OSSICULAR CHAIN EROSION IN CHRONIC OTITIS MEDIA WITH CHOLESTEATOMA IN TERTIARY CARE HOSPITAL IN NEPAL

Authors

  • Ashok Shreepaili Department of ENT & Head and Neck Surgery, Seti Provincial Hospital, Dhangadhi, Nepal
  • Prashant Tripathi Ganeshman Singh Memorial Academy of ENT-Head and Neck Studies, TU Teaching Hospital (TUTH), Institute of Medicine (IOM), Maharajgunj, Kathmandu, Nepal
  • Yogesh Neupane Ganeshman Singh Memorial Academy of ENT-Head and Neck Studies, TU Teaching Hospital (TUTH), Institute of Medicine (IOM), Maharajgunj, Kathmandu, Nepal
  • Bijaya Kharel Ganeshman Singh Memorial Academy of ENT-Head and Neck Studies, TU Teaching Hospital (TUTH), Institute of Medicine (IOM), Maharajgunj, Kathmandu, Nepal

Abstract

Introduction: Ossicular erosion is the common finding in chronic otitis media with cholesteatoma leading to hearing impairment.

Objectives: To evaluate the ossicular chain erosion in chronic otitis media patients with cholesteatoma.

Materials and Method: Ossicular chain status of 140 patients who underwent surgery for chronic otitis media with cholesteatoma were evaluated retrospectively and ossicular findings were recorded.

Results: Ossicular chain erosion was found in 134 (95.7%). Incus was the most commonly involved ossicle; partially necrozed in 85(60.7%) and absent in 44 (31.4%) cases. Lenticular process and long process being most frequent site of incus eroded in 72 (51.4%) and 71 (50.6%) cases respectively. Stapes suprastructure was absent in 41 (29.3%) and stapes was totally absent in 1 ( 0.7%) cases. Malleus was most resistant ossicles, partially necrosed in 34 (24.3%) and absent in 6 (4.3) cases.

Conclusion: Ossicular erosion is a frequent finding in chronic otitis media with cholesteatoma. Incus is the most commonly involved ossicle, while malleus is most resistant to erosion.

Keywords: Cholesteatoma, chronic otitis media, Ossicular erosion

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Published

2018-12-30

How to Cite

1.
Shreepaili A, Tripathi P, Neupane Y, Kharel B. OSSICULAR CHAIN EROSION IN CHRONIC OTITIS MEDIA WITH CHOLESTEATOMA IN TERTIARY CARE HOSPITAL IN NEPAL. Nepalese J ENT Head Neck Surg [Internet]. 2018 Dec. 30 [cited 2024 Dec. 12];9(2):3-5. Available from: https://njehns.org.np/index.php/njehns/article/view/201

Issue

Vol. 9 No. 2 (2018)

Section

Original Article

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Copyright (c) 2018 Nepalese Journal of ENT Head & Neck Surgery

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