A study on status of contralateral ear in unilateral chronic suppurative otitis media
Author(s): Dr. Mohammed Kareemullah Khan
Aims and Objectives
Studying the anatomical and functional changes in contralateral ear with unilateral chronic suppurative otitis media.
Comparing the findings in contralateral ear with squamous and mucosal type of chronic suppurative otitis media.
Materials and Methods: 100 patients in age group between 15 years and 50 years, with unilateral chronic ear discharge consulting department of ENT at Dr VRK Womens Medical College were evaluated from November 2018 to May 2020.
Clinical examination and audio logical evaluation were done for all patients. Procedure like Diagnostic nasal endoscopy, Otoendoscopy, Otomicroscopy and radiological evaluation were also included.
Results: Out of 100 patients most (90) of the patients were tubotympanic type and few (10) were atticoantral type of CSOM. Contralateral ear finding of TTD type of CSOM were retraction of tympanic membrane, tympanoscerosis and thin membrane. Contralateral ear finding of AAD type of CSOM were retraction of tympanic membrane, granulation tissue. Patient had conductive hearing loss in the contralateral ear. Radiologically also had a evidence of disease in the contralateral ear.
Conclusion: Patients with COM in one ear are more likely to develop some degree of disease in the contralateral ear. The results of this study showed that we should not consider COM as a disease limited to one ear because in many cases the occurrence of this disease can affect both ears. This issue should always be clarified in patients in order to achieve effective therapeutic planning. Consequently, the contralateral ear should always be evaluated comprehensively in patients with unilateral COM to efficiently diagnose any alterations and, provide timely therapeutic intervention.