Adnan Ejaz, Amjad Ali Khan, Qazi Mahfooz-ul Haq.
Cholesteatoma Clinical Outcome and Complications: A Study on Patients with Chronic Ear Disease.
Med Forum Jan ;3(3):27-30.

Objectives: To identify the clinical behaviour and consequences of cholesteatoma and to formulate a strategy for achieving early diagnosis, appropriate management and avoidance of all the grave complications. Study Design: Hospital based descriptive type of study Place and Duration of Study: This study was conducted in Shahina Jamil Hospital from April 2011 to Dec 2012. Materials and Methods: 40 patients of any age and gender were included in the study. The age, gender, socio-economic status and complications like hearing loss, facial nerve paralysis, intracranial spread, labyrinthitis, mastoid fistula and ossicular chain status were recorded and analyzed. Results: We found that 62.5% were male and 37.5% were female.75% of the patients belong to rural areas and 25% belong to urban areas. All the patients (100%) presented with ear discharge and hearing loss. Ossicles were found intact in all patients. Labyrinthitis was the most common complication (37.5%). Conclusion: It was found that cholesteatoma was frequent among poor, male and young patients leading to necrosis of the ossicles in all patients. Labyrinthitis, mastoid fistula and intracranial spread were common complication.

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