A clinico-pathological study on chronic otitis media in children


  • Vijay Kumar Department of ENT, JLNMC, AMU, Aligarh, Uttar Pradesh, India
  • Sweta Soni Department of ENT, AIIMS Patna, Bihar, India
  • Rudra Prakash Department of ENT, AIIMS Patna, Bihar, India




CSOM, Cholesteatoma in children, Complications of otitis media


Background: Chronic suppurative otitis media (CSOM) is the commonest cause of persistent mild to moderate hearing impairment in children and young adults in developing countries and may have prevalence between 2 and 17% amongst children. The aim of this study was to compare clinico-pathological characteristics of safe (mucosal) and unsafe (squamous) diseases in children.

Methods: An observational prospective study was done at ENT department of Jawaharlal Nehru medical college, AMU, Aligarh from over a period of one and half years. A total of 60 children evaluated as per inclusion and exclusion criteria, 30 in each group.

Results: Majority of them belonged to rural background with ear discharge being the predominant complaint in all of them. Children with unsafe disease had more incidences of extracranial complications.

Conclusions: Keeping in view the detrimental effects of hearing loss on social and educational development of children as the propensity of chronic otitis media to cause life threatening complications, urgent attention to this disease and awareness in public is warranted.

Author Biographies

Vijay Kumar, Department of ENT, JLNMC, AMU, Aligarh, Uttar Pradesh, India

Senior Resident

Department of ENT

Sweta Soni, Department of ENT, AIIMS Patna, Bihar, India

Senior Resident

Department of ENT

Rudra Prakash, Department of ENT, AIIMS Patna, Bihar, India

Senior Resident
Department of ENT


Gleeson M, Browning GG, Burton MJ, Clarke R, John H, Jones NS et al. Scott-Brown’s Otorhinolaryngology, Head and Neck Surgery 7th edition Lead editor: Michael Gleeson. Ann R Coll Surg Engl. 2011;93(7):559.

Adhikari P, Joshi S, Baral D, Kharel B. Chronic Suppurative Otitis Media in urban private school children of Nepal. Braz J Otorhinolaryngol. 2009;75(5):669-72.

Sanjana RK, Singh YI, Reddy NS. Aerobic bacteriology of chronic suppurative otitis media in a tertiary care hospital: A Retrospective study. J college Med Sci Nepal. 2011;7(2):1-8.

Datta PG, Newton VE, Amin MN, Chowdhury RKD. Chronic suppurative otitis media-A major cause of hearing impairment in developing countries. J Bangladesh Coll Phys Surg. 1995;13:24-7.

Islam MR, Taous A, Hossain MM, Ekramuddaula AFM, Islam MS. Comparative study of tutotympanic and atticoantral variety of chronic suppurative otits media. Bangladesh J Otorhinolaryngol. 2010;16;113-9.

Johnson RL. Chronic otitis media in school age Navago Indians. Laryngoscope. 1967;77:1990-5.

Siddique BH, Khan AH. Chronic suppurative otitis media-a rural area-based study. SSMCJ. 1995;3:12-6.

Bennett KE, Haggard MP. Accumulation of factors influencing children’s middle ear disease: risk factor modeling on a large population cohort. J Epidemiol Community health. 1998;52:786-93.

Tshering P, Joarder MAH, Chowdhury MA, Saha KL. Clinicopathological study on CSOM: a comparison between tubotympanic and atticoantral variety. Bangladesh J Otorhinolaryngol. 2012;18(2):138-44.

Shrestha BL, Shrestha I, Amatya RC: Comparison of clinical presentation between Chronic Otitis Media Mucosal with Squamous. Kathmandu Univ Med J. 2010;8(32):387-91.

Rao BN, Reddy MS. Chronic suppurative otitis media-A prospective study. India J Otolaryngol head and neck surg. 1994;3:2

Rehman HR, Wahid FI, Khan N, Khan A, Khan MR, Shahabi IK. Attico Antral vs. Tubo-Tympanic Chronic Suppurative Otitis Media. J Rawalpindi Med College. 2014;18(2):257-9.

Baba S. Subjective Evaluation and Overall Satisfaction after Tympanoplastyfor Chronic Simple Suppurative Otitis Media. Subjective Evaluation and Overall Satisfaction after Tympanoplastyfor Chronic Simple Suppurative Otitis Media. J Nippon Med Sch. 2004;71(1):17-24.

Kim DK, Park SN, Kim MJ, Lee SY, Park KH, Yeo SW. Tinnitus in patients with chronic otitis media before and after middle ear surgery. Eur arch oto-rhino-laryngol. 2011;268(10):1443-8.

Wielinga EW, Derks AM, Cremers CW. Tympanosclerosis in tympanic membrane: influence on outcome of myringoplasty. Am J Otol. 1995;16:811-4.

Benitez JT. Otopathology of Egyptian mummy Pum II: final report. J Laryngol Otol. 1988;102(6):485-90.

Kaur K, Sonkhya N, Bapna AS. Chronic suppurative otitis media and sensorineural hearing loss: Is there a correlation? Indian J Otolaryngol Head Neck Surg. 2003;55(1):21-4.

Gardenghi G. Cochlear function in chronic suppurative otitis media. Bollettino delle malattie dell’orecchio, della gola, del naso. 1955;73(6):587-606.

Bluvshtein GM. Audiological Characteristics of Chronic Suppurative Otitis Media. Vestnik otorinolaringol. 1963;25:64-72.

Gulati SP. Audiological profile in chronic suppurative otitis media. Indian J Otol. 2002;8(1):24-8.

De Azevedo AF, De Souza NJ, Greco DB, Goncalves DU. Sensorineural hearing loss in chronic suppurative otitis media with and without cholesteatoma. Braz J Otorhinolaryngol. 2007;73:671-4.






Original Research Articles