Syed Mosaddaque Iqbal, Suresh Kumar, Ausaf Ahmed Khan.
A study of pattern of Cholesteatoma.
J Surg Pak Jan ;12(3):119-22.

Objective: To determine the incidence of cholesteatoma in various ages, sex and socio-economic groups in a hospital based setup. Study design: Descriptive study. Duration of study: From January 2003 to November 2005 in two private sector teaching hospitals. Patients and Methods: Fifty five patients of chronic suppurative otitis media with cholestetoma were included in this study. Detailed history and thorough clinical examination including examination of ear under the microscope done and findings recorded. Apart from routine investigations, culture and sensitivity of aural pus, pure tone audiogram and radiograph of both the mastoids done in all cases. Complicated cases also under went CT scan. All patients were subjected to exploration of mastoid under general anaesthesia ending in radical or modified radical mastoidectomy according to the extent of disease. The material obtained during surgery was sent for histopathology. Results: Out of 55 cases of chronic suppurative otitis media with cholesteatoms, 39 were males and 16 females. Twenty five of them were up to 20 years of age and 27 were between 21 to 35 years. Only 03 were between 36-40 years. Six had attic, 8 total while 41 were having posterio superior marginal perforation. Forty seven were from poor, 3 from middle and 5 from upper social class. Hearing loss mild in 8 cases (10-30 db), moderate in 26 (30-50db) and severe (50-80) in 19 patients. Two had profound deafness ( > 80 db). Conclusion: The incidence of having chronic suppurative otitis media with cholesteatoma is higher in young males of poor socio-economic groups.

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