Sensorineural hearing loss in patients with unilateral safe chronic suppurative otitis media

Background: Chronic Suppurative Otitis Media (CSOM) is the major cause of hearing impairment, mainly conductive type of hearing loss. The occurrence of sensorineural hearing loss (SNHL) in CSOM is controversial and the controversy is more for safe mucosal type. This study aims to assess the association between SNHL and safe mucosal CSOM and its relation to patient’s age, sex, duration of disease, active or inactive disease and speech frequencies.Methods: 100 patients with unilateral mucosal type of CSOM with normal contralateral ear were included in the study. The infected ear was taken as study ear and normal ear as control ear in all patients. All patients underwent hearing assessment by pure tone audiometry for both ears. In case of active disease, ear discharge was first cleared and then audiometric assessment done. Results were statistically compared in all patients for both study and control ears using parameters of patient’s age, sex, duration of disease, speech frequency and active or inactive disease.Results: There was significant higher number of study ears with CSOM having average bone conduction threshold of all frequencies above 25 decibels which implies SNHL (21%) compared to control contralateral ears without infection (5%). There was higher incidence of SNHL at higher speech frequencies. The incidence also increased with age of patient and duration of disease. The incidence was higher in active stage than inactive or quiescent stage. There was no difference among males and females.Conclusion: Safe mucosal CSOM can cause significant SNHL and risk increases with increasing age, duration of disease, higher speech frequencies and presence of active disease.

Efficacy of Steam Inhalation with Inhalant Capsules in Patients with Common Cold in a Rural Set Up

Abstract: The common cold is the most frequent infectious disease in humans occurrin

Fat Graft Myringoplasty- Day Care Procedure: Role in Small Central Perforations

Introduction: Day care surgery is the need of hour in the field of otology. Temporalis fascia is the most common material used for closure of tympanic membrane perforation. But it is a lengthy procedure requiring general anaesthesia (GA) or longer sedation, extensive middle ear manipulation and a longer recovery post operatively. Fat is said to have angiogenetic properties. The aim of this study is to evaluate the usefulness of adipose tissue fat for closure of dry small perforations of tympanic membrane as a day care procedure. Materials and Methods: 40 patients with small central dry tympanic membrane perforations were taken up for surgery under sedation using fat graft from ear lobule for closure of perforations. The results were evaluated inta operatively, immediate post operatively and at 1st, 4th , 8th and 12th monthly post operative visit for uptake of graft, hearing improvement and complications of the procedure if any. Results: The results showed that the graft uptake success rate`was high as good as traditional myringoplasty using temporalis fascia. The procedure was minimally invasive, requiring little sedation, taking much less time, cost effective where both ears can be operated in the same sitting and the patients can be discharged on the same day with no major complications. There was considerable hearing improvement noted in the patients in the study. Conclusion: So it can be concluded that fat graft myringoplasty is an effective method for closure of small central dry tympanic membrane perforations

Role of Honey in Post operative Tonsillectomy Cases

ABSTRACT Introduction: Honey has been used since ancient times for healing of skin wounds and preventing infections. The aim of this study is to evaluate the effect of honey on pain, infection and wound healing in post operative tonsillectomy cases. Materials and Methods: 40 patients planned for tonsillectomy under general anaesthesia were taken up in the study. 20 patients in the study group were given oral honey post operatively along with other medication whereas remaining 20 patients in control group were not given oral honey. Patients were evaluated post operatively after 1, 2, 7 and 14 days for post operative pain, healing of tonsillar fossa wound, post operative bleed, fever, recovery time, patient satisfaction and other criterias. Results: The results showed that pain was much lesser in study group. There was better wound healing, shorter recovery time with greater patient satisfaction. There were lesser post operative complications like fever with lesser need for intramuscular analgesics. No specific side effects of honey were noted. Conclusion: So it can be concluded that honey can be considered as a complementary medicine in post operative tonsillectomy cases

A Disguised Tuberculosis in Oral Buccal Mucosa

Tuberculosis is a major cause of morbidity and mortality worldwide. It is a chronic granulomatous disease that can affect any part of the body, including the oral cavity. Oral lesions of tuberculosis, though uncommon, are seen in both the primary and secondary stages of the disease. This article presents a case of tuberculosis of the buccal mucosa, manifesting as non-healing, non-painful ulcer. The diagnosis was confirmed based on histopathology, sputum examination and immunological investigation. The patient underwent anti-tuberculosis therapy and her oral and systemic conditions improved rapidly. Although oral manifestations of tuberculosis are rare, clinicians should include them in the differential diagnosis of various types of oral ulcers. An early diagnosis with prompt treatment can prevent complications and potential contaminations