attico-Antral type of chronic suppurative otitis media: A prospective observational study
DOI:
https://doi.org/10.51168/1bw34a33Cuvinte cheie:
Chronic Suppurative Otitis Media, Attico-Antral Disease, Cholesteatoma, Ossicular Status, Conductive Hearing Loss.Rezumat
Background
Cholesteatoma has long been a formidable enemy to the otologic surgeon. It is characterized by chronic inflammation of the middle ear cleft. Ossicular necrosis and erosion are commonly associated with it. Preoperative knowledge of ossicular necrosis helps the surgeon to be better prepared for the surgery and ossicular reconstruction if required. It also allows the surgeon to discuss with the patient the possible outcomes of the surgery with respect to hearing improvement. Hence, this study is intended to identify the occurrence of ossicular chain defects in COM and its impact on hearing at the earliest and manage it accordingly.
Objectives: To study the correlation between clinical and audiological evaluation and ossicular defects.
Methods
This is a Prospective study of Ossicular defects in Chronic otitis media- atticoantral type conducted on 50 patients presenting to the Department of Otorhinolaryngology, Navodaya Medical College, Raichur. Since it is a time-bound study, it will be undertaken over a period of 18months.
Results
Otorrhea was the most frequently presenting symptom, being found in 92% of the study population, while hearing difficulty was found in 64% of the study population. On Otoscopic examination, Cholesteatoma was noted in 42% of the patients, while Granulation tissue/polyp was present in 12% of the patients. Hearing impairment was diagnosed in 64% of the patients. Pure tone audiometry revealed that 80% of the study population suffered from Conductive hearing loss, while 20% had mixed hearing loss. This implies that conductive hearing impairment was the most common audiological abnormality associated with attico-antral chronic suppurative otitis media. The results emphasize the importance of detailed otological and audiological evaluation.
Conclusion
In COM, Otorrhea was the most common presenting symptom in our study, followed by hearing loss.
Recommendation
Further studies on a large number of patients with a long follow-up are recommended.
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Copyright (c) 2026 Dr. Shriya Basti, Dr. Shweta Sawant, Dr. Pooja N
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