Summary:
Objectives: To see the way of presentation of extracranial
complication, relationship between socio-economic
conditions and extracranial complication of chronic
suppuration otitis media.
Methods: This is a cross-sectional study carried out in
Department of Otolaryngology Head and Neck Surgery, Sir
Salimullah Medical College & Mitford Hospital and Dhaka
Medical College Hospital from 1st July 2009 to 30th June
2010. The diagnosis was made by detailed history, clinical
examination & investigation. Analyzed data was presented
by various tables.
Results: In this study male (59%), lower class people (57%),
age 11-20 years, rural (66%) and less educated patients were
more affected. Having bath in the ponds and rivers suffers
more. Clinical presentation of CSOM with complications
were aural discharge (100%), hearing impairment (94%),
post auricular swelling (15%), pain in the ear (21%),
postauricular discharge (27%) and mass in the EAC (12%).
Here found aural discharge mostly malodorous and scanty,
attic perforation and cholesteatoma. Post auricular abscess
most common (47%) extracranial complication and
labyrinthitis was the lowest (3%). Atticoantral variety was
more common (89%) than that of tubotympanic disease (11%).
Conclusion: From the review of the series we found the
frequency & types of extracranial complications arising from
CSOM and known the current epidemiological data. It can
produce awareness among all level of medical practitioners
and enhance prompt diagnosis and treatment.
Key words: Chronic suppurative otitis media, Extracranial
complication.
(J Banagladesh Coll Phys Surg 2016; 34: 3-8)