A STUDY ON CSOM (CHRONIC SUPPURATIVE OTITIS MEDIA) AND ITS PREDISPOSING FACTORS IN A TERTIARY CARE HOSPITAL, PATNA, BIHARCROSS SECTIONAL

Introduction: Chronic Suppurative Otitis Media is a long-term inammation of the middle ear cavity and mastoid antrum which is caused by a plenty of factors. Clinically, CSOM is classied into two types, namely the tubotympanic and the atticoantral. The etiology and pathogenesis of otitis media are multifactorial and include genetic, infections, allergy, environmental, social and racial factors and Eustachian tube dysfunction. So this study was conducted to asses the prevalence of CSOM types and to evaluate the predisposing factors in ENT OPD of a tertiary care hospital. Materials And Methods: A cross-sectional observational study was conducted among 100 patietns of CSOM attending ENT OPT, of a tertiary care hospital in Patna district, Bihar, India. A pre-designed and pre-tested questionnaire was developed , with a consent form attached to it for voluntary participation, through which data were collected and the distributions of responses were presented as frequencies, percentages and chi-square for evaluating predisposing factors. Results: The tubotympanic disease was present in 93% of CSOM cases while 7% had atticoantral disease.Around 83% participants had CHL and 17% had MHL in CSOM .Around 45% had mild hearing loss ,39% had moderate hearing loss and 10% had severe degree of hearing loss. Conclusion: 1. Duration >4 years was found signicant for tubotympanic and CHL with p value<0.05 2. Agricultural base was also found to be signicant factor for tybotympanic type of CSOM p value being <0.05.