Csom is assumed to be a complication of acute otitis media aom. Chronic suppurative otitis media csom is one of the most common childhood infectious diseases worldwide and is a common cause of hearing impairment in resourcelimited settings, although it is less frequently seen in resourcerich settings. Inflammation of the middle ear, or otitis media, can be divided into suppurative or acute otitis media aom, and inflammation accompanied by effusion, termed non suppurative or secretory otitis media or otitis media with effusion ome. Chronic suppurative otitis media csom is a chronic infection of the middle ear cleft including eustachian tube, middle ear, and mastoid that is defined by three elements. Changing trends in clinical presentations and management. The disease and its associated problems constitute a hidden disability, 1 putting children at risk of poor school performance, delayed language and speech development, and poor. Despite appropriate therapy, acute om aom can progress to chronic suppurative om csom associated with ear drum perforation and purulent discharge. Epidemiology of chronic suppurative otitis media in saudi. Tubotympanic chronic suppurative otitis media is safe type of csom. In principles and practice of phytotherapy second edition, 20. Chronic suppurative otitis media csom is a chronic inflammation of the middle ear and mastoid cavity.
Chronic active or suppurative otitis media affects 65 to 330 million people worldwide, and more than half of these patients have significant hearing impairment. Clinicoepidemiological profile of chronic suppurative otitis media patients attending a tertiary care hospital. The dams handwritten notes are here for free download in pdf format for your mobile phone and computer. Chronic suppurative otitis media american academy of. Chronic suppurative otitis media csom clinical guidelines. In this section, we will be dealing with its second type, i. Understanding the aetiology and resolution of chronic otitis. It is predominantly a disease of the developing world. The effusion prevents the middle ear ossicles from properly relaying sound vibrations from the ear drum to the oval window of. The history of surgery for chronic suppurative otitis media csom is littered with stories of techniques and materials that were tried with enthusiasm but without a reasonable expectation of longterm success.
Yet there is wide disagreement about certain aspects of its diagnosis and treatment, despite a large and growing literature on the subject. Acute suppurative otitis media american academy of pediatrics. Chronic suppurative otitis media linkedin slideshare. Aero otitis media non suppurative condition due to dysfunction to maintain middle ear pressure at ambient atmospheric level. Clinical features are recurrent otorrhoea through a tympanic perforation, with conductive hearing loss of varying severity. Chronic non suppurative otitis media 1 otitis media with effusion ome synonyms. Nov 15, 20 chronic suppurative otitis media is usually a complication of persistent aom, but the risk factors for the condition vary in different settings. A comparative study of prevalence of chronic suppurative. Pdf topical antiseptics for chronic suppurative otitis media. Pdf complications of chronic suppurative otitis media. Chronic suppurative otitis media clinical evidence handbook. Chronic suppurative otitis media csom presents with purulent otorrhea ear discharge. It is also known by several older terminologies, such as chronic suppurative otitis media, cholesteatoma, and atticoantral versus tubotympanic disease.
Pdf otitis media otitis media is an infection or inflammation of the middle ear. Acute suppurative otitis media american academy of. Chronic suppurative otitis media gitanjali kumari 1102012 2. Acute suppurative otitis media is defined as suppurative infection involving the mucosa of the middle ear cleft. Chronic suppurative otitis media csom is an advanced, persistent form of otitis media om which is characterized by chronic inflammation of the middle ear cleft mec, in the presence of a. Chronic otitis media is divided into two categories. Otitis media refers to inflammation or infection of the middle ear cavity. It is characterized by chronic drainage from the middle ear associated with tympanic membrane perforation.
Most pediatricians recognize and treat acute otitis media several times each day. Pdf evaluation of vestibular function in patients with. Prevalence of chronic suppurative otitis media csom and. The outcomes of treatment of chronic suppurative otitis media csom are disappointing and uncertain, especially in developing countries.
Chronic suppurative otitis media world health organization. Otitis media in chronic suppurative om, the most frequently isolated organisms includep aeruginosa, s aureus, corynebacteriumspecies, andklebsiella pneumoniae. Chronic suppurative otitis media csom remains one of the most common childhood. Oct 16, 2019 chronic suppurative otitis media csom is a perforated tympanic membrane with persistent drainage from the middle ear ie, lasting 612 wk. Molecular microbiological profile of chronic suppurative otitis media. Recent developments in the treatment of chronic otitis media include evidence. Chronic suppurative otitis media csom is a chronic infection of the middle ear cleft including eustachian tube, middle ear, and mastoid that. Chronic suppurative otitis media csom is defined as a chronic inflammation of the middle ear and mastoid cavity, which presents with recurrent ear discharges otorrhoea through a tympanic perforation. Chronic suppurative otitis media csom is an advanced, persistent form of otitis media om which is characterized by chronic inflammation of the middle ear cleft mec, in the presence of a non. Read more about etiology, pathology, clinical features, investigations and treatment. The principal causative organisms are pseudomonas aeruginosa, proteus sp, staphylococcus, other gram negative and anaerobic bacteria. Preoperative predictors of incudal necrosis in chronic suppurative otitis media otolaryngologyhead and neck surgery 2010 142, 415420 original researchotology and neurotology preoperative predictors of incudal necrosis in ch. Clinical trial of ototopical ofloxacin for treatment of chronic suppurative otitis media.
The specimens were obtained from the out patient department of otolaryngology of 28th march polyclinic. Benign chronic suppurative otitis media, chronic tubotympanic disease. Csom occurs following an upper respiratory tract infection that has led to acute otitis media. While chronic suppurative otitis media is easily identifiable due to the presence of otorrhea. Jan 17, 2018 chronic suppurative otitis media csom is a chronic inflammation of the middle ear and mastoid cavity. Tubotympanic chronic suppurative otitis media unsafe. Chronic suppurative otitis media a prospective study. Because csom is the commonest cause of hearing impairment in children in these countries, an effective method of management that can be implemented on a wide scale is needed. Chronic suppurative otitis media csom is defined as a chronic inflammation of the middle ear and mastoid mucosa in which the tympanic membrane is not intact and discharge is present. The incidence of csom in benghazi was found to be 23.
Definition it is an acute infection of the middle ear, usually lasting less then 6 weeks 9. A permanent perforation can be likened to an epitheliumlined fistulous track. Atmospheric pressure is higher than that of middle ear by critical level of90 mm hg, tube gets locked sudden ve pressure causes retraction, hyperemia, transudation, hemorrhages, rupture. Worldwide, com is responsible for an estimated 28,000 deaths annually, and is associated with a disease burden involving more than 2 million individuals daily 2.
Pdf pattern of chronic suppurative otitis media at the. There are many advantages to developing a dynamic one. C hronic suppurative otitis media or csom is a long standing infection of a part or whole of the middle ear cleft characterized by ear discharge and a permanent perforation. Chronic suppuration can occur with or without cholesteatoma, and the clinical history of both conditions can be very similar. Chronic suppurative otitis media csom is a common public health problem worldwide and a major cause of hearing impairment among children in developing countries. Children experience at least one episode of otitis media by their third birthday. Tubotympanic chronic suppurative otitis media safe type of csom. The perforation may close spontaneously in an unknown portion of cases, but persists in others leading to mild to moderate hearing impairment about 2660 db increase in hearing thresholds, based on surveys among children in africa, brazil, india, and sierra leone, and among the general population in. Chronic otitis media com is a chronic infection of the middle ear cavity. Atticoantral is unsafe type of csom with several complications. The early papers on tympanoplasty, and sadly even some still today, contain numerous shortterm followup reports of new procedures that looked as if they might. Chronic suppurative otitis media is differentiated from chronic otitis media with effusion, in which there is an intact tympanic membrane with fluid in the middle ear.
The proximity of the middle ear cleft and mastoid air cells to the extracranial and. Chronic suppurative otitis media in a birth cohort of children in greenland. Chronic otitis media causes complications management. All four questionnaires assess static health status. Whether one race is more predisposed to chronic otitis media remains unanswered. Prevalence of bacteria in chronic suppurative otitis media patients and their sensitivity patterns against various antibiotics in human population of gilgit pakistan j zool 45 16471653. View and download powerpoint presentations on chronic suppurative otitis media ppt. Nov 27, 2011 chronic suppurative otitis media slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Medline and manual searches of the archives of otolaryngology head and.
Mastoidectomy in chronic ear surgery is designed to eliminate mastoid disease in the face of suppurative otitis media and, more commonly, cholesteatoma of the middle ear or mastoid. The chronic ear survey questionnaire has been most broadly evaluated and disseminated. Direct bacterial or secondary to viral upper respiratory tract infections is the most common aetiological factors. Chronic suppurative otitis media csom chronic bacterial infection of the middle ear with persistent purulent discharge through a perforated tympanic membrane. Chronic otitis media is a longterm infection of the middle ear commonly caused by bacteria, viruses, and fungus. The estimated cost of treatment for chronic suppurative otitis media is higher than the monthly minimum wage for.
Chronic suppurative otitis media is not temporally related to acute otitis, as the pathological changes in the middle ear are different. It may be related to the size of the mastoid air cell system, which was. Otitis media om is an inflammation of the middle ear associated with infection. Prevalence and risk factors of chronic otitis media. Preoperative predictors of incudal necrosis in chronic. Pattern of chronic suppurative otitis media at the national ear care centre kaduna, nigeria. Chronic suppurative otitis media csom is a chronic inflammation of the middle ear and mastoid cavity that is characterised by discharge from the middle ear through a perforated tympanic membrane for at least 6 weeks.
Chronic suppurative otitis media csom remains one of the most common childhood chronic infectious. The specific type of otitis media depends on various clinical findings and setting. Definition acute suppurative otitis media is distinguished from. Delineate the complications related to chronic suppurative otitis media. When it persists more than 3 months, it is known as otitis media with effusion, chronic serous or suppurative otitis media or glue ear. Randomised controlled trial of treatment of chronic.
Acute suppurative otitis media is most common in children of age between 3 to 7 years. Chronic suppurative otitis media csom is one of the most common childhood infectious diseases worldwide and is a common cause of hearing impairment in resourcelimited settingsit is characterized by chronic drainage from the middle ear associated with tympanic membrane perforation csom is usually preceded by an episode of acute otitis media aom. Find powerpoint presentations and slides using the power of, find free presentations research about chronic suppurative otitis media ppt. May 20, 2018 chronic otitis media is a longterm infection of the middle ear commonly caused by bacteria, viruses, and fungus. Pdf chronic suppurative otitis media in school pupils in. Chronic suppurative otitis media american academy of pediatrics. Otitis media om is one of the most common clinical complaints in the pediatricians office, accounting for more than 30 million clinic visits per year. Csom is a long standing infection of a part or whole of middle ear cleft characterized by ear discharge and a permanent perforation 3. Topical ofloxacin for chronic suppurative otitis media and acute exacerbation of chronic otitis media. Com chronic inflamation of the mucoperiosteal lining of the middle ear cleft tubotympanic safe type atticoantral unsafe type 3. Pdf clinical trial of ototopical ofloxacin for treatment. Chronic suppurative otitis media pubmed central pmc. A perforation becomes permanent when its edges are covered by squamous epithelium and it does not heal spontaneously. The prevalence rate of chronic suppurative otitis media in native north americans has dropped 107 significantly from 12% and % in 1961 and 1965, respectively, to 0.
By convention it is termed acute if the infection is less than 3 weeks in duration. It is also known as chronic ear infection and affects children more than adults. A random selection of 120 cases of chronic suppurative otitis media csom were investigated for bacterial and fungal isolates at the department of microbiology and parsitology, benghazi. Acute otitis media aom, also called purulent otitis media and suppurative otitis media, occurs frequently in children. Current concepts in the pathogenesis and treatment of. Chronic otitis media an overview sciencedirect topics. Chronic suppurative otitis media in school pupils in nigeria article pdf available in east african medical journal 803.
It is the accumulation of fluid non infectious, non suppurative behind an intact tympanic membrane without symptoms and signs of inflammation it is the most common cause of hearing loss in children. Chronic suppurative otitis media is a stage of ear disease in which there is ongoing chronic infection of the middle ear without an intact tympanic membrane presence of a perforation or tympanostomy tube. Otitis media is inflammation of the mucoperiosteal lining of the middle ear cavity. Otitis media may be described as suppurative or serous and as acute or chronic. Preoperative predictors of incudal necrosis in chronic suppurative otitis media. May loo md, in integrative medicine for children, 2009. S o far, we have discussed chronic suppurative otitis media in general and its one type tubotympanic csom. Definition acute suppurative otitis media is distinguished from secretory serous. An unanswered question is whether these pathogens invade the middle ear from the nasopharynx via the endotracheal as do the bacteria responsible for aom or whether they enter.
Predictors of chronic suppurative otitis media in children. Generally, canal wall up surgery is preferred to maintain the normal. May 04, 2015 chronic suppurative otitis media csom is a common public health problem worldwide and a major cause of hearing impairment among children in developing countries. It is caused by an ongoing inflammatory response within the middle ear with granulation, and is typically associated with unresolved and resistant bacterial infections. It has two broad types, mucosal and squamous, and encompasses the disease known as cholesteatoma. Evaluation of vestibular function in patients with chronic suppurative otitis media. Describe the current recommendations for the diagnosis and treatment of otitis media with effusion. A bacteriologic study egyptian journal of ear, nose, throat and allied sciences 14 191194. Ear infection acute suppurative otitis media in children. Tubotympanic chronic suppurative otitis media safe type. If you continue browsing the site, you agree to the use of cookies on this website. Grab the latest notes from dams teachers for year 2017 and 2018 neet pg exam now.
Suppurative otitis media an overview sciencedirect topics. Complications include extension into the adjacent mastoid air cells, resulting in mastoiditis or perforation of the tympanic membrane with otitis externa. The natural history of chronic suppurative otitis media is poorly understood. The acute form usually associated with the infection in the upper respiratory tract whereas persistent form is known as chronic suppurative otitis media csom. It appears to be generally held view that chronic suppurative otitis media is a sequelae of acute suppurative otitis media andor secretory otitis media. Chronic otitis media com is a condition commonly seen in ent clinics. Acute suppurative otitis media linkedin slideshare. Otitis media ppt immunology diseases and disorders. Chronic otitis media is a complex diagnosis, encompassing several more specific diseases such as cholesteatoma, tympanic membrane perforation, chronic suppurative otitis media, tympanostomy tube otorrhea, and chronic otitis media with effusion. Following acute otitis media, a noninfected middle ear effusion persists at 1 month in 50% of cases, 2 months in 20% of cases and 3 months in 10% of cases. Chronic suppurative otitis media, infection of the middle ear, is a common disease in the developing countries and the complications associated with it still pose a major problem in the developing countries. Chronic suppurative otitis media csom is an important middle ear disease since prehistoric times1,2. Chronic suppurative otitis media csom is a major cause of acquired hearing. Current concepts in the pathogenesis and treatment of chronic.
1481 710 23 751 1308 209 317 287 429 762 928 124 1305 1000 230 766 257 1458 680 51 816 1142 1647 1499 744 979 212 502 1520 921 1079 1451 565 111 1322 1446 179 607 788