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    Ent - Chronic Suppurative Otitis Media (CSOM)

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    Riya Sweetsolitude
    The document discusses atticoantral chronic suppurative otitis media (CSOM), including its symptoms, causes, diagnosis, and treatment. CSOM is characterized by persistent ear discharge, deafness, and marginal perforation, and can lead to cholesteatoma formation. Cholesteatoma is defined as an epidermal sac that grows independently and destroys underlying bone. Diagnosis involves examination of the ear under microscope and CT scan. Treatment involves surgical removal of the cholesteatoma and reconstruction of the ear structures to prevent recurrence and complications such as facial nerve palsy or brain abscess.

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    Ent - Chronic Suppurative Otitis Media (CSOM)

    Uploaded by

    Riya Sweetsolitude
    36 views22 pages
    The document discusses atticoantral chronic suppurative otitis media (CSOM), including its symptoms, causes, diagnosis, and treatment. CSOM is characterized by persistent ear discharge, deafness, and marginal perforation, and can lead to cholesteatoma formation. Cholesteatoma is defined as an epidermal sac that grows independently and destroys underlying bone. Diagnosis involves examination of the ear under microscope and CT scan. Treatment involves surgical removal of the cholesteatoma and reconstruction of the ear structures to prevent recurrence and complications such as facial nerve palsy or brain abscess.

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    Ent- Chronic Suppurative Otitis Media (CSOM)

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    The document discusses atticoantral chronic suppurative otitis media (CSOM), including its symptoms, causes, diagnosis, and treatment. CSOM is characterized by persistent ear discharge, deafness, and marginal perforation, and can lead to cholesteatoma formation. Cholesteatoma is defined as an epidermal sac that grows independently and destroys underlying bone. Diagnosis involves examination of the ear under microscope and CT scan. Treatment involves surgical removal of the cholesteatoma and reconstruction of the ear structures to prevent recurrence and complications such as facial nerve palsy or brain abscess.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    36 views22 pages

    Ent - Chronic Suppurative Otitis Media (CSOM)

    Uploaded by

    Riya Sweetsolitude
    The document discusses atticoantral chronic suppurative otitis media (CSOM), including its symptoms, causes, diagnosis, and treatment. CSOM is characterized by persistent ear discharge, deafness, and marginal perforation, and can lead to cholesteatoma formation. Cholesteatoma is defined as an epidermal sac that grows independently and destroys underlying bone. Diagnosis involves examination of the ear under microscope and CT scan. Treatment involves surgical removal of the cholesteatoma and reconstruction of the ear structures to prevent recurrence and complications such as facial nerve palsy or brain abscess.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 22

    ATTICOANTRAL CSOM

    Dr. S.Senthil Kumaran M.S.E.N.T


    Associate Professor/HOD
    Dept of ENT
    GDMCH
     Persistent discharge
     Deafness
     Marginal perforation
     Cholesteatoma
    CHOLESTEATOMA
    CHOLESTEATOMA
     Definition:
     Epidermal & connective tissue structure
     In the form of sac
     Progressive & independent growth at the
    expense of underlying bone
     Tendency to recur
    CHOLESTEATOMA
     Etiology
     Congenital
     Acquired
     Theories
     Congenital cell rests
     Metaplasia of middle ear epithelium
     Papillary ingrowth
     Invagination of epithelium
    Spread of cholesteatoma
     Mechanism of spread
     Pressure theory
     Enzyme theory
     Hormone theory
    ROUTES OF SPREAD
     Direct spread
     Through congenital dehiscence
     Through surgical dehiscence
     Through normal sutures
    HISTOPATHOLOGY
     Cyst like structure
     Capsule stratified squamous epithelium
     Centre keratin squames
    DIAGNOSIS
     History
     Persistent ear discharge
     Purulent, stained with blood
     Foul smelling

     Associated conditions
     Post auricular involvement
     Facial nerve paralysis
     Nystagmus
     Vertigo
     Headache
    EXAMINATION
     Examination
     Ear examination
     Blood stained
     Foul smell
     Purulent + C/S
     Post-auricular abscess
     Facial nerve paralysis
     Nystagmus
     Fistula sign +ve
     Audiological assessment
    EXAMINATION UNDER
    MICROSCOPE
     Children under G/A
     After Suction cleaning
     Marginal perforation
     Granulation tissue/polyp
     Whitish flakes in middle ear cavity
    Radiological Assessment
     X-ray mastoid
    CT-SCAN
     CT scan temporal bone
     Cholesteatoma
     Extent
     Normal anatomical structures
     Bony erosion
     Complications
    TREATMENT
     Medical treatment
     No medical treatment for cholesteatoma
     Only for associated conditions
     Preparation for G/A
    SURGICAL TREATMENT
     Aims of surgery
     Eradicate disease
     Prevent recurrence of infection
     Prevent complications
     Restore function
    ROUTES OF
    SURGERY
     Transcanal
     Endaural
     Post-aural
     Circumferential
    PROCEDURES
     Canal wall-up
     Cortical mastoidectomy
     Combined approach mastoidectomy
     Canal wall-down
     Atticotomy
     Radical mastoidectomy
     Modified radical mastoidectomy
    FUNCTIONAL
    RECONSTRUCTION
     Tympanoplasty
     Type I (myringoplasty)
     Type II
     Type III
     Type IV
     Type V
    COMPLICATIONS OF CSOM
     Extracranial
     Facial nerve palsy
     Labyrinthitis
     Acute mastoiditis
     Post-auricular fistula
     Petrositis
    COMPLICATIONS OF CSOM
     Intracranial
     Extradural abscess
     Subdural abscess
     Lateral sinus thrombophlebitis
     Meningitis
     Brain abscess
     Otitic hydrocephalus
     Thank uou

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