Dr Sreenath B MD (Hom) Organon from GHMC Calicut
Medical Officer, Department of Homoeopathy, Govt of Kerala
Background and objectives: Chronic suppurative otitis media (CSOM) is the chronic inflammation of part or whole of middle ear cleft characterized by ear discharge and permanent perforation. Global burden of illness from CSOM involves 65–330 million individuals with draining ears, 60% of whom suffer from significant hearing impairment. Surgical procedures like mastoidectomy with or without tympanaoplasty are costly and do not always lead to satisfactory hearing improvement.
The risk of ototoxicity is one stumbling block in the widespread use of topical antibiotics. Antibiotic sensitivity has changed overtime and a continuous and periodic surveillance is necessary and studies show most of the CSOM cases are poly microbial. Homeopathic approach is to treat the patient, evaluating health in multiple levels of each individual. This study is conducted to understand the effectiveness of constitutional medicines in the management of CSOM. This study is to assess the effectiveness of Homoeopathic constitutional medicines in the treatment of chronic suppurative otitis media and also to compare the wellbeing levels and symptomatic changes of the patients before and after treatment.
Materials and method: The study comprised of 30 patients randomly selected from the inpatient and outpatient department of Government Homeopathic Medical College, Kozhikode, in the year 2016-2017, in the age group of 5-50, presenting with ear discharge continuous or intermittent with tympanic membrane perforation according to the diagnostic criteria. Study period was 1 year with minimum 6 months follow up in each case.
Result: After 6 months, found amelioration of ear discharge in 73% cases, aggravation in 10%, and no change of ear discharge in 16.66%. Recurrence of ear discharge was decreased 66.66% patients; in 33.33 patients recurrence was same as before and in no case recurrence was increased. Calcarea Carb was indicated in 16.66% cases. Otoendoscopic finding of tympanic membrane was not changed after treatment. 88.88% patients with hearing improvement had no change in hearing after treatment, 11.11% patients had improvement in conductive deafness and no improvement was found in cases with mixed hearing loss.
Conclusion: Results shows there is significant improvement in ear discharges of patients. Character, volume and recurrence have improved after Homoeopathic constitutional medicines. Hearing impairments were not found to be improved in most of the cases. Homoeopathic constitutional medicines are effective in management of chronic suppurative otitis media.
Key words : chronic suppurative otitis media; middle ear; Homoepathy; otoendoscopy; ear discharge; tympanic membrane; recurrence; pure tone audiogram; conductive deafness; mixed deafness;
This study concluded Homoepathic constitutional medicines are effective in management of chronic suppurative otitis media. The cases with long duration of pathology, responded well to the treatment. Character, volume and recurrence of discharge improved after medicines. Conductive deafness responded but mixed deafness did not change after treatment.
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Dr Sreenath B
MD (Hom) Organon from GHMC Calicut
Medical Officer, Department of Homoeopathy, Govt of Kerala
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