Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Chronic Suppurative Otitis Media (CSOM) is a common community health disorder globally and surgery is generally employed for its permanent cure. Alongside the usual postoperative complications, two very rare periorbital complications like facial oedema and periorbital ecchymosis were observed in our institute that caused morbidity, prolonged hospital stay and psychological impact on the patient, his family and the treating doctors. To estimate the incidence of ipsilateral facial oedema and periorbital ecchymosis following ear surgeries in our hospital. Also, to identify their probable etiopathogenesis and management. Analytical study done during the months of August and September 2018 by evaluating record based data (June‐2016 to September‐2018) to find relation between study variables under consideration. Clinical settings of Ear, Nose and Throat (ENT) department of our tertiary care hospital. 192 patients aged between 10‐60 years undergoing ear surgery through post auricular approach and have consented to participate in the study. Demographic details of the study population., details regarding the surgery like type of surgery done, type of anaesthesia used, operation time and patient’s position during surgery., details regarding the complications encountered like incidence, type of periorbital complication, their first presentation, duration and intensity and treatment done were collected. Relation between these complications and various study variables is also determined. Study population was made of 192 patients (68 males and 124 females) and its mean age is 30.36±10.6 years. Incidence of these complications is 4.6875%, which had a significant relation with study variables like age and length of the surgery. No relation was observed with any of the other variables like sex, type of anaesthesia used and type of surgery done. Substances with antiinflammatory and proteolytic activities like Trypsin and Serratiopeptidase can be used safely to treat these complications. These are very rare, self limiting and benign complications and do not require any active intervention. Sound knowledge of operating area, gentle handling of tissues, effective usage of surgical aids and techniques are suggested to prevent their occurrence. Their etiopathogenesis must be clearly understood to develop better preventive strategies which needs further attention.
How to cite this article:
Ali Shaik, Asha Parveen Sayyad and M.V. Sathvika. Ipsilateral Facial Oedema and Periorbital Ecchymosis Following Ear Surgeries.
DOI: https://doi.org/10.36478/10.36478/makrjms.2023.12.607.612
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2023.12.607.612