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Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery 1/2016

11.08.2015 | Original Article

Pre and Post Operative Status of Contralateral Ear in Unilateral Chronic Otitis Media

verfasst von: Shalini Jadia, Ashish Mourya, Leena Jain, Sadat Qureshi

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Ausgabe 1/2016

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Abstract

Chronic otitis media (COM) is one of the oldest disease affecting ears and undoubtedly represents the main area of interest within modern otology. As the main cause of COM is malfunction of Eustachian tube, it is probable that a patient with COM will have a disorder in contralateral ear (CLE) as suggested by the Minneapolis group- called as Continuum Theory. This prospective, observational study was conducted in department of ENT at a tertiary care centre of central India from Sep 2012 to May 2015. Study consisted of 537 patients of unilateral COM who fulfilled the eligibility criteria. After careful history and thorough examination of diseased ear and CLE, findings of diseased ear, CLE and 6 months postoperative findings CLE were entered into performa. The data was entered into SPSS software and further analysis was performed. Out of 740 patients of COM operated in our department, 535 (72.9 %) patients had unilateral COM which were included in the study. The mean age was 24.3 (SD ± 10.63) ranging from 11 to 55 years, of these 51.4 % were females and 48.6 % were males. Out of 535 unilateral COM, 365 (68.2 %) had mucosal while 170 (31.8 %) had squamous type of disease and 30.9 % of total CLE had abnormal findings. The pre and post-operative findings were compared which came out to be statistically significant and there was significant difference in pre and post-op PTA also (0.001). The significant improvement in postoperative status of CLE achieves our objective and also strongly supports the theory of Continuum. The unilateral COM should not be taken as a static phenomenon but as a continuous process in other ear too. We could also shows a significant improvement in the CLE after treatment of diseased ear, this knowledge can be effectively used in therapeutic planning of diseased ear, counselling of patient regarding other ear and if necessary providing therapeutic intervention in the other ear at the earliest.
Literatur
1.
Zurück zum Zitat da Costa SS et al (2008) The contralateral ear in chronic otitis media. Arch Oyolaryngol Head Neck Surg 134(3):290–293CrossRef da Costa SS et al (2008) The contralateral ear in chronic otitis media. Arch Oyolaryngol Head Neck Surg 134(3):290–293CrossRef
2.
Zurück zum Zitat Kamal-Eldiri AA-E et al (2007) The other ear in unilateral chronic suppurative otitis media. Saudi J Otorhinolaryngol Head Neck Surg 9:24–26 Kamal-Eldiri AA-E et al (2007) The other ear in unilateral chronic suppurative otitis media. Saudi J Otorhinolaryngol Head Neck Surg 9:24–26
3.
Zurück zum Zitat Damghani MA, Barazin A (2013) Alterations in the contralateral ear in chronic otitis media. Iran J Otorhinol 25(2):99–102 (Serial No.71, spring) Damghani MA, Barazin A (2013) Alterations in the contralateral ear in chronic otitis media. Iran J Otorhinol 25(2):99–102 (Serial No.71, spring)
4.
Zurück zum Zitat Adhikari P, Khanal S et al (2009) Status of contralateral ear in patients with chronic otitis media. Internet J Health 20(2) Adhikari P, Khanal S et al (2009) Status of contralateral ear in patients with chronic otitis media. Internet J Health 20(2)
5.
Zurück zum Zitat da Costa RP et al (2007) Contralateral ear in chronic otits media: a histological media. Laryngoscope 117:1809–1814CrossRefPubMed da Costa RP et al (2007) Contralateral ear in chronic otits media: a histological media. Laryngoscope 117:1809–1814CrossRefPubMed
6.
Zurück zum Zitat Paparella MM, Schachern PA, Voon TH et al (1990) Otopathologic correlates of the continumm of otitis media. Ann Otol Rhinol Laryngol 9:17–22 Paparella MM, Schachern PA, Voon TH et al (1990) Otopathologic correlates of the continumm of otitis media. Ann Otol Rhinol Laryngol 9:17–22
7.
Zurück zum Zitat Scheibe B, Smith M, Schimdt L et al (2002) Contralateral ear in chronic otitis media. Rev Bras Otolarhinolaryngol 68(245–25):9 Scheibe B, Smith M, Schimdt L et al (2002) Contralateral ear in chronic otitis media. Rev Bras Otolarhinolaryngol 68(245–25):9
8.
Zurück zum Zitat Kayhan FT, Sayin I, Cakabay T et al (2011) Chronic otitis media evaluation of the contralateral ear. KBB-Forum 10(4). www.KBB-Forum.net Kayhan FT, Sayin I, Cakabay T et al (2011) Chronic otitis media evaluation of the contralateral ear. KBB-Forum 10(4). www.​KBB-Forum.​net
9.
Zurück zum Zitat Vartiainen E, Kansanen M, Vartiainen J (1996) The contralateral ear in patients with chronic otits media. Am J Otol 17(2):190–192PubMed Vartiainen E, Kansanen M, Vartiainen J (1996) The contralateral ear in patients with chronic otits media. Am J Otol 17(2):190–192PubMed
Metadaten
Titel
Pre and Post Operative Status of Contralateral Ear in Unilateral Chronic Otitis Media
verfasst von
Shalini Jadia
Ashish Mourya
Leena Jain
Sadat Qureshi
Publikationsdatum
11.08.2015
Verlag
Springer India
Erschienen in
Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe 1/2016
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-015-0888-6

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