Chronic suppurative otitis media in children: Review
Dr. Ravi Kumar D, Dr. Pundareekaksha Rao P
Chronic Suppurative Otitis Media is one of the common ear disease in young children, has been associated with frequent and severe complications. Chronic Suppurative Otitis Media (CSOM) is the most disabling form of otitis media. Children with Acute Otitis Media with perforation will develop Chronic Suppurative Otitis Media. The incidence is increasing in the developing countries due to poor hygiene, malnutrition and lack of health education. Both gram positive and gram negative organisms are responsible for infection of middle ear. Many more previous studies showed Pseudomonas aeruginosa is to be the most common pathogen from CSOM cases. Complications of CSOM including tympanic membrane perforation, hearing loss, ossicle lesions, facial palsy, mastoiditis, labyrinthitis, petrositis, meningitis, thrombophlebitis etc. Mortality and hearing loss due to otitis media are primarily related to the complications of CSOM. Aspiration of inflammatory exudates, ear cleaning, topical antibiotics, topical antiseptics, systemic antibiotics have been effective in controlling the disease. Mastoidectomy, tympanoplasty are permanent cure for CSOM. So, early detection of disease and health educational training, awareness programs on of the disease for school going children and parents is needed to reduce the prevalence of the disease.