CSOM continues to be a significant public health issue in the majority of low- and middle- income countries due to limited access to medical care, unhygienic environments, and overcrowding. CSOM is one of the reasons for preventable hearing impairment, particularly among children and a strong determinant of education, communication, and quality of life.<\/p>\n
Chronic Suppurative Otitis Media (CSOM)<\/strong> is a persistent infection of the ear that infects millions of individuals all over the world, particularly in the children of the developing world.\u00a0 Due to prolonged infection and inflammation of the middle ear, CSOM can cause recurrent discharge from the ear (otorrhea), deafness, and life-threatening complications if left untreated. CHRONIC SUPPURATIVE OTITIS MEDIA: WHAT IS IT?<\/strong> Let’s talk about CSOM’s causes and risk factors.<\/p>\n RISK FACTORS AND CAUSES<\/strong><\/p>\n Although recurrent or untreated acute otitis media is typically the cause of CSOM, there are a number of additional factors that can contribute to its development. They are:<\/p>\n Common\u00a0pathogenic\u00a0organisms\u00a0include: These\u00a0bacteria\u00a0thrive\u00a0in the\u00a0moist\u00a0environment\u00a0of the middle ear,\u00a0occasionally\u00a0forming\u00a0biofilms that\u00a0make\u00a0treatment\u00a0more difficult.<\/p>\n LET\u2019S discuss the types of csom <\/strong> 2. Attico-antral CSOM (unsafe type):<\/strong><\/p>\n Symptoms of CSOM In children, CSOM\u00a0may\u00a0also\u00a0result\u00a0in\u00a0speech and language delay\u00a0due\u00a0to\u00a0hearing loss.<\/p>\n Diagnosis LET\u2019S discuss the complications of CSOM<\/strong><\/p>\n Untreated\u00a0CSOM\u00a0may\u00a0lead\u00a0to\u00a0serious\u00a0complications, some of\u00a0them\u00a0life-threatening. Complications are classified into two main types.<\/p>\n Extracranial Complications:<\/strong> Intracranial Complications:<\/strong> Medical Administration:<\/strong><\/p>\n Treatment of CSOM\u00a0involves\u00a0elimination\u00a0of\u00a0infection, drying the ear, and\u00a0closure\u00a0of\u00a0the perforation\u00a0for\u00a0restoration\u00a0of\u00a0hearing and\u00a0prevention\u00a0of\u00a0recurrence.<\/p>\n Steer clear of using ototoxic ear drops (like aminoglycosides) without a doctor’s supervision, particularly if the tympanic membrane is perforated.<\/p>\n Surgical Management:<\/strong><\/p>\n When medical management is ineffective or complications develop, surgery is usually necessary. Typical practices include the following:<\/p>\n If surgery is treated early, hearing results are typically favorable.<\/p>\n Prevention of CSOM<\/strong> CSOM continues to be a significant public health issue in the majority of low- and middle- income countries due to limited access to medical care, unhygienic environments, and overcrowding. CSOM is one of the reasons for preventable hearing impairment, particularly among children and a strong determinant of education, communication, and quality of life. Chronic Suppurative […]<\/p>\n","protected":false},"author":2,"featured_media":3054,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1005],"tags":[1011,1007,1006,1010,1008,1009],"class_list":["post-3053","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-otorhinolaryngology","tag-chronic-ear-infection-treatment","tag-chronic-suppurative-otitis-media","tag-csom","tag-ear-health-awareness","tag-ear-infections","tag-ent-revision"],"yoast_head":"\n
\nIn this article, we\u2019ll talk about CSOM in detail\u2014what it is, how it develops, its symptoms, diagnosis, treatment, and prevention.<\/p>\n
\nWith\u00a0repeated\u00a0perforated eardrum ear discharge, chronic suppurative otitis media is a\u00a0recurring\u00a0infection of the middle ear and mastoid cavity that\u00a0typically\u00a0continues\u00a0for\u00a0more\u00a0than six to twelve weeks. CSOM is a chronic infection that, in contrast to acute and brief otitis media, can recur and cause complications if left untreated.<\/p>\n\n
\n<\/strong>\u2022 Pseudomonas aeruginosa
\n\u2022 Staphylococcus aureus
\n\u2022 Proteus species
\n\u2022 Escherichia coli<\/p>\n
\nThere are two types of chronic suppurative otitis media:<\/p>\n\n
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\nThe hallmark symptoms of CSOM are<\/strong><\/p>\n\n
\n<\/strong>Diagnosis of CSOM is\u00a0primarily\u00a0clinical, based on\u00a0history and physical examination. Basic equipment required for diagnosis includes:<\/p>\n\n
\n\u2022\u00a0Pure\u00a0tone audiometry:<\/strong> To\u00a0assess\u00a0the\u00a0degree\u00a0of hearing loss
\n\u2022 Tympanometry<\/strong>: Checks middle ear\u00a0functioning
\n\u2022\u00a0Swab\u00a0culture and sensitivity tests:<\/strong> To\u00a0find\u00a0out\u00a0the\u00a0etiological\u00a0organisms
\n\u2022\u00a0Imaging (CT scan):<\/strong> In\u00a0case of suspicion of complications or cholesteatoma<\/li>\n<\/ul>\n
\n\u2022 Mastoiditis (infection of the mastoid bone)
\n\u2022 Facial nerve paralysis
\n\u2022 Labyrinthitis (inner ear infection)
\n\u2022 Subperiosteal abscess<\/p>\n
\n\u2022 Meningitis
\n\u2022 Brain abscess
\n\u2022 Lateral sinus thrombosis
\n\u2022 Otitic hydrocephalus<\/p>\n\n
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\nPrevention of CSOM\u00a0includes\u00a0early\u00a0detection\u00a0and\u00a0treatment\u00a0of ear infections, as well as\u00a0overall\u00a0health and hygiene:
\n\u2022\u00a0Early\u00a0treatment of\u00a0acute otitis media.
\n\u2022\u00a0Ear hygiene\u2014avoid\u00a0putting\u00a0objects into the ear.
\n\u2022\u00a0Avoid\u00a0water exposure to ears\u00a0if there is a known perforation.
\n\u2022\u00a0Enhance\u00a0nutrition and\u00a0overall\u00a0immunity.
\n\u2022\u00a0Limit\u00a0exposure to tobacco smoke and allergens.
\n\u2022\u00a0Pneumococcal and influenza\u00a0immunization\u00a0can\u00a0minimize\u00a0the\u00a0occurrence\u00a0of otitis media<\/p>\n","protected":false},"excerpt":{"rendered":"