Association of Tubotympanic Type Chronic Suppurative Otitis Media with Sinonasal Pathologies

Background: Sino-nasal and paranasal pathologies has a negative impact on the progression and treatment outcomes of chronic suppurative otitis media. The objective of this study is to find the association of chronic suppurative otitis media of the tubo-tympanic type with diseases of the nose and th...

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Main Authors: Wasim Sajjad, Muhammad Zubair Khan, Muhammad Saleem Khan, Muhammad Aimen Ikram, RahmatUllah Khan, Furqan Ijaz
Format: Article
Language:English
Published: ziauddin University 2025-07-01
Series:Pakistan Journal of Medicine and Dentistry
Subjects:
Online Access:https://ojs.zu.edu.pk/pjmd/article/view/3800
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author Wasim Sajjad
Muhammad Zubair Khan
Muhammad Saleem Khan
Muhammad Aimen Ikram
RahmatUllah Khan
Furqan Ijaz
author_facet Wasim Sajjad
Muhammad Zubair Khan
Muhammad Saleem Khan
Muhammad Aimen Ikram
RahmatUllah Khan
Furqan Ijaz
author_sort Wasim Sajjad
collection DOAJ
description Background: Sino-nasal and paranasal pathologies has a negative impact on the progression and treatment outcomes of chronic suppurative otitis media. The objective of this study is to find the association of chronic suppurative otitis media of the tubo-tympanic type with diseases of the nose and the sinonasal system. Methods: This was a prospective observational study with 110 patients involved through a consecutive non-probability sampling technique and conducted at Khyber Teaching Hospital, Peshawar, for a period of 6 months starting from 1st July 2024 to 31st December 2024. The type of CSOM on otoscopy and various nasal pathologies seen on rhinoscopy were included. The presentation of CSOM on otoscopy and audiogram results with and without Sino-nasal disease was assessed. The Pearson's chi-squared test was used to test the correlation between risk factors (CSOM) and outcomes, with a p-value <0.05 considered statistically significant.  Results: Out of 110 patients selected for this prospective trial, the mean age of the sample population was 25.6 ± 13.7. In terms of gender, 42 (38.2%) patients were female, and 68 (61.8%) patients were male. The Pearson chi-square analysis revealed a significant association between the absence of nasal pathology and symptoms of CSOM in terms of the health of the tympanic membrane and the level of hearing loss (p-value < 0.05); however, ear discharge had an insignificant correlation (p-value 0.652). Conclusion: The study suggests that obstructive nasal and Sino-nasal conditions may negatively affect the response to treatment and worsen the symptoms related to chronic suppurative otitis media.
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issn 2313-7371
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language English
publishDate 2025-07-01
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series Pakistan Journal of Medicine and Dentistry
spelling doaj-art-a9cdd12465984e44accc262883d8b1702025-08-20T03:30:10Zengziauddin UniversityPakistan Journal of Medicine and Dentistry2313-73712308-25932025-07-0114310.36283/ziun-pjmd14-3/041Association of Tubotympanic Type Chronic Suppurative Otitis Media with Sinonasal PathologiesWasim Sajjad0Muhammad Zubair Khan1Muhammad Saleem Khan2Muhammad Aimen Ikram3RahmatUllah Khan4Furqan Ijaz5DHQ Teaching Hospital KDA KohatKhyber Medical University institute of medical sciences KDA DHQTH, KohatKhyber Medical University institute of medical sciences KDA DHQTH, KohatDHQ Teaching Hospital KDA, KohatPGR Hayatabad Medical Complex, PeshawarDHQ Teaching Hospital KDA Kohat Background: Sino-nasal and paranasal pathologies has a negative impact on the progression and treatment outcomes of chronic suppurative otitis media. The objective of this study is to find the association of chronic suppurative otitis media of the tubo-tympanic type with diseases of the nose and the sinonasal system. Methods: This was a prospective observational study with 110 patients involved through a consecutive non-probability sampling technique and conducted at Khyber Teaching Hospital, Peshawar, for a period of 6 months starting from 1st July 2024 to 31st December 2024. The type of CSOM on otoscopy and various nasal pathologies seen on rhinoscopy were included. The presentation of CSOM on otoscopy and audiogram results with and without Sino-nasal disease was assessed. The Pearson's chi-squared test was used to test the correlation between risk factors (CSOM) and outcomes, with a p-value <0.05 considered statistically significant.  Results: Out of 110 patients selected for this prospective trial, the mean age of the sample population was 25.6 ± 13.7. In terms of gender, 42 (38.2%) patients were female, and 68 (61.8%) patients were male. The Pearson chi-square analysis revealed a significant association between the absence of nasal pathology and symptoms of CSOM in terms of the health of the tympanic membrane and the level of hearing loss (p-value < 0.05); however, ear discharge had an insignificant correlation (p-value 0.652). Conclusion: The study suggests that obstructive nasal and Sino-nasal conditions may negatively affect the response to treatment and worsen the symptoms related to chronic suppurative otitis media. https://ojs.zu.edu.pk/pjmd/article/view/3800Chronic suppurative otitis mediasino-nasal pathologiesassociationcomplications
spellingShingle Wasim Sajjad
Muhammad Zubair Khan
Muhammad Saleem Khan
Muhammad Aimen Ikram
RahmatUllah Khan
Furqan Ijaz
Association of Tubotympanic Type Chronic Suppurative Otitis Media with Sinonasal Pathologies
Pakistan Journal of Medicine and Dentistry
Chronic suppurative otitis media
sino-nasal pathologies
association
complications
title Association of Tubotympanic Type Chronic Suppurative Otitis Media with Sinonasal Pathologies
title_full Association of Tubotympanic Type Chronic Suppurative Otitis Media with Sinonasal Pathologies
title_fullStr Association of Tubotympanic Type Chronic Suppurative Otitis Media with Sinonasal Pathologies
title_full_unstemmed Association of Tubotympanic Type Chronic Suppurative Otitis Media with Sinonasal Pathologies
title_short Association of Tubotympanic Type Chronic Suppurative Otitis Media with Sinonasal Pathologies
title_sort association of tubotympanic type chronic suppurative otitis media with sinonasal pathologies
topic Chronic suppurative otitis media
sino-nasal pathologies
association
complications
url https://ojs.zu.edu.pk/pjmd/article/view/3800
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AT muhammadsaleemkhan associationoftubotympanictypechronicsuppurativeotitismediawithsinonasalpathologies
AT muhammadaimenikram associationoftubotympanictypechronicsuppurativeotitismediawithsinonasalpathologies
AT rahmatullahkhan associationoftubotympanictypechronicsuppurativeotitismediawithsinonasalpathologies
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