Chronic Suppurative Otitis Media Treatment

Chronic Suppurative Otitis Media:

Chronic suppurative otitis media (CSOM) is a chronic inflammatory disease of the middle ear cleft that includes the tympanic membrane (eardrum), ossicles (middle ear bones responsible for hearing) and the mastoid bone (the aerated bone behind the ear). In simple terms, it can be categorized into two chief types: The mucosal variant involving only eardrum and the squamous variant involving the mastoid bone with or without cholesteatoma.

Need for CSOM Treatment

Chronic Suppurative Otitis Media (CSOM) therefore refers to a chronic inflammation of the middle ear and mastoid cavity that is manifested by otorrhea and frequently masked by tympanic membrane perforation. Management is to cure the infection, suppress signs and prevent adverse effects.

• Ear Cleaning
• Pain Management
• Control Nasal and Sinus Issues

Signs and symptoms of chronic otitis media:

Ear discharge, recurrent or persistent for more than 12 weeks. The discharge can be profuse or scanty, foul-smelling or odorless, thick or thin, blood-stained or greenish discolored. Hearing loss in the affected ear. It can be mild/moderate or severe/profound. Such symptoms can extend over months or years in affected ear/s.

Signs and symptoms of impending complications in chronic ear disease:

• Recent onset vertigo or imbalance.
• Severe/progressive earache or headache
• Nausea and vomiting
• Weakness or asymmetry of the face on the affected side.
• Pain or swelling behind the ear, particularly in children.
• Sudden progression of hearing loss/total deafness.
• Fever with headache and neck stiffness/irritability
• Altered consciousness/drowsiness

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Facilities and Services Offered to International Patients for Chronic Suppurative Otitis Media Treatment

Chronic Suppurative Otitis Media (CSOM) is a very specialized condition and most healthcare organizations have specific service lines that cater to international patients.

• Multilingual Assistance
• Travel and Accommodation Support
• Visa Arrangements
• Transparent pricing
• Follow-up Care

CSOM Management

The management of chronic ear disease is nearly always surgical except in a very elderly or debilitated population who are poor surgical candidates.

Tympanoplasty:

Tympanoplasty essentially means repair and reconstruction of the perforated or diseased eardrum with or without reconstruction of middle ear hearing/ossicular mechanism. The procedure involves grafting the perforated eardrum using autologous graft tissue (cartilage/fascia). Repair of diseased ossicles (ear bones) can be done in the same sitting using middle ear implants.

Mastoidectomy:

Mastoidectomy entails the removal of disease from the mastoid bone by drilling the diseased body cells of this bone behind the ear. Mastoidectomy can be of two essential types namely:

Cortical mastoidectomy:

This removes diseased mastoid cells in bone to reduce infective load and is a limited procedure and maintains the normal ear anatomy.

Radical or modified radical mastoidectomy:

This is an extensive procedure needing removal and exteriorization of the entire middle ear and mastoid system thereby removing extensive disease and converting the entire region into a common cavity approached post-operatively through a widened external ear meatus. The scope, hospital stay and post-operative recovery is different for all these procedures.

Ossiculoplasty:

Reconstruction of middle ear ossicles/bones using titanium implants

Bone anchored hearing implants:

For patients with open cavities or radical mastoidectomies on both sides.

Active middle ear implants (Vibrant Soundbridge):

For patients with mixed hearing loss with both conductive and sensorineural hearing loss components and when patients are not comfortable wearing hearing aids.

Cochlear implants:

To correct severe to profound hearing loss not amenable to any other non-surgical or surgical modality.

Otitis Media Treatment for Ear, Nose, Throat

Middle ear infection commonly known as Otitis Media treatments normally involves addressing the root cause of the problem as well as the discomfort the patient is experiencing. The approach used may be acute or chronic depending on the type and seriousness of the illness.

Acute Otitis Media

This is a sudden onset infection and can also be due to a bacterial, viral, and other types of infection.

Symptoms:

• Ear pain.
• Fever.
• Temporary hearing loss.
• Drainage if the eardrum has been ruptured by the cause of the infection.

Treatment:

Pain Relief:

• Nonprescription pain medications (such as aspirin, ibuprofen or acetaminophen).
• Warm compresses over the ear.

Antibiotics (if bacterial):

• First-line: Amoxicillin.
• Alternatives: Augmentin (Amoxicillin-clavulanate) Cephalosporins.

Observation:

• In children with mild disease, you can observe the child for 48-72 hours without antibiotics if some seem warranted.

Myringotomy:

• An ear tube minor surgery to make a tiny cut through the tympanic membrance to drain the fluid if the problem is severe.

Chronic Otitis Media

This includes ongoing swelling, frequently presented by persistent ear drainage (otorrhea).

Symptoms:

• Ear discharge for a certain period or for a certain duration from time to time.
• Hearing loss.
• Tinnitus usually referred to as the ringing in the ear.

Treatment:

Aural Toilet:

• Cleaning of Ear Discharge by Healthcare provider in a routine manner.

Topical Antibiotics:

• Various drops nowadays used are ciprofloxacin or ofloxacin for ear infections.

Surgical Interventions:

• Tympanoplasty: In cases of a burst eardrum usually referred to as tympanic membrane rupture.
• Mastoidectomy: Surgical excision of the affected mastoid air cells.

Chronic Suppurative Otitis Media Procedure

CSOM management aims to remove infection, any damaged ear middle and restore hearing. Treatments are usually based on the nature and accompanying features of the disease.

Non-Surgical Procedures

Aural Toilet (Ear Cleaning):

• Objective: Helps to clean the ear canal from the discharge, debris, as well as infected materials.
• Method: Carried out by a health care worker using suction with de contaminated equipment or dry mopping using sterile items.

Topical Antibiotic Therapy:

• Eardrops: Ciprofloxacin or ofloxacin drops are preferred in each case.
• May include steroids to treat inflammation although normally used for conditions of the airways.

Surgical Procedures

Tympanoplasty

• Purpose: Heals the ruptured tympanic membrane/ eardrum which has small holes.

Procedure:

• It can be local, or general anaesthesia can be used.
• Graft which is normally harvested from temporalis fascia is used to recreate the eardrum.
• Ear canal is filled with absorbable material to promote healing process.

Benefits: Enhances auditory capabilities, also protects from repeated infections.

Mastoidectomy

• Purpose: Surgical procedure that exhausts the mastoid air cells behind the ear that has been infected.
• Indications: Needed in cholesteatoma or inflammation conditions and severe suppuration processes.

Procedure:

• General anaesthesia is used.
• The mastoid bone is opened through an incision placed in the retroauricular region, by the surgeon.
• Depending on the type of illness it is infected tissue is cut out the area is then washed.

Benefits: It is also stops severe conditions such as brain abscess or meningitis which may be fatal.

Tympanomastoidectomy

• An operation in which tympanoplasty is done alongside mastoidectomy to correct an infection of both middle ear and mastoid bone.

Ossiculoplasty

• Purpose: The restoration of broken ossicular structures of the middle ear.
• Method: Hearing aids can be artificial or the patient’s own ossicles.
• Benefits: Enhances the conductive hearing loss.

Myringoplasty

• An easier process for treating minor tear in eardrum without heavy infection of middle ear or any massive destruction.

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Best Hospitals for Chronic Suppurative Otitis Media Treatment

• Artemis Hospitals, Gurgaon
• Medanta-The Medicity, Gurgaon
• Fortis Memorial Research Institute, Gurgaon
• Max Hospital, Saket
• BLK-Max Super Speciality Hospital, New Delhi

Best Doctors for Chronic Suppurative Otitis Media Treatment

• Dr. Dilpreet Bajwa
• Dr. K. K Handa
• Dr. Atul Kumar Mittal
• Dr. Sanjay Sachdeva
• Dr. W.V. B. S Ramalingam

Why Choose GetWellGo for Chronic Suppurative Otitis Media Treatment?

CSOM is a persistent ear disease that needs immense and focused treatment measure. It is therefore very important to choose the right health care provider who will guarantee the right treatment.

• Experienced ENT Specialist
• Advanced Diagnostic Tools
• Modern Surgical Suites
• Travel and Accommodation Arrangements
• Visa Assistance
• Language Support