The clinicopathological evaluation of diseases of external ear in tertiary diseases

Authors

  • Soumya Saini Department of Otorhinolaryngology, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India
  • Kavita Sachdeva Department of Otorhinolaryngology, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India
  • Diksha Sharma Department of Otorhinolaryngology, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India
  • Anjali Krishna B. Department of Otorhinolaryngology, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20243501

Keywords:

Histopathological examination, Aural mass, Modified radical mastoidectomy, Malignancy, Cholesteatoma

Abstract

Background: As the major part of outpatient department (OPD) comprises of diseases related to external ear, it is a need to acknowledge the topic. These diseases are sometimes seasonal and variable according to climate. Diseases may vary according to patients’ anatomy. Histopathological examination along with clinical prospective is required to remove the diseases. Advancement in radiology has made easier to determine the extension and involvement of disease. Aim of the study is to evaluate the extent of disease, its causative factors, various associations and effect of treatment.

Methods: The observational cross sectional study is done on 211 patients. Detailed study is done and microscopic evaluation is done whenever required. Biopsies and pus samples taken for the histopathological and microbial examination. The data collected and entered in Microsoft excel and analysed data is presented in from of frequency and percentage shown by pie charts and tables.  

Results: Out of total 211 patients the commonest involved age group (56.4%) belongs to 21-40 years with 109 (51.7%) females and 102 (48.3%) males. 91% of the patients belong to lower rural socioeconomic status. Most common pathology found in my study was otomycosis in 95 (30%) cases. Other pathologies included otitis externa in 57 (27%) cases, auralmass in 33 (15.6%) cases perichondritis, keloid, preauricular sinus, pseudocystand EAC stenosis in descending order.

Conclusions: Aural polyps and aral masses are found to be more intrusive. Prompt consideration of such cases should be done as they have tendency of extending intracranially.

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References

Bhatia R, Chauhan A, Kaur K, Rana M, Pradhan P, Singh M. Prevalence of Ear Infections in Children (0 to 15 Years) of India: A Systematic Review and Meta-Analysis. Int Arch Public Health Community Med. 2022;6:080.

Raza SA, Denholm SW, Wong JC. An audit of the management of acute otitis externa in an ENT casualty clinic. J Laryngol Otol. 1995;109(2):130-3.

Naqi R, Yusuf H, Al-Sindi F, Rashed A, Al-Sindi K. Otitis externa, ending as malignant diagnosis: a case report of acute myeloid leukaemia. Indo Am J Pharm Sci. 2022;9(8):314-27.

Schaefer P. Acute Otitis Externa: An Update. Am Fam Physician. 2012;86(11):1055-61.

Medscape Medical Reference. Otitis Externa. 2024. Available at: https://emedicine.medscape.com/articl e/994550-overview?form=fpf. Assessed on 11 October 2024.

Stanford Ear Institute. Otitis Externa - Swimmer's Ear. Available at: https://stanfordhealthcare.org /medical-conditions/ear-nose-and-throat/otitis-externa.html#:~:text=Swimmer's%20ear%20(otitis%20externa)%20is,people%20who%20have%20been%20swimming. Assessed on 11 October 2024.

Scheinfeld NS, Silverberg NB, Weinberg JM, Nozad V. The preauricular sinus: a review of its clinical presentation, treatment, and associations. Pediatr Dermatol. 2004;21(3):191-6.

Park H, Seong J, Park H, Yeo H. Standardized surgical strategy for the treatment of preauricular sinus to reduce recurrence. Arch Craniofac Surg. 2023;24(5):223-9.

Prasannaraj T, De NS, Narasimhan I. Aural polyps: safe or unsafe disease? Am J Otolaryngol. 2003;24(3):155-8.

Prasad KC, Indu Varsha G, Mohammadi K, Gupta A, Jose DA. A Clinicopathological Study of Aural Polyps: A Retrospective Analysis in a Tertiary Care Hospital. Int Arch Otorhinolaryngol. 2024;28(3):e368-73.

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Published

2024-11-26

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Original Research Articles