Review of patients with chronic suppurative otitis media in the National Ear care centre, Kaduna Nigeria.

Abstract

ABSTRACT Background: Chronic suppurative otitis media (CSOM) is the most common condition presenting to Otolaryngological clinics, often patients present late with consequent complications that require surgical intervention. This study aimed to review the mode of clinical presentation, modality and outcome of treatment of CSOM seen at NECC Kaduna. Methodology: This was a retrospective study carried out in the National Ear Care Centre, Kaduna for a period of 3 years; from January 2016 - December 2018. Results: Two hundred and thirty-four patients with CSOM were studied. There were 127 males and 107 females making M: F =1.2:1. The age range was from 8-60years with a mean age of 26.5±12.6years. The age group 11-20 (31.2%) had the highest number. Majority presented with hearing loss and ear discharge 228(97.4%) and 182(77.8%) respectively. Other symptoms were otalgia, tinnitus, vertigo and nasal symptoms. Eleven (4.7%) had complications at presentation. Ninety-two (39.3%) had surgery, 64 had only aural toileting and dressing with topical antibiotic with recorded success as majority achieved dry ear, while 38 patients were lost to follow up. Postoperative complications include; loss of taste sensation, facial nerve palsy, recurrent/persistent ear discharge, persistent dizziness, and infection of the donor site and no mortality was recorded. Conclusion: One-third of the patients who benefitted from surgery had a good outcome and for those with conservative treatment, the majority achieved dry ear. Early presentation is advised to avoid complications. Keywords: Chronic suppurative otitis media, Kaduna, Nigeria.