Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Clinical Study to Compare the Diagnostic Performance of Endoscopic and Microscopic Procedures in Identifying the Middle Ear Structures and Associated Disease in Patients with Chronic Otitis Media(COM)
Shaik Abdul Subhan Faruq, B. Nageswar Rao, K. Sudhakar and K. Kishore
Page: 704-709 | Received 01 May 2024, Published online: 30 May 2024
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Abstract
Chronic Otitis media (COM) is the term used to describe variety of signs, symptoms and physical findings that result from long term damage of middle ear by infection and inflammation. To compare the diagnostic performance of endoscopic and microscopic procedures in identifying the middle ear structures and associated disease in patients with Chronic Otitis Media(COM). This Observational study was conducted among 50 patients with complaints of ear discharge, hard of hearing and symptoms of Chronic Otitis Media (COM) posted for Tympanoplasty, mastoidectomy and Combined Approach Tympanoplasty (CAT). Duration of Study was Jan 2023‐December 2023. Out of 50 study participants, 29 (58%) were Females and 21 (42%) were male. Maximum study subject 19 (38%) were from 16‐25 years. All patients has symptoms and signs of COM. 31 (62%) having TTD and 11pts (22%) AAD with cholesteatoma, 8pts (16%)with retraction pocket. Examination of middle ear with Operating microscope and Endoscope yielded the following results. Promontory was visualized minimally in 5pts (10%), partially in 7pts (14%) and completely in 38pts (76%) by microscopy and by endoscopy visualized minimally in 4pts (8%), partially in 6pts (12%) and completely in 40pts (80%). Ossicular status could be ascertained minimally in 2pts(4%), partially in22pts(44%) and completely in 27pts (57%)by microscopy, whereas by endoscopy ossicular status was visualized partially in 24pts(48%) and completely in 26pts (52%). Mucosal disease was valuable partially in 25pts(50%) and completely in 25pts(50%) by microscopy and by endoscopy partially in 24pts (48%) and fully in 26pts (52%). ET area was visualized minimally in 5pts (10%), partially in 11pts (22%) and completely in 25pts (50%) by microscopy and endoscopy visualized minimally in 8pts (16%), partially in 10pts (20%) and fully in 32pts (64%).Facial recess could be visualized minimally in 18pts (36%) partially in 11pts (22%) and fully in10pts (20%) by microscopy, partially in 11pts (22%), fully in 37pts (74%). There is clear benefit of observational endoscopic ear examination, enabling improved visualization of the tympanic cavity and discovery of hidden, residual disease.
How to cite this article:
Shaik Abdul Subhan Faruq, B. Nageswar Rao, K. Sudhakar and K. Kishore. Clinical Study to Compare the Diagnostic Performance of Endoscopic and Microscopic Procedures in Identifying the Middle Ear Structures and Associated Disease in Patients with Chronic Otitis Media(COM).
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.5.704.709
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.5.704.709