Effect of FESS on Tubo Tympanic Disease

Rajeswari, P (2016) Effect of FESS on Tubo Tympanic Disease. Masters thesis, Tirrunelveli Medical College, Tirunelveli.


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CSOM is a chronic suppurative inflammation of mucoperiosteal layer of middle ear cleft. It is the major cause of deafness in India. It is associated with unhygienic habits & inadequate treatment of URIs. TUBOTYMPANIC DISEASE: It is the inflammation of mucoperiosteal layer of middle ear cleft characterized by the presence of central perforation. There are a lot of presdisposing factors of CSOM. Rhinosinusitis remains the main cause. FESS offers the potential advantage of clearing the focal sepsis. AIM OF THE STUDY: To study the effect of FESS on tubotympanic disease. OBJECTIVES: 1. To establish, rhinosinusitis remain the major cause of tubotympanic disease. 2. To evaluate all tubotympanic disease cases with proper diagnostic nasal endoscopy. 3. To study that FESS clears the focus of infection in tubotympanic disease. 4. To improve the tubotympanic disease by doing FESS. INCLUSION CRITERIA: 1. Sex : Both. 2. Patients with tubotympanic disease, with ear discharge more than 1 month even after antibiotics with radiological proven chronic sinusitis. EXCLUSION CRITERIA: 1. CSOM, active squamous, inactive squamous, adhesive otitis media. 2. Fungal infection of external ear. 3. Reccurent chronic otitis media after surgery. MATERIALS AND METHODS: The study population consists of tubotympanic type of C.S.O.M. patients with chronic sinusitis who attended the Tirunelveli Govt. Medical College Hospital, Tirunelveli during a 2 year period. All patients with tubotympanic type of CSOM with radiologically proven chronic sinusitis from Department of ENT, Tirunelveli Govt. Medical College Hospital, Tirunelveli were included in the study. Ear discharge of these patients was sent for culture and sensitivity. The patients were treated with culture directed topical and systemic antibiotics and mucolytic agents and were followed up for a period of 1 month. The patients selected were subjected to diagnostic nasal endoscopy and computed tomography of paranasal sinuses for nasal symptoms and signs. Patients with evidence of chronic sinusitis were treated with antibiotics, antihistamines and decongestions for a period of at least 4 wks. Though they had temporary symptomatic improvement they showed frequent relapse of symptoms. So they underwent endoscopic sinus surgery and were followed up post operatively 3 weeks, 6 weeks, 3 months & 6 months. The patients were assessed by otoendoscopy for decrease in ear discharge and improvement of middle ear mucosal status. STUDY AREA: Department of ENT, Tirunelveli Govt. Medical College Hospital, Tirunelveli. STUDY PERIOD: December 2013 to September 2015. METHOD OF STUDY: Prospective study. STUDY POPULATION: A minimum of 104 patients with tubotympanic disease with rhinosinusitis, randomly selected. SCOPE OF STUDY: The study emphasize the importance of clearing focal infection & ascertain the improvement of tubotympanic disease by doing FESS. This approach can have a great impact on treatment modalities of tubotympanic disease.

Item Type: Thesis (Masters)
Additional Information: Reg.No.221314301
Uncontrolled Keywords: Chronic Suppurative Otitis Media (CSOM) ; Functional Endoscopic Sinus Surgery (FESS) ; Diagnostic Nasal Endoscopy (DNE) ; Computed Tomography (CT) ; Para Nasal Sinuses (PNS) ; Otoendoscopy.
Subjects: MEDICAL > Otolaryngology
Depositing User: Devi S
Date Deposited: 12 Feb 2019 15:51
Last Modified: 13 Feb 2019 04:47
URI: http://repository-tnmgrmu.ac.in/id/eprint/10554

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