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.
References
[1]
Tankéré, F. and Bodénez, C. (2008) Conduite à tenir devant une otorrhée chronique. EMC-Traité de Médecine Akos, 11, 1-4.
[2]
Ezzahoum, M.S. (2012) Profil bactériologique des otorrhées chroniques. Université Mohamed V Faculté de Médecine et de Pharmacie de Rabat, Rabat.
[3]
Njifou, A., Nsom, P., Vodouhe, U., Mpessa, E., Moho, A., Kuiffo, C., et al. (2019) Les Otites Moyennes Aigues à Douala: Aspects Epidémiologiques, Cliniques et Therapeutiques à propos de 120 cas. Health Sciences and Diseases, 20, 82-86.
[4]
Tran Ba Huy, P. (2018) Otites Moyennes Chroniques. Histoire Naturelle et Formes Cliniques. EMC-Oto-Rhinolaryngologie, 13, 1-23.
[5]
Koné, F.I. (2014) Complications des Otites Chroniques: Aspects épidémiologiques, diagnostiques et thérapeutiques. Faculté de médecine et d’odontostomatologie Bamako, Bamako.
[6]
Guindo, E. (2012) Otites Moyennes Aigües: Etude Bactériologique sur les otites moyennes aigues suppurées chez les enfants de 6 mois à 12 ans dans le service OR de l’Hôpital Gabriel TOURé de Bamako, Mali. Faculté de Médecine, de Pharmacie et d’Odonto-Stomatologique, Mali.
[7]
Sacko, H.B. Dembélé, R.K. Diallo, A.O. and Coulibaly, M.S. (2014) Bacteriologie De L’otite Moyenne Suppuree Chronique De L’enfant Au Mali [Bacteriology of the Chronic Suppurative Otitis Media in Children in Mali]. Journal Tunisien d’ORL, 31, 34-36.
[8]
Gyebre, Y.M.C., Ouedraogo, R.W.-L. and Elola, A. (2013) Epidemiological and Clinical Aspects and Therapy of Chronic Otitis Media in the “ENT” and Cervicofacial Surgery Ward in the University Hospital of Ouagadougou. International Scholarly Research Notices, 2013, Article ID: 698382. https://doi.org/10.1155/2013/698382
[9]
Zarhnoun, K. (2013) Les otites moyennes chroniques cholestéatomateuses chez l’enfant à propos de 15 cas et revue de la littérature. Université Cardi AYYAD Faculté de Medecine et de Pharmacie Marrakech.
[10]
Castro, O., Perez-Carro, A.M., Ibarra, I., et al. (2013) Myringoplasties in Children: Our Results. Acta Otorrinolaringologica, 64, 87-91. https://doi.org/10.1016/j.otoeng.2013.04.002
[11]
Tesfa et al. (2020) Bacterial Otitis Media in Sub-Saharan Africa: A Systematic Review and Meta-Analysis. BMC Infectious Diseases, 20, Article No. 225. https://doi.org/10.1186/s12879-020-4950-y
[12]
Agrawal, A. and Bhargava, P. (2017) Comparative Evaluation of Tympanoplasty with or Without Mastoidectomy in Treatment of Chronic Suppurative Otitis Media Tubotympanic Type. Indian Journal of Otolaryngology and Head & Neck Surgery, 69, 172-175. https://doi.org/10.1007/s12070-016-1038-5
[13]
Tabchi, B., Rassi, S., Haddad, A., Nehme, P. and El Rassi, B. (2000) Les otites moyennes chroniques suppurées: Une expérience de 140 cas colligés à l’hôtel-Dieu de France. Journal Medical Libanais, 48, 152-156.
[14]
Balyan, F.R., Celikkanat, S., Aslan, A, Taibah, A., Russo, A. and Sanna, M. (2000) Mastoidectomy in Non Cholesteatomatous Chronic Suppurative Otitis Media: Is it Necessary? Otolaryngology—Head and Neck Surgery, 117, 592-595. https://doi.org/10.1016/S0194-5998(97)70038-X
[15]
Ayache, D., Schmerber, S., Lavieille, J.P., Roger, G. and Gratacapt, B., et al. (2006) Cholestéatome de l’oreille moyenne Middle ear cholesteatoma. Annales d’Otolaryngologie et de Chirurgie Cervico-faciale, 123, 120-137. https://doi.org/10.1016/S0003-438X(06)76653-1
[16]
Brahim, B., Mehdi, C., Karrim, N. and Mountassir, M. (2014) Cholestéatome de l’oreille moyenne: étude rétrospective à propos de 145 cas. Pan African Medical Journal, 17, Article 163. https://doi.org/10.11604/pamj.2014.17.163.3670
