Volume 7, Issue 2 (Journal of Clinical and Basic Research (JCBR) 2023)
jcbr 2023, 7(2): 1-4 |
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1- Department of ENT, SHKM Government Medical College, Nalhar, Nuh, Haryana , Mehta.sha@yahoo.com
2- 1 Department of ENT, SHKM Government Medical College, Nalhar, Nuh, Haryana
2- 1 Department of ENT, SHKM Government Medical College, Nalhar, Nuh, Haryana
Abstract: (671 Views)
Background: In cases of chronic otitis media (COM) presenting with unilateral squamosal disease, there may be the possibility of a potential disease in the opposite ear, which may lead to future complications. Therefore, it needs to be known whether there is any silent pathological process in the contralateral ear (CLE) that is currently asymptomatic but likely to be diseased in the near future. Therefore, this study was undertaken to analyze the fate of the contralateral asymptomatic ear in patients with unilateral squamosal disease.
Results: A total of 32 patients with COM squamosal disease were included. All the patients were subjected to clinical examination and a high-resolution computed tomography (CT) scan of bilateral temporal bones. The mean duration of age at presentation was 20.4 years. The male-to-female ratio was 1.28. Out of 32 patients, 11 (34%) showed either clinical or radiological findings in the asymptomatic CLE, out of which 7 showed both abnormal clinical and radiological findings, 3 demonstrated only abnormal clinical findings, and 1 showed only abnormal CT changes without obvious clinical findings in the CLE. In the CLE, 7 (21%) patients had mild conductive hearing loss. There was no statistically significant association of clinical findings or radiological findings in CLE to that of the unilateral squamosal diseased ear.
Conclusion: In cases with unilateral squamosal disease, an asymptomatic CLE can undergo subclinical changes and conductive hearing loss. Patients can also have silent radiological changes in the CLE detected on the CT scan, which are significant but remain undetected. No statistical significance could be reported in this study, yet other studies with even larger samples are required to show a causal relation between unilateral squamosal disease and a quiescent process in the asymptomatic CLE.
Results: A total of 32 patients with COM squamosal disease were included. All the patients were subjected to clinical examination and a high-resolution computed tomography (CT) scan of bilateral temporal bones. The mean duration of age at presentation was 20.4 years. The male-to-female ratio was 1.28. Out of 32 patients, 11 (34%) showed either clinical or radiological findings in the asymptomatic CLE, out of which 7 showed both abnormal clinical and radiological findings, 3 demonstrated only abnormal clinical findings, and 1 showed only abnormal CT changes without obvious clinical findings in the CLE. In the CLE, 7 (21%) patients had mild conductive hearing loss. There was no statistically significant association of clinical findings or radiological findings in CLE to that of the unilateral squamosal diseased ear.
Conclusion: In cases with unilateral squamosal disease, an asymptomatic CLE can undergo subclinical changes and conductive hearing loss. Patients can also have silent radiological changes in the CLE detected on the CT scan, which are significant but remain undetected. No statistical significance could be reported in this study, yet other studies with even larger samples are required to show a causal relation between unilateral squamosal disease and a quiescent process in the asymptomatic CLE.
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