TITLE:
Chronic Purulent Otorrhea in the South of the Sahara: Epidemiological, Clinical and Therapeutic Profiles about 135 Cases
AUTHORS:
Kassim Diarra, N’faly Konaté, Youssou Sidibé, Famagan Bah, Boubacary Guindo, Siaka Soumaoro, Drissa Kaloga Bagayoko, Fatogoma Issa Koné, Doumbia Kadidiatou Singare, Mohamed Amadou Keita
KEYWORDS:
Chronic Otorrhea, Cholesteatoma, Myringoplasty, Bamako
JOURNAL NAME:
International Journal of Otolaryngology and Head & Neck Surgery,
Vol.11 No.4,
July
29,
2022
ABSTRACT: Objective: To study the clinical
and therapeutic epidemiological profile of chronic purulent otorrhea in the ENT
and CCF departments of the Gabriel Touré university hospital. Materials
and Method: This was a retrospective study from May 2019 to April 2021. We
made an exhaustive sampling of all patients who consulted for chronic purulent
otorrhea with a complete medical file. All ages were included (except from 0 to - 5 years), and all sexes combined. The data medium was the
patient records and the department’s operating report register. The
non-inclusion criteria were patients with incomplete files and patients who
were less than 5 years old. Results: In total, we collected 135 cases. The average age of our
patients was 29.27 years. The most represented age group was 16 to 25 years
old. We noted a male predominance in 60.7%. The associated signs found were
hearing loss, earache, tinnitus, ear pruritus, vertigo, headache and facial
paralysis. The main pathology involved is chronic otitis media (CMO) in 55.5%,
the most serious of which is dangerous chronic otitis (8.1%). All of our
patients have received medical treatment. The treatment was surgical in 64% of
patients after medical treatment. With the mean follow-up of 6 months, tinnitus
and reperforation were the most common complications found in 6.2% and 3.1%
respectively. Conclusion: Chronic purulent otorrhea is the most
common ear discharge in ENT consultation. The main pathology involved is CMO,
the most formidable of which is cholesteatoma. Medico-surgical treatment.