Study Of Chronic Otitis Media Active Mucosal Type With Sinusitis As A Focus Of Infection.

Background. Chronic Suppurative Otitis Media (CSOM) is the persistent inflammation of the mucosa in the middle ear cleft. Sinusitis, in particular, plays a significant role as a focal sepsis in the majority of cases. The current study aims to investigate the clinical profile and diagnostic techniques for these individuals, specifically focussing on sinusitis as the main source of infection. Methods. A clinical trial was done at the Department of Otorhinolaryngology, National Institute of Medical Science Research and Hospital, Jaipur, from June 15, 2022, to December 31, 2023, after obtaining clearance from the Board of Studies and Ethical Committee. The main aim was to assess the significance of previous diagnostic nasal endoscopy in these patients. Results. A total of 300 patients were selected. The most prevalent anatomical alteration seen in the study was a deviated nasal septum, which was found in 118 individuals, representing 39.3% of the entire sample (p=0.002). Seventy patients, accounting for 23.3%, were determined to have a disease that is confined to the ostiomeatal complex at Grade 1. The most predominant characteristic detected in 98 patients was the incomplete opacification of one or more sinuses at Grade 2. Conclusion. This study clarifies the complex factors involved in chronic otitis media active mucoses, highlighting the importance of thorough clinical, anatomic, and radiological evaluations in determining appropriate treatment approaches. The notable discoveries emphasise the necessity for continuous investigation and improvement of diagnostic and treatment procedures to optimise patient outcomes in this complex ailment. [ABSTRACT FROM AUTHOR]