Chronic otitis media in urban and rural areas: epidemiological, clinical and therapeutic description

Article Sidebar

Télécharger PDF (Français (France))
Published: Dec 26, 2024
DOI: https://doi.org/10.64263/kmj.v2i2.48
Keywords:
Chronic Otitis Media, Epidemiology, Surgical treatment, Panzi Hospita

Main Article Content

Mireine Mugoli Bahati
Département de chirurgie (ORL), Hôpital Général de Référence de Panzi, Bukavu, RD Congo
Liévin Bikali Buhendwa
Programme élargi de vaccination, Sud-Kivu, RD Congo
Justin Mbikilile Mongwa
Département de Chirurgie, Hôpital Général de Référence de Panzi, Bukavu, RD Congo
Lampard Mukanga Omari
Statistique-Service, Hôpital Général de Référence de Panzi, Bukavu, RD Congo
Prisca Isesemo Kavira
Statistique-Service, Hôpital Général de Référence de Panzi, Bukavu, RD Congo
Dieudonné Masemo Bihehe
Département de médecine interne, Hôpital Général de Référence de Panzi, Bukavu, RD Congo
Patrick Balungwe Birindw
Département de Chirurgie (ORL), Hôpital Provincial de Référence de Bukavu, Bukavu, RD Congo

Abstract

Introduction : Chronic otitis media (CMM) is conventionally defined as an inflammatory process of the middle ear cavities that has been evolving for more than 3 months. The aim of this study was to describe the epidemiological, clinical and therapeutic aspects of chronic otitis media in the urban environment.


Material and methods: This is a retrospective study, over a 5-year period, from January 1, 2014 to December 31, 2019. Data were collected from consultation registers and medical records. The parameters studied were analyzed using SPSS version 21 software.


Results: The frequency of CMO in rural and urban areas was 14.1%, with a predominance of urban areas in 60.4%. The mean age of our patients was 28.22 years. Both sexes were involved, with males predominating (51.8%). Reasons for consultation were dominated by otalgia (100%) and otorrhea alone (55.6%). All patients received pus aspiration and medical treatment with ear drops, with or without antibiotics, steroidal anti-inflammatories or analgesics. 10 mastoidectomies (58.8%) were combined with tympanoplasty, and 2 paracenteses (11.7%) with DIABOLO. The major post-treatment complication was anemia.


Conclusion: CMO is a pathology that is wrongly trivialized, but frequently encountered among otological disorders. It can be contracted at any age, with a high prevalence of onset at an early age due to immune immaturity, repeated otitic episodes and poor management of ENT infections, leaving the disease to progress to chronicity.

Article Details

How to Cite
Mugoli Bahati, M., Bikali Buhendwa, L., Mbikilile Mongwa, J., Mukanga Omari, L., Isesemo Kavira, P., Masemo Bihehe, D., & Balungwe Birindw, P. (2024). Chronic otitis media in urban and rural areas: epidemiological, clinical and therapeutic description. Kivu Medical Journal, 2(2), 1–8. https://doi.org/10.64263/kmj.v2i2.48
Issue
Vol. 2 No. 2 (2024): Juillet 2024
Section
Article original
Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

References

Tran Ba Huy P. Otites moyennes chroniques. Histoire élémentaire et formes cliniques. EMC - Oto-rhino-laryngologie. 2005;2(1):26‑61.

Bordure P, Bailleul S, Malard O, Wagner R. Otite chronique cholestéatomateuse. Aspects cliniques et thérapeutiques. EMC - Oto-rhino-laryngologie. 2009;4(4):1‑16.

Matanda RN, Muyunga KC, Sabue MJ, Creten W, Van de Heyning P. Chronic suppurative otitis media and related complications at the University Clinic of Kinshasa. B-ENT. 2005;1(2):57‑62.

Bennett KE, Haggard MP, Silva PA, Stewart IA. Behaviour and developmental effects of otitis media with effusion into the teens. Arch Dis Child. 2001;85(2):91‑5.

François M. Complications des otites moyennes aiguës et chroniques. EMC - Oto-rhino-laryngologie. 2005;2(1):92‑106.

Monasta L, Ronfani L, Marchetti F, Montico M, Vecchi Brumatti L, Bavcar A, et al. Burden of Disease Caused by Otitis Media: Systematic Review and Global Estimates. Moormann AM, éditeur. PLoS ONE. 2012;7(4):e36226.

Abada RL, Mansouri I, Maamri M, Kadiri F. Complications des otites moyennes chroniques. Annales d’Otolaryngologie et de Chirurgie Cervico-faciale. 2009;126(1):1‑5.

World Health Organization. Chronic suppurative otitis media : burden of illness and management options. World Health Organization; 2004.

Muftah S, Mackenzie I, Faragher B, Brabin B. Prevalence of Chronic Suppurative Otitis Media (CSOM) and Associated Hearing Impairment Among School-aged Children in Yemen. Oman Med J. 2015;30(5):358‑65.

Chadha S. Increasing community awareness of ear and hearing health. s-j-cehh. 2013;10(13):1.

Sauvage JP. Guide d’ORL: clinique et thérapeutique. Issy-les-Moulineaux: Elsevier Masson; 2016. (Collection ORL).

Omadjela O, Nyembue T, Okitolonda W, Situakibanza N, Matanda N. Connaissances, attitudes et pratiques des kinois sur l’otite moyenne chronique suppurée / République Démocratique du Congo (RDC). Rev Mali Infectiol Microbiol. 2020;15(2):53‑61.

Tabchi B, Rassi S, Elias R, Haddad A, Nehme P, el Rassi B. Chronic suppurative otitis media. Experience with 140 cases at the Hotel-Dieu of France. J Med Liban. 2000;48(3):152‑6.

Tall A, Sylla I, N’diaye M, Diom E, Deguenonvo R, Diallo B, et al. Complications des otites moyennes chroniques complications of chronic otitis media. 2014;37‑42.

Rathod V, Shrikhande S, More S, Kasturi. Study of Bacteriological Profile and Its Antibiotic Susceptibility in Patients of Chronic Suppurative Otitis Media in Nanded, Maharashtra. International Journal of Health Sciences and Research. 2016;6(3):68‑72.

Nshimirimana JPD, Mukara KB. Causes of Delayed Care Seeking for Chronic Suppurative Otitis Media at a Rwandan Tertiary Hospital. International Journal of Otolaryngology. 2018;2018:1‑5.

ChandrasheKharayya SH. To Study the Level of Awareness About Complications of Chronic Suppurative Otitis Media (CSOM) in CSOM Patients. JCDR. 2014;8(2):59‑61.

Cherpillod J, Burnier M. L’otite moyenne chronique chez l’enfant. Rev Méd Suis. 2006;2(54):513‑6.

Homøe P, Sørensen HCF, Tos M. Mobile, one stage, bilateral ear surgery for chronic otitis media patients in remote areas. J Laryngol Otol. 2009;123(10):1108‑13.

Gyebre YMC, Ouedraogo RWL, Elola A, Ouedraogo BP, Sereme M, Ouattara M, et al. Epidemiological and Clinical Aspects and Therapy of Chronic Otitis Media in the « ENT » and Cervicofacial Surgery Ward in the University Hospital of Ouagadougou. ISRN Otolaryngol. 2013;2013:698382.

Attallah MS. Microbiology of chronic suppurative otitis media with cholesteatoma. Saudi Med J. 2000;21(10):924‑7.

Khanna V, Chander J, Nagarkar NM, Dass A. Clinicomicrobiologic evaluation of active tubotympanic type chronic suppurative otitis media. J Otolaryngol. 2000;29(3):148‑53.

Penido NDO, Chandrasekhar SS, Borin A, Maranhão ASDA, Gurgel Testa JR. Complications of otitis media – a potentially lethal problem still present. Brazilian Journal of Otorhinolaryngology. 2016;82(3):253‑62.

Yorgancılar E, Yıldırım M, Gun R, Bakır S, Tekın R, Gocmez C, et al. Complications of chronic suppurative otitis media: a retrospective review. Eur Arch Otorhinolaryngol. 2013;270(1):69‑76.

Baljosevic I, Djeric D, Milovanovic J, Subarevic V. Chronic suppurative inflammation of the middle ear in children. Srp Arh Celok Lek. 2008;136(7‑8):350‑3.

Verhoeff M, Van Der Veen EL, Rovers MM, Sanders EAM, Schilder AGM. Chronic suppurative otitis media: A review. International Journal of Pediatric Otorhinolaryngology. 2006;70(1):1‑12.

Balyan FR, Celikkanat S, Aslan A, Taibah A, Russo A, Sanna M. Mastoidectomy in noncholesteatomatous chronic suppurative otitis media: is it necessary? Otolaryngol Head Neck Surg. 1997;117(6):592‑5.

Most read articles by the same author(s)