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Effect of aerobic bacteriology on the clinical presentation and treatment results of chronic suppurative otitis media

Published online by Cambridge University Press:  29 June 2007

Eero Vartiainen  and
Jukka Vartiainen
Eero Vartiainen*
Affiliation:
Department of Otolaryngology, University of Kuopio, Kuopio, Finland
Jukka Vartiainen
Affiliation:
Department of Information Technology, Tampere University of Technology, Tampere, Finland
*
Address for correspondence: Eero Vartiainen, M.D., Dept of Otolaryngology, University Hospital of Kuopio, FIN-70210 Kuopio, Finland. Fax: +358-17-712509
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Abstract

The effect of aerobic bacteriology on the clinical presentation, complications of the disease and long-term results of surgical treatment was assessed in a cohort of 368 patients with chronic suppurative otitis media. Bacteriological findings showed no significant difference between child and adult patients. Staphylococcus aureus was isolated in cholesteatoma ears more frequently than Pseudomonas aeruginosa, in chronic ears without cholesteatoma the situation was reversed. Bacteriological findings had no significant effect on the incidence of complications caused by the disease. Failures after surgical treatment were most common in Pseudomonas ears. The bacteriology had no significant effect on pre-operative hearing levels nor postoperative hearing results. It was concluded that, in order to improve results of chronic ear sugery, more attention should be paid to pre-operative conservative treatment of chronically discharging ears, especially those infected by P. aeruginosa.

Keywords

Otitis media, suppurativeBacteriologyMastoid surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 4 , April 1996 , pp. 315 - 318
Copyright
Copyright © JLO (1984) Limited 1996

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