Intraoperative status of ossicles in patients of chronic suppurative otitis media : a study of 150 cases

Background: To assess the intraoperative status of ossicles in patients with chronic suppurative otitis media. Methods : This was an observational study carried out in the department of ENT for a period of three years i.e. from 2016 to 2019. About 150 patients of CSOM both mucosal and squamosal was included in the study. They were then posted for appropriate surgery & their intraoperative ossicular findings were recorded. Results : Out of 150 cases studied, incus was found involved in 50 patients ( 18mucosal, 32 squamosal) , stapes was found involved in 36 patients (8 -mucosal, 28squamosal) , malleus was found involved in 32 patients( 8 -mucosal, 24squamosal). Incus was involved most frequently in 33.3%, followed by stapes ; involved in total 24% . Malleus was most resistant ossicle involved in 21.33% patients. Conclusion: Incus was found to be the most frequently impaired ossicle to erode in chronic otitis media. Malleus was found to be the most resistant ossicle. So, as an ENT surgeon, we should have enough competencies to do all type of ossicular chain reconstruction during surgery to give the best possible hearing result to the patients and providing a better productive life. Key word: Cholesteatoma ------------------------------------------------------------------------------------------------------------------------------------Date of Submission: 16-05-2020 Date of Acceptance: 31-05-2020 -------------------------------------------------------------------------------------------------------------------------------------