Abstract

Dr. Pankaj Srivastava*, Dr. Rohit Mehrotra, Mansi Pankaj, Manvi Pankaj

ABSTRACT

Introduction- Chronic Suppurative Otitis Media (CSOM) is one of the most common chronic infectious diseases worldwide especially affecting children. Hearing impairment is one of the most common sequelae of CSOM if not treated early. In this prospective study patients mostly had ear discharge as chief complaint. Itching being the second complaint. Third was hearing impairment. Although in all available literature betadine cleaning is advisable and has shown beneficial effect and seems to be logical. But in this study the effect of betadine ear cleaning and cotton application in the ear of CSOM patients has not shown any beneficial effect, rather it has shown a worse result. Method- Patients having Tubotympanic type CSOM, who had unilateral or bilateral ear discharge were divided into two groups. One group was advised to do Betadine dipped cotton swab cleaning of ear canal twice a day and keep a clean cotton in the ear all the time, it was called Group A. Second group was asked not to clean their ear and apply cotton in their ears. This was called Group B. Both group of patients were prescribed Ciprofloxacin ear drops for two weeks and if after two weeks discharge persisted, oral Amoxicillin and Clavulanic acid was given for 5 days. Patients were followed every two week and the amount of discharge and other complaints were noted. Data was collected and filled in Performa. Conclusions- Antibiotics in the form of ear drops or sometimes oral are mainstay antibiotic treatment in CSOM. In addition patients are advised to clean the ear with betadine and to apply cotton to keep ear dry and clean. In our study these two precautions were not found to help the patients.