Suppurative Otitis Media

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Kr Iseh - One of the best experts on this subject based on the ideXlab platform.

  • Aural Toileting and Dressing—Important Intervention Measures in the Management of Acute Suppurative Otitis Media
    International Journal of Otolaryngology and Head & Neck Surgery, 2014
    Co-Authors: Kr Iseh, Stanley Baba Amutta, Abdullahi Mohammed, Daniel Aliyu, Kingsley Osisi, Lawali Argungu Salihu, Silifat Oyewusi, Grace Iseh
    Abstract:

    Background: Otitis Media is one of the most common childhood infections, the leading cause of doctor’s visit by children in ENT clinic. The acute form if not recognized early is commonly characterized by suppuration from the middle ear following perforation of the tympanic membrane otherwise referred to as acute Suppurative Otitis Media (ASOM). If not adequately treated, it progresses to chronic Suppurative Otitis Media with attendant challenges in management. Ceasation of ear discharge is an indication of resolution of disease. The objective of this study is to appraise the value of local ear suction toileting and dressing in the ceasation of ear discharge in acute Suppurative Otitis Media. Materials and Method: Consecutive new cases of acute Suppurative Otitis Media seen at the Ear, Nose and Throat clinic of a tertiary health centre in north western Nigeria were assessed for efficacy of aural toileting and dressing with antibioctic impregnated guaze in the treatment of acute Suppurative Otitis Media and compared with patients with similar disease without aural toileting and dressing or dressing with normal saline soaked guaze in addition to systemic antibiotic and antihistamine medications. Ear toileting was done by suctioning the discharge with suction machine, and cleaning the external auditory canal with hydrogen peroxide and methylated spirit. They were then dressed with gauze impregnated with antibiotic ear drops daily until there was no more ear discharge. The period of ceasation of ear discharge in each group was assessed. Results: There were 39 patients with acute Suppurative Otitis Media (ASOM). Eighteen were females (46.2%) while 21 were males (53.8%), giving M:F ratio 1:2.1. Their ages ranged between 1 month and 45 years. About 36 (92.3%) were children and out of this, 28 (77.8%) were less than 5 years old. The average period of ceasation of discharge was 24 - 48 hours with those undergoing ear toileting and dressing but varied between 7 and 10 days with those without ear dressing or dressing with normal saline soaked guaze. This finding compelled us to stop the study on ethical grounds when this was carried out in the first 5 patients on each side of the study groups necessitating reversals of other groups to aural toileting and dressing with antibiotic impregnated guaze. Conclusion: Local ear toileting and dressing appear to show significant contribution to the early ceasation of ear discharge and are highly recommended not only for acute Suppurative Otitis Media but also for all Suppurative ear diseases.

  • PATTERN AND BACTERIOLOGY OF ACUTE Suppurative Otitis Media IN SOKOTO, NIGERIA
    Annals of African Medicine, 2004
    Co-Authors: Kr Iseh, T. Adegbite
    Abstract:

    Background: To describe the pattern of distribution, causative bacterial organisms, and management of acute Suppurative Otitis Media in Sokoto, Nigeria. Method: A retrospective study of the bacteriology, clinical features and management of acute Suppurative Otitis Media (ASOM) seen in a 2-year period. Results: Out of the 219 cases of acute Suppurative Otitis Media reported in the otorhinolaryngology clinic, only 114 case folders were available for review. The age range of presentation was between 17 days and 45 years with majority of the patients within the age range of 0-15 years out of which 0-5 years range accounted for 67.5%. Only 41 (36.0%) patients did ear swab for microscopy, culture and sensitivity. Staphylococcus aureus (46.2%) was the commonest organism cultured. Mastoiditis as a complication was found in only one (0.9%) patient. Conclusion: Staphylococcus aureus was the commonest bacteria cultured in acute Suppurative Otitis Media in this environment. Systemic antibiotic active against beta-lactamase producing bacteria, anti-histamine treatment along with local ear treatment is proposed for better results of cessation of ear discharge and reduction of the rate of progression to a state of chronically discharging ear (CSOM) with its attendant problems. Key Words: Acute Suppurative Otitis Media, Staphylococcus aureus Annals of African Medicine Vol.3(4) 2004: 164-166

  • Chronic Suppurative Otitis Media: A Clinical Profile in Sokoto, Nigeria
    Sahel Medical Journal, 2004
    Co-Authors: Kr Iseh, Ts Abubakar
    Abstract:

    This is a retrospective study of sixty eight cases of chronic Suppurative Otitis Media seen in the Ear, Nose and Throat (ENT) Department of Usmanu Danfodiyo University Teaching Hospital Sokoto from June 1998 to May 1999. It was commonest in the paediatric age group (68.82%). The commonest symptom at presentation was ear discharge (100%), ear ache (26.47%), hearing loss (22.46%) and itchiness (10.29%). The commonest signs were ear discharge (100%) and tympanic membrane perforation (100%). All patients had the tubotympanic type of chronic Suppurative Otitis Media. Pseudomonas aeruginosa and staphylococcus aureus were the most commonly cultured organisms (28.5% each). Cultures were sensitive to gentamicin and peflacine in most cases. Chronic Suppurative Otitis Media is a public health problem affecting mainly the paediatrics age group with attendant learning impairment, caused by some degree of hearing loss and frequent hospital visitation for treatment. Therefore, prevention is stressed to reduce the morbidity of the disease. Key words: Chronic Suppurative Otitis Media, pseudomonas aerugi nosa, hearing loss. Sahel Med. J. Vol.6(3) 2003: 75-78

Sevda Muftuoglu - One of the best experts on this subject based on the ideXlab platform.

  • Ultrastructural analysis of the chorda tympani nerve in chronic Suppurative Otitis Media.
    Otology & Neurotology, 2005
    Co-Authors: Kemal Uygur, Ismet Bayramoglu, Aysegul Nazikoglu, Metin Yilmaz, Yildirim A. Bayazit, Sevda Muftuoglu
    Abstract:

    To compare ultrastructure of the chorda tympani nerve by light and electron microscopy in patients with otosclerosis and chronic Suppurative Otitis Media. Comparative prospective study. Tertiary care, referral medical center. The tympanic segments of chorda tympani nerves were collected for ultrastructural investigation in 20 cases with chronic Suppurative Otitis Media and 10 cases with otosclerosis that underwent middle ear surgery. Histopathologic examinations of the Suppurative group showed that unmyelinated fibers were almost totally lost and replaced by collagen fibers. The thickness of the myelin sheaths was very slender, whereas some of them were atrophic. A substantial increase was encountered in the endoneural collagen substance and connective tissue, whereas inflammatory elements and edema were present occasionally. Degenerative alterations of the myelinated fibers mainly occurred in the form of adaxonal vacuoles. There was disorganization and separation of parallel lamellae of Schmidt-Lanterman clefts. The chorda tympani nerve should be preserved in otologic surgery. However, inadvertent dissection of the chorda tympani nerve in chronic Suppurative Otitis Media surgery will not possibly cause a postoperative disturbance in light of ultrastructural changes that occur in the nerve.

T. Adegbite - One of the best experts on this subject based on the ideXlab platform.

  • PATTERN AND BACTERIOLOGY OF ACUTE Suppurative Otitis Media IN SOKOTO, NIGERIA
    Annals of African Medicine, 2004
    Co-Authors: Kr Iseh, T. Adegbite
    Abstract:

    Background: To describe the pattern of distribution, causative bacterial organisms, and management of acute Suppurative Otitis Media in Sokoto, Nigeria. Method: A retrospective study of the bacteriology, clinical features and management of acute Suppurative Otitis Media (ASOM) seen in a 2-year period. Results: Out of the 219 cases of acute Suppurative Otitis Media reported in the otorhinolaryngology clinic, only 114 case folders were available for review. The age range of presentation was between 17 days and 45 years with majority of the patients within the age range of 0-15 years out of which 0-5 years range accounted for 67.5%. Only 41 (36.0%) patients did ear swab for microscopy, culture and sensitivity. Staphylococcus aureus (46.2%) was the commonest organism cultured. Mastoiditis as a complication was found in only one (0.9%) patient. Conclusion: Staphylococcus aureus was the commonest bacteria cultured in acute Suppurative Otitis Media in this environment. Systemic antibiotic active against beta-lactamase producing bacteria, anti-histamine treatment along with local ear treatment is proposed for better results of cessation of ear discharge and reduction of the rate of progression to a state of chronically discharging ear (CSOM) with its attendant problems. Key Words: Acute Suppurative Otitis Media, Staphylococcus aureus Annals of African Medicine Vol.3(4) 2004: 164-166

Peter Morris - One of the best experts on this subject based on the ideXlab platform.

A S Bapna - One of the best experts on this subject based on the ideXlab platform.

  • chronic Suppurative Otitis Media and sensorineural hearing loss is there a correlation
    Indian Journal of Otolaryngology and Head & Neck Surgery, 2003
    Co-Authors: Kamaljit Kaur, Nishi Sonkhya, A S Bapna
    Abstract:

    Traditionally, it has been accepted that chronic Suppurative Otitis Media is associated with a breakdown in meekanical conduction of sound leading to conductive hearing loss, On;the contrary, there are two schools of thought when it come, to the issue of cpchlear involvement leading to sensorineural hearing loss (SNIIL) in chronic suppura the Otitis Media. The present study was undertaken to find out whether a sensorineural component exists in hearing loss associated with chronic Suppurative Otitis Media, A sample of 100 patients of unilateral chronic Suppurative Otitis Media was selected for the Study and their bone conduction thresholds Mere analyzed in relation to the duration of disease using audiometric data. A 24 per cent incidence of sensoineural hearing loss was found in this series, garticularly involving the higher frequencies. Moreover, the incidence of sensorineural hearing loss progressively increased with the increase in duration of chonic Suppurative Ouns meadia

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