This is an outdated version published on 2022-12-31. Read the most recent version.

Intraoperative findings during Open mastoido-epitympanectomy at a tertiary center

Authors

  • Abha Kiran K.C. Department of ENT-HNS, Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Kavre, Nepal. https://orcid.org/0000-0002-5462-6944
  • Bikash Lal Shrestha Department of ENT-HNS, Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Kavre, Nepal.
  • Laxmi Khadka Department of ENT-HNS, Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Kavre, Nepal.
  • Ayushi Shrestha Department of ENT-HNS, Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Kavre, Nepal.
  • Shreeja Shikhrakar Department of ENT-HNS, Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Kavre, Nepal.

DOI:

https://doi.org/10.3126/medphoenix.v7i2.46878

Keywords:

Cholesteatoma, Chronic otitis media squamous, Ossicular chain, Open mastoidoepitympanectomy

Abstract

Introduction: Chronic otitis media is a common entity in our country. Surgical eradication of disease is the treatment of choice for squamous chronic otitis media. The objective of this study was to assess the pathology, its extent and associated complications in patients who underwent open mastoido-epitympanectomy for chronic otitis media squamous at a tertiary care center (Dhulikhel Hospital) in Nepal.

Materials and methods: Medical records of 111 patients who underwent OMET at our center from June 2017 to June 2021 were analyzed retrospectively. Demographic parameters, clinical presentation, audiometric data, intraoperative pathology and their distribution, involvement of bony landmarks and ossicular chain status were recorded and analyzed.

Results: There were 64 male and 47 female patients included in our study. Their age ranged from 6 to 69 years. The commonest finding during examination under microscopy was posterosuperior retraction pocket (42.3%). Cholesteatoma was the commonest intraoperative pathology (86.5%), majority with cholesteatoma widespread involving both tympanic and mastoid cavities. Ossicular chain erosion was reported in 96.4% patients.

Conclusion: Squamosal otitis media is common in our setup, with extensive distribution of pathology in middle ear cleft, and possible bony landmarks erosion.

Downloads

Download data is not yet available.
Abstract
61

Published

2022-12-31

Versions

How to Cite

K.C., A. K., Shrestha, B. L., Khadka, L., Shrestha, A., & Shikhrakar, S. (2022). Intraoperative findings during Open mastoido-epitympanectomy at a tertiary center . Med Phoenix, 7(2). https://doi.org/10.3126/medphoenix.v7i2.46878

Issue

Vol. 7 No. 2 (2022)

Section

Research Articles

License

Copyright (c) 2022 Med Phoenix

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright on any research article is transferred in full to MED PHOENIX upon publication.  The copyright transfer includes the right to reproduce and distribute the article in any form of reproduction (printing, electronic media or any other form).

© MEDPHOENIX

Articles in the MED PHOENIX are Open Access articles published under the Creative Commons CC BY License (https://creativecommons.org/licenses/by/4.0/). This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.