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SENSORINEURAL HEARING LOSS IN CHRONIC SUPPURATIVE OTITIS MEDIA

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Abstract

BackgroundChronic suppurative otitis media is a common disease affecting young age group, it is typically a persistent disease, often capable of causing severe destruction and irreversible sequelae and clinically manifest with deafness and discharge.ObjectivesTo evaluate the degree of sensorineural hearing loss component in patients with chronic suppurative otitis media with and without pathological sequelae, which necessitate early detection as it increase in severity with time.MethodsA prospective study of 140 patients with unilateral chronic suppurative otitis media was evaluated otologically and audiologically for bone conduction hearing loss in the diseased ear throughout one year. The patients mean age was 26.5±0.5 years ranging from 10-45 years and the mean duration of the illness were 6.9±2.5 years ranging from 1-30 years.ResultsEighty-eight and a half percent of the patients with unilateral chronic suppurative otitis media had some loss of cochlear function.ConclusionMost patients had a difference of less than 10 db in bone conduction between diseased and uninvolved ears. The range difference between diseased and uninvolved ears was wider at the higher frequencies, related mainly to the duration of the disease and its pathological sequelae such as cholesteatoma and or granulation tissue.Key wordSensorineural, otitis media, round window, cholesteatoma


Article
MICRODEBRIDER TECHNIQUE FOR MANAGEMENT OF INFERIOR TURBINATE HYPERTROPHY

Authors: Adil N Razooqi عادل نعيم رزوقي --- Firdaws F Ridha فردوس فاضل رياض --- Ali AH Fadhil علي عبد الحسين فاضل
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2013 Volume: 11 Issue: 2 Pages: 165-169
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Microdebrider-assisted turbinoplasty of inferior turbinate is a surgical procedure for reducing the size of turbinate and achieve patent nasal airways in a condition where an enlarged turbinate cause chronic nasal obstruction not responding to medical treatment.Objective:To assess the results of microdebrider technique in the management of patients with chronic nasal obstruction due to inferior turbinate hypertrophy.Methods:From January 2010 to March 2011, forty patients with chronic nasal obstruction due to inferior turbinate hypertrophy not responding to medical treatment were treated with microdebrider-assisted turbinoplasty. They were subjected to detailed study of medical history and clinical examination. Post-operative follow up was performed for subjective and objective evaluation up to one year.Results:Thirty seven patients (92.5 %) had good airway passage during the first two weeks after operation and these results continued up to twelve months. The complications encountered with this procedure were limited to postoperative bleeding with no crusting or adhesions.Conclusion:Microdebrider-assisted turbinoplasty is a safe procedure for achieving turbinate size reduction with acceptable morbidity in patients with nasal obstruction due to turbinate hypertrophy. Bleeding is a minimal complication. Preservation of mucosa leads to early healing and absence of crusting.Keywords:Turbinate, partial turbinectomy, microdebrider

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